Open AccessUmbilical Cord Acid‐Base State and Apgar Score in Term Breech Neonates
Author(s) -
Luterkort Marie,
Marsál Karel
Publication year - 1987
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016348709092955
Subject(s) - medicine , umbilical cord , apgar score , breech presentation , obstetrics , vaginal delivery , asphyxia , asphyxia neonatorum , anesthesia , pregnancy , birth weight , anatomy , biology , genetics
Umbilical cord acid—base state and Apgar score were compared in neonates after breech and vertex term birth. The breech group comprised 149 consecutive new‐borns, 91 born vaginally and 58 by cesarean section. The control group consisted of a random sample of 150 new‐borns in vertex presentation: 100 born vaginally and 50 by cesarean section. Among vaginally born babies, the 1‐min Apgar score was more often depressed in the breech presentation group than in the vertex group; after 5 min the Apgar scores were comparable in both groups. No difference was found in umbilical cord values of pH and base excess between the breech and the vertex groups when comparison was made within each delivery mode. In both greups, umbilical cord values were lower after vaginal than after abdominal delivery. It is concluded that in selected cases, uneventful vaginal breech labor and delivery at term is not associated with an increased risk of asphyxia.