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Archives of Gynecology and Obstetrics
Erschienen in: Archives of Gynecology and Obstetrics 5/2011

01.05.2011 | Materno-fetal Medicine

Nonreassuring fetal heart rate patterns and nucleated red blood cells in term neonates

verfasst von: E. Ebru Kovalak, F. Suat Dede, Orhan Gelisen, Hulya Dede, Ali Haberal

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 5/2011

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Abstract

Purpose

The aim of this study was to evaluate the association between nonreassuring fetal heart rate patterns during labor and umbilical cord nucleated red blood cell counts.

Methods

Nucleated red blood cell data was collected prospectively from 41 singleton term neonates presented with nonreassuring fetal heart rate patterns and/or meconium stained amniotic fluid during labor (study group) and from 45 term neonates without any evidence of nonreassuring fetal status (controls). Umbilical artery pH, blood gases and base excess were also determined to investigate the correlation between independent variables.

Results

The median nucleated red blood cells per 100 white blood cells were 13 (range 0–37) in the study group and 8 (range 0–21) in the control group. Stepwise regression analysis have identified meconium stained amniotic fluid (R 2 = 0.15, p < 0.0001) and umbilical artery PO2 (R 2 = 0.1, p = 0.002) as independent variables associated with elevated NRBC counts in patients with nonreassuring fetal heart rate patterns.

Conclusions

Nucleated red blood cells in the cord blood of newborns were found to be elevated in patients with nonreassuring FHR patterns during labor. However, the wide range and the poor correlation of NRBC count with umbilical artery pH and blood gas values limit its clinical utility as a marker for fetal hypoxia.
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Metadaten
Titel
Nonreassuring fetal heart rate patterns and nucleated red blood cells in term neonates
verfasst von
E. Ebru Kovalak
F. Suat Dede
Orhan Gelisen
Hulya Dede
Ali Haberal
Publikationsdatum
01.05.2011
Verlag
Springer-Verlag
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 5/2011
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-010-1517-y

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