Umbilical Lactate and Blood Acidity Level in Association with Apgar Score

Fitri P Sitanggang; Bugis Mardina Lubis; Yazid Dimyati

Volume : VIII, Issue : VII, July - 2019

Umbilical Lactate and Blood Acidity Level in Association with Apgar Score

Fitri P Sitanggang, Bugis Mardina Lubis, Yazid Dimyati

Abstract :

Background: Asphyxia can develop into progressive hypoxia which trigger anaerobic metabolism and cause lactate accumulation and decrease in pH. Analysis of acid-base and lactate in cord blood can provide an objective assessment of the metabolic status of the neonate. Objective: To evaluate the association between umbilical lactate and blood acidity and Apgar score Methods: Approximately 1 mL blood was taken from a clamped segment of cord from 35-42 weeks of gestation neonates then the pH and lactate measured. One and five minute Apgar score assesment was recorded. Result: The umbilical artery pH was significantly associated with one minute Apgar score (p=0.018) with prevalence ratio (PR) was 3.45 (95% CI;1.47-8.1) but not associated with five minute Apgar Score (p= 0.356). The umbilical artery lactate was not associated with one and five minute Apgar score (p = 0.446 and p=1, respectively). Conclusion: There was an association between umbilical artery cord blood pH and one minute Apgar score.