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The effect of delayed umbilical cord clamping on cord blood gas analysis in vaginal and cesarean-delivered term newborns without fetal distress: A prospective observational study

BJOG: An International Journal of Obstetrics and Gynaecology Jan 23, 2020

Giovannini N, Crippa BL, Denaro E, et al. - Researchers examined changes in cord blood gas (CBG) parameters after 3-minute delayed cord clamping (DCC) in vaginal deliveries (VDs) and cesarean deliveries (CDs) at term without fetal distress. In this prospective observational study, they assessed CBG from 97 VDs and 124 CDs without fetal distress. Paired arterial-venous CBG parameters drawn at birth from the unclamped cord and after 3-minutes DCC for VDs and CDs were compared. Outcomes revealed a shift in the acid-base status towards mixed acidosis in CDs and prevalent metabolic acidosis in VDs after 3-minute DCC. A more noticeable increase in arterial lactate was observed in correlation with CDs compared with VDs.
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