Prevalence of fetal malnutrition and relationship between fetal malnutrition and fetal acidemia; [Fetal malnütrisyonun sikliǧi ve fetal asidemi ile olan i̇lişkisi]

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2012

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Objective: The aim of this study is determining prevalence of fetal malnutrition and relationship between fetal malnutrition and fetal acidemia at term newborn infants. Material and Methods: This study was performed on 121 term newborn infants who were born at the Department of Gynecology and Obstetrics, between September 2010 and May 2011. Fetal malnutrition was diagnosed using [Clinical Assessment of Fetal Nutritional Status Scoring (CANSCORE)] within 12 hours after birth and umblical artery blood-gas analysis was performed at birth. Results: Mean value of CANSCORE was 27.6±3.5 (18-44) at term newborn infants. CANSCORE score was determined as 24 and less in 12 (9.9%) infants who were evaluated as having fetal malnutrition. CANSCORE score was above 24 in other 109 (90.1%) infants. Ten of the 12 newborn infants with fetal malnutrition were [small for gestational age (SGA)]. There was no relationship between fetal malnutrition and low CANSCORE (P=0.000). The mean value of pH was 7.30±0.07 (7.01-7.41) at umblical artery blood-gas analysis. Fetal acidemia (pH<7.15) was observed in 8 (6.6%) infants. There was no significant relationship between the presence of fetal malnutrition and fetal acidemia (p=0.735). Conclusion: No relationship between fetal malnutrition and fetal acidemia was observed in this study. Copyright © 2012 by Türkiye Klinikleri.

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