Umbilical cord abnormalities in newborns with birth asphyxia

Q4 Medicine Revista Romana de Pediatrie Pub Date : 2022-11-30 DOI:10.37897/rjp.2022.s2.2
Andreea Calomfirescu-Avramescu, Vlad Dima, Mihaela Demetrian, A. Stancu, A. Bălănescu, P. Bălănescu, I. Gherghina
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Abstract

Introduction. Birth asphyxia is a serious condition that causes neurologic sequelae due to decreased blood flow and oxygen to the fetus. We aimed to identify and describe specific macroscopic and microscopic umbilical cord abnormalities in neonates with asphyxia. Materials and methods. We conducted an observational prospective study over a period of 3 years. 80 patients diagnosed with birth asphyxia which had umbilical cord examination performed were enrolled. The control group consisted in 48 newborns that required neonatal intensive care for at least one week, in the same period of time, for any other reason and that also had available umbilical cord exam. Results. We analyzed data gathered from both groups by applying specific statistical tests for each type of variable and hypothesis. Thus, umbilical cord abnormalities were associated with the hypoxic-ischemic encephalopathy in a statistically significant manner when comparing the asphyxia group of newborns with the control one (p = .00). Conclusion. Marginal or velamentous insertion of the umbilical cord was associated with high risk of birth asphyxia.
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新生儿出生窒息时脐带异常
介绍出生窒息是一种严重的情况,由于胎儿的血流量和氧气减少,会导致神经系统后遗症。我们的目的是识别和描述窒息新生儿的特定宏观和微观脐带异常。材料和方法。我们进行了一项为期3年的观察性前瞻性研究。80例经脐带检查诊断为出生窒息的患者被纳入研究。对照组包括48名新生儿,他们在同一时间段内因任何其他原因需要新生儿重症监护至少一周,并且还可以进行脐带检查。我们通过对每种类型的变量和假设应用特定的统计检验来分析从两组中收集的数据。因此,新生儿窒息组和对照组相比,脐带异常与缺氧缺血性脑病有统计学意义(p=0.00)。脐带边缘或绒毛状插入与出生窒息的高风险相关。
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CiteScore
0.10
自引率
0.00%
发文量
15
审稿时长
4 weeks
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