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Z Geburtshilfe Neonatol 2021; 225(04): 341-345
DOI: 10.1055/a-1288-1765
Original Article

The Effect of Maternal Pulmonary Function Test Parameters on Umbilical Cord Blood Gas and the Duration of Labor

Melike Demir Çaltekin 
1   Department of Obstetrics and Gynecology, Bozok University Faculty of Medicine, Yozgat, Turkey
,
Taylan Onat
1   Department of Obstetrics and Gynecology, Bozok University Faculty of Medicine, Yozgat, Turkey
,
Demet Aydogan Kırmızı
1   Department of Obstetrics and Gynecology, Bozok University Faculty of Medicine, Yozgat, Turkey
,
Emre Baser
1   Department of Obstetrics and Gynecology, Bozok University Faculty of Medicine, Yozgat, Turkey
,
Yavuz Selim İntepe
2   Department of Chest Diseases, Bozok University Faculty of Medicine, Yozgat, Turkey
,
Mustafa Kara
3   Obstetrics and Gynecology, University Faculty of Medicine, Kirsehir, Turkey
,
Ethem Serdar Yalvac
1   Department of Obstetrics and Gynecology, Bozok University Faculty of Medicine, Yozgat, Turkey
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Abstract

Objective To evaluate the relationship between the maternal pulmonary function test (PFT) and the Apgar score of the newborn, umbilical cord blood (UCB) gas values and the duration of delivery.

Material and Methods The present study included 41 volunteer nulliparous pregnant women who presented to our obstetrics clinic and PFTs were performed by using spirometry.

Results A significant positive correlation was observed between 5th-minute Apgar scores and maternal FEV1 (forced expiratory volume in the first second) (lt), FEV1%, FVC (lt), FVC% (r=0.509, p=0.003; r=0.47, p=0.007; r=0.434, p=0.013; r=0.417, p=0.017; respectively). A significant positive correlation was observed between UCB pH value and maternal FEV1 (lt), FVC (lt) (r=0.515, p=0.003; r=0.351, p=0.049; respectively).

Conclusion Our results showed that FEV1 and FVC values, which indicate maternal respiratory functions, may affect Apgar scores of the newborn and UCB gas values.

Key words

Pulmonary function test (PFT) - umbilical cord blood gas - duration of labor


Publication History

Received: 22 September 2020

Accepted after revision: 05 October 2020

Article published online:
12 November 2020

© Georg Thieme Verlag KG
Stuttgart · New York

 

  • References

  • 1 Soma-Pillay P, Nelson-Piercy C, Tolppanen H. et al. Physiological changes in pregnancy. Cardiovasc J Afr 2016; 27: 89-94
    CrossrefPubMedGoogle Scholar
  • 2 Ahmadpour-Kacho M, Zahedpasha Y, Hagshenas M. et al. Short term outcome of neonates born with abnormal umbilical cord arterial blood gases. Iran J Pediatr 2015; 25: e174
    CrossrefPubMedGoogle Scholar
  • 3 Simon LV, Hashmi MF, Bragg BN. Apgar Score. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2018
    Google Scholar
  • 4 Beyan E, Kurt S. The relationship between intrapartum fetal heart rate tracings and early neonatal outcomes. Tepecik Eğit. ve Araşt. Hast. Dergisi 2019; 29: 157-161
    PubMedGoogle Scholar
  • 5 Kamalifard M, Shahnazi M, Melli MS. et al. The efficacy of massage therapy and breathing techniques on pain intensity and physiological responses to labor pain. J Caring Sci 2012; 1: 73-78
    PubMedGoogle Scholar
  • 6 Vakilian K, Keramat A. The effect of the breathing technique with and without aromatherapy on the length of the active phase and second stage of labor. Nurs Midwifery Stud 2013; 1: 115-119
    CrossrefPubMedGoogle Scholar
  • 7 Zaigham M, Helfer S, Kristensen KH. et al. Maternal arterial blood gas values during delivery: effect of mode of delivery, maternal characteristics, obstetric interventions and correlation to fetal umbilical cord blood. Acta Obstet Gynecol Scand. 2020 DOI: 10.1111/aogs.13936
    Google Scholar
  • 8 Murphy VE, Namazy JA, Powell H. et al. A meta-analysis of adverse perinatal outcomes in women with asthma. BJOG 2011; 118: 1314-1323
    CrossrefPubMedGoogle Scholar
  • 9 Lapinsky SE, Tram C, Mehta S. et al. Restrictive lung disease in pregnancy. Chest 2014; 145: 394-398
    CrossrefPubMedGoogle Scholar
  • 10 Fraser D, Jensen D, Wolfe LA. et al. Fetal heart rate response to maternal hypocapnia and hypercapnia in late gestation. J Obstet Gynaecol Can 2008; 30: 312-316
    CrossrefPubMedGoogle Scholar
  • 11 Bharti B, Bharti S. A review of the Apgar score indicated that contextualization was required within the contemporary perinatal and neonatal care framework in different settings. J Clin Epidemiol 2005; 58: 121-129
    CrossrefPubMedGoogle Scholar
  • 12 Pinheiro JM. The Apgar cycle: a new view of a familiar scoring system. Arch Dis Child Fetal Neonatal Ed 2009; 94: 70-72
    CrossrefPubMedGoogle Scholar
  • 13 Duran B, Mamik BA, Güvenal T. et al. The significance of umblical artery blood gases and Apgar scores and the effects of perinatal and obstetric factors in newborn. Cumhuriyet Üniversitesi Tıp Fakültesi Dergisi 2003; 25: 51-54
    PubMedGoogle Scholar
  • 14 Lampl M. Cellular life histories and bow tie biology. Am J Hum Biol 2005; 17: 66-80
    CrossrefPubMedGoogle Scholar
  • 15 Kingdom J, Huppertz B, Seaward G. et al. Development of the placental villous tree and its consequences for fetal growth. Eur J Obstet Gynecol Reprod Biol 2000; 92: 35-43
    CrossrefPubMedGoogle Scholar
  • 16 Soleymanlou N, Jurisica I, Nevo O. et al. Molecular evidence of placental hypoxia in preeclampsia. J Clin Endocrinol Metab 2005; 90: 4299-4308
    CrossrefPubMedGoogle Scholar
  • 17 Goldaber KG, Gilstrap L. Correlations between obstetric clinical events and umbilical cord blood acid-base and blood gas values. Clin Obstet Gynecol 1993; 36: 47-59
    CrossrefPubMedGoogle Scholar
  • 18 Haddad B, Mercer BM, Livingston JC. et al. Outcome after successful resuscitation of babies born with Apgar scores of 0 at both 1 and 5 minutes. Am J Obstet Gynecol 2000; 182: 1210-1214
    CrossrefPubMedGoogle Scholar
  • 19 Purtuloğlu T, Özkan S, Teksöz E. et al. Comparison of the maternal and fetal effects of general and spinal anesthesia in elective cesarean section. Gulhane Med J 2008; 50: 91-97
    PubMedGoogle Scholar
  • 20 Blechner JN. Maternal – Fetal Acid – Base Physiology. Clin Obstet Gynecol 1993; 36: 3-12
    CrossrefPubMedGoogle Scholar
  • 21 Victory R, Penava D, da Silva O. et al. Umbilical cord pH and base excess values in relation to adverse outcome events for infants delivering at term. Am J Obstet Gynecol 2004; 191: 2021-2028
    CrossrefPubMedGoogle Scholar
  • 22 Fard MR, Zarezadeh N. Relationship between FEV1 and PaO2, PaCO2 in patients with chronic bronchitis. Tanaffos 2004; 3: 41-46
    PubMedGoogle Scholar
  • 23 Fawole B, Hofmeyr GJ. Maternal oxygen administration for fetal distress. Cochrane Database Syst Rev 2003; 4: CD000136
    PubMedGoogle Scholar
  • 24 Hamel MS, Anderson BL, Rouse DJ. Oxygen for intrauterine resuscitation: of unproved benefit and potentially harmful. Am J Obstet Gynecol 2014; 211: 124-127
    CrossrefPubMedGoogle Scholar
  • 25 Watkins V, Martin S, Macones GA. et al. The duration of maternal oxygen exposure and umbilical cord oxygen content. Am J Obstet Gynecol 2020; 223: 440.e1-440.e7
    CrossrefPubMedGoogle Scholar
  • 26 Haydon ML, Gorenberg DM, Nageotte MP. et al. The effect of maternal oxygen administration on fetal pulse oximetry during labor in fetuses with nonreassuring fetal heart rate patterns. Am J Obstet Gynecol 2006; 195: 735-738
    CrossrefPubMedGoogle Scholar
  • 27 Rodríguez-Mesa N, Robles-Benayas P, Rodríguez-López Y. et al. Influence of body mass index on gestation and delivery in nulliparous women: a cohort study. Int J Environ Res Public Health 2019; 16: 2015
    CrossrefPubMedGoogle Scholar
  • 28 Baumann H, Alon E, Atanassoff P. et al. Effect of epidural anesthesia for cesarean delivery on maternal femoral arterial and venous, uteroplacental, and umbilical blood flow velocities and waveforms. Obstet Gynecol 1990; 75: 194-198
    PubMedGoogle Scholar
  • 29 Hotelling BA. Using the official Lamaze guide in childbirth education classes. J Perinat Educ 2006; 15: 47-49
    CrossrefPubMedGoogle Scholar
  • 30 Carvalho T, Soares AF, Climaco DCS. et al. Correlation of lung function and respiratory muscle strength with functional exercise capacity in obese individuals with obstructive sleep apnea syndrome. J Bras Pneumol 2018; 44: 279-284
    CrossrefPubMedGoogle Scholar