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DOI: 10.1055/s-2007-994369
© 1996 by Thieme Medical Publishers, Inc.
Umbilical Plasma Erythropoietin Correlations with Blood Gases and Gestational age in Appropriately Grown Infants
Publication History
Publication Date:
04 March 2008 (online)
ABSTRACT
Erythropoietin (EPO) levels were measured using an ELISA method in umbilical cord plasma from 68 appropriately grown neonates at 27 to 43 weeks of gestation (EGA). A consistent but small (5%) difference was found between the EPO levels in the umbilical artery (Ua), 21.0 ± 2.5 mlU/mL (mean ± SEM), and umbilical vein (Uv), 22.0 ± 2.7 mlU/mL (p < 0.02, n = 30). Significant inverse correlations were found between Ua EPO levels and pO2 (r = -0.44, p < 0.002), pH (r = -0.68, p < 0.0001)/ as well as base deficit (r = -0.56/ p < 0.0001). A significant correlation was found between EGA and Ua EPO from 27 to 43 weeks of gestation (r = 0.45, p < 0.001, n = 68). One and 5 minute Apgar scores did not correlate with EPO. These findings indicate that EPO correlates strongly with cord gas parameters and thus may serve as a clinically useful marker for both sub-acute fetal distress and chronic uteroplacental insufficiency.
Keywords
Erythropoietin - pregnancy - umbilical cord plasma - gestational age