[Disorders of the acid-basic balance in the post-hypoxic suffering at newborn babies].
The study aims to asses the acid-basic disorders and the blood gasses in the blood of the umbilical cord and their correlation with the evolution of the newborn baby in the maternity hospital.


METHODS
157 newborns with perinatal asphyxia hospitalized (2002-2005) in the Maternity of "Sf. Apostol Andrei" Clinical Emergency Hospital of Galaţi, following-up the gestation age, the Apgar score, the risk factors of perinatal asphyxia, the pH in the cord and the evolution of the blood gasses in the cord, the start and evolution of neurologic disorders.


RESULTS
The main risk factors for the asphyxia production: prematurity (64% of the cases and 25% of the cases with gestation age below 30 weeks), HTA induced in pregnancy, IUGR 39.4%. The Apgar score at one minute: values between 0-3 (40.8% cases), progressively decreasing to 20 minutes in 1.3%. 50% of the new born babies showed severe acidosis in the cord: pH > 6, 9, hypoxia in the cord blood was of 75%. The neurologic disorders started from the birth in all cases, with evolution to decease in 25.5% of the cases, higher incidence in prematures and a significant correlation with the pH in the cord.
Mitrea
Geta
G
Secţia de Neonatologie, Spitalul Clinic de Urgenţă "Sf. Apostol Andrei" Galaţi.
Stamatin
Maria
M
Dimitriu
A G
AG
D000137:Acid-Base Imbalance / Q000097:blood* / Q000175:diagnosis* / Q000209:etiology; D000138:Acidosis / Q000097:blood / Q000175:diagnosis; D001034:Apgar Score; D001238:Asphyxia Neonatorum / Q000097:blood* / Q000150:complications / Q000175:diagnosis*; D001784:Blood Gas Analysis / Q000379:methods; D005260:Female; D005312:Fetal Blood / Q000737:chemistry; D005865:Gestational Age; D006801:Humans; D006863:Hydrogen-Ion Concentration; D020925:Hypoxia-Ischemia, Brain / Q000097:blood* / Q000175:diagnosis* / Q000209:etiology; D007231:Infant, Newborn; D007234:Infant, Premature; D011247:Pregnancy; D012189:Retrospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index