Re: FBS and cord blood pH
From: Barbara Nicol (blnicol@ix.netcom.com)
Wed May 10 22:15:35 2006
Jane Helwig published something on this very point, as I recall, showing
that vigorous newborns without complications frequently have cord pHs that
are surprisingly low. Can't remember the details, but surely she will.
Jane?
- Barb
>----- Original Message -----
From: "Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C."<johnprov@sympatico.ca>
To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net>
Sent: Tuesday, May 09, 2006 6:13 PM
Subject: Re: FBS and cord blood pH
> At Tue, 9 May 2006, Jamie wrote:
>>
>>There seems to be some subjectivity in interpreting ABG's, as well, from
>>the timing of section thread:
>>
>>here they wouldn't be considered 'good' either, more a sign that the
>>baby was starting to be affected by it.
>>
>>Why,and where is here? You mean the baby was "fixin' " to be acidotic?
>>
>>How many times do I have to say it - ph<7.0 = acidosis. If it's 7.12 or
>>or 7.02 -it ain't acidotic. Am I wrong? Someone educate me please! Will
>>we know be liable for babies 'heading towards acidosis?"
>>
>>Robert Modugno MD MBA FACOG Marietta, GA
>>
>>At Tue, 9 May 2006, Efrain Ramirez wrote:
>>>
>>>I am sure that eventually cord ABG's will be a standard of care... APGAR
>>>score has more than a fair share of subjectivity.. I have been doing
>>>them for more than 20 years - never a regret -
>>>
>>>Ef
>>>
>>>At Tue, 9 May 2006, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.
>>>wrote:
>>>>
>>>>At Tue, 9 May 2006, Jamie wrote:
>>>>>
>>>>>Who is paying for all these cord gases?
>>>>>
>>>>>At Tue, 9 May 2006, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.
>>>>>wrote:
>>>>>>
>>>>>JFields, RN, BSN
>>>>>
>>>>Hospital bugets its actually recomended by the hospital lawyers.
>>>>
>>>>--
>>>> Take care, John
>>>>
>>>--
>>>" The greatest obstacle to knowledge is not ignorance,
>>>it is the illusion of knowledge." Daniel J. Boorstin - Historian
>>>
>>I know numbers are objective, but if the threshold for concern varies so
>>much, treatment is still not standardized.
>>
>>--
>>JFields, RN, BSN
>>
>
> Babies can tolerate acidosis quite well, that's why most would agree
> that a PH of less than 7.0 is needed with other evedience of multisystem
> comprimise in the first 24-48 hrs of birth in order to begin to blame an
> acute event in labor for the cause of hypoxic encephalopathy. A cord Ph
> of 7.1 is not rare at all I see it in about 1 in 15 delievers, 1:15
> babies don't have hypoxic encephalopathy.
>
> --
> Take care, John
>
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