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Re: abgs on cord?From: Ealgail@aol.comTue Dec 10 14:43:56 1996
For medico-legal reasons as well as to assure the parents after a difficult vaginal delivery, using vacuum or forceps, a premature infant, delivery after chorioamnionitis, or a maternal fever, or any delivery with Apgars 7 or less, it is good to document a normal pH (7.25-7.45 +/- depending on what you read) and a normal pO2 and pCO2. You should get BOTH arterial and venous, but if you get only one, it should be arterial. One very good reason, that can save your derriere in a Courtroom, is a flat out statement in the ACOG technical bulletin on this topic......." A normal cord blood gas analysis rules out perinatal asphyxia.......". It would be very difficult for a jury in the face of this statement, to rule that a baby was asphyxiated at birth, if you have a normal cord blood gas, regardless of what apgar the Pediatricians have given (and they can't count above 8, can they?). Just kidding - please don't flame me if you are a pediatrician. Linda Morrison-Boczar, MD, MBA Asst. Prof. IU
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