Reliability of individual umbilical artery pH measurements
- 1 January 1997
- journal article
- research article
- Published by Walter de Gruyter GmbH in jpme
- Vol. 25 (4) , 340-346
- https://doi.org/10.1515/jpme.1997.25.4.340
Abstract
To examine the reliability of umbilical artery pH measurements, two study designs were employed: (1) contemporaneous measurement of two adjoining segments of umbilical cords at birth (n = 40) and (2) repeat measurements at < 5, 15, 30, 45 and 60 minutes after birth in separate sections of the same cords (n = 40). The cord sections were left at room temperature. Limits of agreement of the contemporaneous pH measurements were from -0.066 to +0.066. Mean umbilical artery blood pH declined only slightly with time. Limits of agreement for delayed measurements were -0.061 to +0.031 at 15 minutes, -0.087 to +0.033 at 30 minutes, -0.090 to +0.046 at 45 minutes and -0.091 to +0.049 at 60 minutes. We therefore conclude that in both contemporaneous and interval sampling the accuracy of umbilical artery pH measurements is subject to biological variation. The 95% confidence interval for an individual umbilical artery pH measurement typically lies between -0.066 and +0.066 of the measured value.Keywords
This publication has 13 references indexed in Scilit:
- Cord Blood Gas Studies: A SurveyClinical Obstetrics and Gynecology, 1993
- Collecting and Analyzing Cord Blood GasesClinical Obstetrics and Gynecology, 1993
- Questioning the Practice of Routine Umbilical Cord Blood pH Sampling at DeliveryThe Journal of Maternal-Fetal & Neonatal Medicine, 1993
- A comparison of three methods of assessing interobserver variation applied to measurement of the symphysis‐fundal heightBJOG: An International Journal of Obstetrics and Gynaecology, 1989
- Umbilical cord blood pH and Apgar scores as an index of neonatal healthAmerican Journal of Obstetrics and Gynecology, 1987
- Acid-base evaluation of umbilical cord blood: relation to delivery mode and Apgar scoresEuropean Journal of Obstetrics & Gynecology and Reproductive Biology, 1987
- Correlation of neonatal acid-base status with Apgar scores and fetal heart rate tracingsAmerican Journal of Obstetrics and Gynecology, 1986
- Umbilical cord pH and PCO2: Effect of interval from delivery to determinationAmerican Journal of Obstetrics and Gynecology, 1984
- The reliability of the result of the umbilical cord pHjpme, 1983
- Short communicationjpme, 1975