Author/Editor		Krištofelc, Frenk
Title		Vrednotenje ocenjevanja stanja novorojenčka z meritvami pH vrednosti krvi popkovnične arterije
Translated title		Evaluation of neonatal outcome by measuring umbilical artery blood pH value
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 71, št. 1
Publication year		2002
Volume		str. 27-30
Language		slo
Abstract		Background. The evaluation of neonatal outcome after delivery is being performed since 1953 by Apgar score. Since some parts of this scoring system subject to personal judgment of the evaluator, the researchers attempts are to introduce more objective method of determining neonatal outcome after deli very. Determining umbilical artery pH value is one of such attempts. Methods. We established umbilical artery blood pH value in 146 newborns after cuting umbilical cord following delivery. The same newborns were evaluated by Apgarscore. By analysis of the variance both evaluating methods of neonatal outcome were compared regarding their ability to predict neonatal indisposition for duration of hospitalization. Neonatal morbidity and neonatal hospitalization duration were the criteria for neonatal indisposition. Results. Apgar score value following 5th minute after delivery is importantly linked with neonatal morbidity and neonatal hospitalization duration. Conclusion. Umbilical artery blood pH value can't be used as a substitute to Apgar score. Apgar score after 5th minute is the sole predictor of neonatal outcome.
Summary		Izhodišča. Ocenjevanje stanja novorojenčka po porodu se izvaja od leta 1953 s točkovnim sistemom po Apgarjevi. Ker so posamezni deli tega točkovnega sistema odvisni od subjektivne presoje ocenjevalca, poskušajo raziskovalci uvesti objektivnejšo metodo določevanja stanja novorojenčka ob rojstvu. Eden takšnih poskusov je določevanje pH vrednosti krvi popkovnične arterije. Metode dela. 146 novorojenčkom smo določili pH vrednost krvi popkovnične arterije po prerezanju popkovnice. Isti novorojenčki so bili ocenjeni tudi s točkovnim sistemom po Apgarjevi. Z analizo variance smo primerjali, kako obe metodi ocenjevanja stanja novorojenčka napovedujeta zbolelost novorojenčka v obdobju do odpusta iz porodnišnice. Kot kriterij zbolelosti novorojenčka smo upoštevali: pojav bolezni po rojstvu in čas hospitalizacije od rojstva do odpusta iz porodnišnice. Rezultati. Ocena točkovanja po Apgarjevi v 5. minuti po rojstvu je pomembno povezana s pojavom bolezni pri novorojenčku in dolžino hospitalizacije novorojenčka. Zaključki. Meritev pH vrednosti krvi v popkovnični arteriji ne nadomešča točkovanja ocene stanja novorojenčka po Apgarjevi. Edini napovedni dejavnik zbolelosti novorojenčka do odpusta iz porodnišnice je vrednost točkovanja po Apgarjevi po 5. minuti.
Descriptors		UMBILICAL ARTERIES HYDROGEN-ION CONCENTRATION INFANT, NEWBORN, DISEASES APGAR SCORE HOSPITALIZATION INFANT, NEWBORN