Cord blood gas results of pregnancies complicated by preeclampsia and the relationship of these results with the amount of proteinuria

Abstract

Aim To evaluate whether there is a statistically significant difference between the cord blood gas parameters of pregnancies complicated with preeclampsia and uncomplicated pregnancies and to show whether the amount of proteinuria affects fetal cord blood gas parameters in pregnancies complicated with preeclampsia. Methods The study was designed retrospectively. Between 2016 and 2019, the neonatal results and cord blood gas results of 109 pregnant women who were diagnosed with preeclampsia and 75 nonpreeclamptic randomly selected pregnant women were compared. The preeclampsia group was divided into groups according to amount of proteinuria. SPSS 21.0 statistics program was used, and comparative analysis was carried out. Results The data of the 109 preeclampsia cases and 75 control groups included in the study were compared, and there was no statistical difference between the fetal cord blood gas parameters between the groups (p > 0.05). The median first and fifth minute Apgar scores were found significantly lower in the preeclampsia group compared to the control group (6, 8 and 8, 9, respectively; p < 0.001). Also, the amount of proteinuria does not alter cord blood gas parameters (p > 0.05). Conclusion Preeclampsia poses a risk for the neonatal period as it reduces the neonatal Apgar scores due to the chronic hypoxic process it creates. However, it was observed that the amount of proteinuria, which is one of the diagnostic criteria, did not affect neonatal results on Apgar scores or fetal cord blood gas parameters.

A New Predictor for Growth Restriction in Preeclampsia. A Case Control Study

“…Compared to a study done by Demir et al who did not find a difference between cord blood pH between mothers with PE compared to controls. (19) In our study, cord blood NRBCs count were significantly higher in PE patients compared to controls [24 (15.25-40) This was in agreement with the research done comparing the preeclampsia and control groups, they evaluated the effects of preeclampsia on the cord blood and maternal NRBC count and compared the NRBC count and neonatal outcome. 100 women in all were studied, of which 50 had preeclampsia and 50 were healthy expectant mothers.…”