Research Article

A Comprehensive Evaluation of the Predictive Abilities of Fetal Electrocardiogram-Derived Parameters during Labor in Newborn Acidemia: Our Institutional Experience

Table 1

Main maternal and fetal characteristics of the studied population in relation to the newborn umbilical artery blood pH (pH > 7.20, nonacidemia; pH ≤ 7.20, acidemia).

Total
(%)
Acidemia
(%)
Nonacidemia
(%)
value

Maternal age, y (mean ± SD)30.08 ± 2.8930.81 ± 2.3429.83 ± 3.040.93
Maternal age ≥ 35 y5 (7.9)1 (6.3)4 (8.5)1.00
Gestational age at delivery, wk (median, range)39.00 (37, 41)39.00 (38, 41)40.00 (37, 41)0.77
BMI (median, range)20.60 (15.8, 33.2)20.70 (16.5, 31.7)20.60 (15.8, 33.2)0.91
BMI ≥ 304 (6.3)2 (12.5)2 (4.3)0.57
Smoking4 (6.3)1 (6.3)3 (6.4)1.00
Any gestational hypertension or preeclampsia6 (9.5)2 (12.5)4 (8.5)1.00
Gestational DM15 (23.8)5 (31.3)10 (21.3)0.64
Premature rupture of membrane20 (31.7)4 (25.0)16 (34.0)0.50
Nulliparous61 (96.8)16 (100)45 (95.7)0.40
Prior C-section000-
Prior vaginal delivery#2 (3.2)0 (0)2 (4.3)0.55
Labor type
 Spontaneous55 (87.3)13 (81.2)42 (89.4)0.40
 Induced12 (19.0)4 (25.0)8 (17.0)0.74
Prostaglandin10 (15.9)3 (18.8)7 (14.9)1.00
Birth weight, g (mean ± SD)3498.17 ± 452.003598.13 ± 414.753464.15 ± 463.270.72
Birth weight > 4000 g9 (14.3)3 (18.8)6 (12.8)0.86
Birth weight < 2500 g000-
Mode of delivery
 Vaginal55 (87.3)13 (81.3)42 (89.4)0.40
 Operative vaginal6 (9.5)3 (18.8)3 (6.4)0.34
 Cesarean8 (12.7)3 (18.7)5 (10.6)0.68
Labor time, min (median, range)495.00 (43, 1295)491.00 (212, 1029)495.00 (43, 1295)0.31
Asphyxia (Apgar ≤ 7)000-
Arterial pH (median, range)7.24 (6.98, 7.38)7.16 (6.98, 7.19)7.25 (7.21, 7.38)<0.01
NICU admission4 (6.3)3 (18.8)1 (2.1)0.02

BMI: body mass index; DM: diabetes mellitus; NICU: neonatal intensive care unit. Pearson’s chi-square test. Continuity correction. #Fisher’s exact test.