The effect of intrapartum glucose to the neonatal asfixia

Objective: We repearclied the effect of glucose on acid base status of umbilical cord on the patients that were given intravenous fluid in intrapartum.
Material and method: Umbilical cord acid-base values were measured by giving intrapartum 5% dextrose ringer lactcit solution and ringer lactate solution without dextrose to the pregnants who have minimum obstetric risk, followed by the Sisli Etfal Hospital 2. Gynecology and Obstetrics Department between 2002 February-2002 June.
Results: The study was started with 158 intrapartum pregnants.22 of them were left out of the studybecause of not matching the criters. There was no statistical difference for the demographic distribution between the two groups of the patients taken into the study. 5% glucose ringer lactat solution was given to the 72 patients and ringer lactat solution without dextrous was given to the 64 patients. There was no significant difference between the levels of cord arterial glucose.(Group 1: 92.6 mg/dl;Group 2: 86.7mg/dl)Newborn Fastino blood glucose levels Group 1: 56.3 mg/dl;Group 2: 52.8 mg/dl. Umbilical arter pH values were different significantly between the two groups but there was no statistical difference p=0.08.pC02 avarage was different statistically p<().05.
Conclusion: We think that the solution containing 5% glucose must be preferred much more in the intrapartum intravenous fluid application accompanied with these findings.

Intrapartum glukozun neonatal asfiksiye etkisi

Amaç: Intrapartum intravenöz sývý verilen hastalarda glukozým umbilikal kord asid haz dengesi üzerine etkilerini araþtýrdýk.
Materyal ve Metod: 2002 Þubat-2002 Haziran tarihleri arasýnda Þiþli Etfal Hastanesi 2. Kadýn Hastalýklarý ve Doðum Kliniðinde takip edilen düþük obstetrik riske sahip gebelere intrapartuný %5 dekstrozla ringer laktat solüsyonu ve dekstrozsýýz ringer laktat solüsyonu verilerek umbilikal kord asit baz deðerleri ölçüldü.
Bulgular: Çalýþýnaya 158 gebe intrapartuný gebe ile baþlandý.22 hasta kriterlere uymadýðýndan çalýþma dýþý býrakýldý.Çalýþmaya alman hastalar arasýnda her iki grupta da demografik daðýlým açýsýndan istatistiki bir fark yoktu. 72 hastaya %>5 glukozlu ringer laktat solüsyonu. 64 hastaya dekstrozsýýz ringer laktat solüsyonu uygulandý.Kord arteriel glukoz düzeyleri arasýnda istatistiki olarak anlamlý fark yoktu. (Grup 1.92.6 mg/dl;Grup 2: 86.7 mg/dl) Yenidoðan açlýk kan þeker düzeyleri Grup 1: 56.3 mg/dl;Grup 2: 52.8 mg/dl. Umbilikal arter pH deðerleri iki grup arasýnda belirgin olarak farklýydý ancak istatistiki anlamlýlýk yoktu p=0.08. pC02 ortalamasý istatistiki olarak farklýydý p<0.05.
Sonuç: Bu bulgular eþliðinde intrapartuný intravenöz sývý uygulamasýnda %5 glukoz içeren solüsyonun daha çok tercih edilmesi gerektiðini düþünüyoruz.