Oxygen saturation trends in normal healthy term newborns: normal vaginal delivery vs. elective cesarean section

Bhargava, Rashi; Mathur, Mukul; Patodia, Jyoti

doi:10.1515/jpm-2016-0373

Cited by 11 publications

(7 citation statements)

References 17 publications

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“…The mean post-ductal SPO2 and preductal SPO2 values of our study population were almost the same (95.8% and 96.0% respectively). Nevertheless, the mean SPO2 value of our study population was lower than the 97.4% mean SPO2 value reported by another study,24 and this can be explained by the high altitude location of our study setting.…”

Section: Discussioncontrasting

confidence: 91%

<p>Role of pulse oximetry in detecting critical congenital heart disease among newborns delivered at a high altitude setting in Ethiopia</p>

Tekleab

Sewnet

2019

PHMT

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Background Congenital heart disease is one of the most common birth defects. It is not detected in some newborns until after their hospital discharge. Pulse oximetry (SpO2) screening for critical congenital heart disease (CCHD) is practiced in some settings, mainly based on evidence derived from studies done in lowland areas. This study aimed to assess the role of SpO2 screening performed before discharge in detecting CCHD in our setting (Addis Ababa) which is located at high altitude. Methods Oxygen saturation of 941 apparently healthy term newborns in the nursery unit of St Paul’s Hospital Millennium Medical College located in Addis Ababa, was measured before discharge during the period from January 2018 to July 2018. SpO2 reading ≥95% was taken as a negative screening result. Positive SPO2 was defined as SpO2 <90% in any extremity, or a persistent SpO2 of 90%–94% in both right arm and lower extremity sites on three measurements or a persistent right arm to lower extremity SpO2 difference of >3%. Subsequent confirmatory echocardiography examination was done for those who tested positive during the SpO2 screening test. Data were analyzed using Statistical Package for Social Sciences version 20.0. Results A total of 56/941 (6.0%) newborns tested positive during the screening test. Of those 56 cases, subsequent echocardiography examination detected persistent pulmonary hypertension of the newborn (PPHN) in ten (17.9%) cases (subsequently two of them were found to have sepsis), patent ductus arteriosus in eleven (19.6%) cases, and atrial septal defect in two (3.6%) cases. No case of CCHD was detected among the screened newborns. Conclusion SpO2 screening detected non-cardiac causes of hypoxemic illnesses (sepsis and PPHN) which otherwise would have been missed. However, we recommend a larger sample size study to assess the efficacy of SpO2 screening in detecting CCHD in our setting.

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Section: Discussioncontrasting

confidence: 91%

<p>Role of pulse oximetry in detecting critical congenital heart disease among newborns delivered at a high altitude setting in Ethiopia</p>

Tekleab

Sewnet

2019

PHMT

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“…In the present study we found mean SpO2 at 10 min after birth in NVD was 94.96±1.44 and 93.78±1.62 <0.001, while Bhargava et al (2018), illustrated in their study that ; Mean SpO2 at 10 min after birth in NVD was 91.8% (±5.1) and 89.9% (±4.48) in CS (P = 0.005) respectively. In the current study; O2 saturation for included newborns delivered vaginally is higher than those delivered by CS over time, this agreed with Bhargava et al (2018), studied babies born by normal vaginal delivery had significantly higher SpO2 levels and attained SpO2 >90% faster than those born by elective CS as it has been speculated that in vaginally delivered neonates, the catecholamine surge is significantly higher compared to neonates delivered by CS, which may be the reason for higher levels of SpO2 after vaginal delivery.…”

Section: Discussionsupporting

confidence: 49%

Hemodynamic trends in full term newborns versus late preterms during transition

Metwalli

ElDin

Aly

et al. 2022

ijhs

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To define hemodynamic changes in the first 15 minutes of life and at one hour after birth in healthy full term and late preterm neonates using electrical cardiometry. This is a prospective observational study using EC in the first 15 minutes of life and one hour after birth. Two hundred newborns were included in the study and divided into two groups. Group A included 100 healthy full term newborns (?37 weeks gestational age), while group B included 100 late preterms (?34 weeks up to 366 weeks gestational age). Each group was further subdivided according to mode of delivery to vaginal delivery group and elective CS group. The study included 200 newborns. Higher values of PEP were observed in full term than preterm neonates. TFC is higher in CS group when compared to VD group. SVV tends to decrease over time. Oxygen saturation increases over time. The present study provides normative values for PEP, TFC, O2 saturation and SVV during the first hour of life using electrical cardiometry.

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“…Similar findings were found in a study by Rashi Bhargava et al, who discovered that the median time for SpO 2 to reach >90% in SVD and LSCS was 9.13 min and 12.31 min, respectively ( p 0.001). 11…”

Section: Discussionmentioning

confidence: 99%

Study of Pulse Oximetry Trends in Normal Newborn

Reddy,

Dwivedi,

sharma

et al. 2023

Journal of Neonatology

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Objectives To study oxygen saturation trends in newborns at birth and up to 15 min of life. Material and methods A prospective observational study was conducted on 300 healthy term and preterm newborns (those who did not require supplemental oxygen) delivered by SVD and LSCS at a tertiary care Centre. The convenience sampling technique was used based on the fact about 3–4 deliveries take place daily, and only a proportion of these met the study inclusion criteria. Results At 5 min of life, 0.7% of male newborns and 0.63% of female newborns had SpO2 levels above 90%. All male and female newborns reached SpO2 > 90% at 15 min of life, compared to 78.87% of male newborns and 71.52% of female newborns at 10 min of life. Male and female newborns revealed no statistically significant difference in saturations and in time to reach SpO2 > 90% at 5, 10, and 15 min of life. Newborns born via LSCS had lower SpO2 than newborns delivered by SVD in 5, 10, and 15 min, respectively, and this difference was statistically significant ( p < 0.0001). Conclusion The relationship between SpO2 and gender was not statistically different. Compared to newborns delivered by SVD, SpO2 was significantly lower in newborns born via LSCS and required less time to reach >90% saturation.

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Oxygen saturation trends in normal healthy term newborns: normal vaginal delivery vs. elective cesarean section

Cited by 11 publications

References 17 publications

<p>Role of pulse oximetry in detecting critical congenital heart disease among newborns delivered at a high altitude setting in Ethiopia</p>

<p>Role of pulse oximetry in detecting critical congenital heart disease among newborns delivered at a high altitude setting in Ethiopia</p>

Hemodynamic trends in full term newborns versus late preterms during transition

Study of Pulse Oximetry Trends in Normal Newborn

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