Relationship of Oxygen Saturation with Neonatal and Maternal factors in Vaginal and Cesarean Deliveries
Introduction: Hypoxemia is the major cause of neonatal morbidity and mortality. The study aims to determine the influence of birth weight, Apgar score, gestation age, body mass index and hemoglobin of mother on levels of SpO2 in healthy newborns born vaginally and through cesarean section.
Methods: A hospital Based, observational study conducted in Department of Pediatrics, Universal College of Medical Sciences-Teaching Hospital, Bhairahawa, Lumbini, Nepal; on 49 vaginal and 49 cesarean deliveries with Apgar Score ≥ 6. SpO2 was estimated by pulse oximeter post-ductally between 1 to 30 minutes of birth. The observed SpO2 values were correlated with neonatal and maternal factors.
Results: Vaginal and Cesarean deliveries SpO2 were comparable for birth weight, gestational age, Apgar score of neonates, body mass index and hemoglobin of the mother. Birth weight in vaginally delivered babies and Apgar score in cesarean births showed significant change in SpO2 (P<0.05). At all points of time the SpO2 values were higher in neonates, born by cesarean than those born out of spontaneous vaginal deliveries (P<0.001).
Conclusions: SpO2 levels in neonates born through cesarean section were higher in comparison to thoseborn by vaginal route. Birth weight and Apgar score had correlation with SpO2 in vaginal and cesarean births, respectively.
Keywords: Apgar score; birth weight; newborn; pulse oximeter; SpO2.
security? Med J Aust. 1994. May 16;160(10):638–44.
2. Pierson DJ. Pulse oximetry versus arterial blood gas
specimens in long-term oxygen therapy. Lung. 1990;168
3. Jubran A. Pulse oximetry. Intensive Care Med. 2004.
4. Hulsoore R, Shrivastav J, Dwivedi R. Normal oxygen
saturation trend in healthy term newborns within 30 minutes
of birth. Indian J Pediatr. 2011. Jul;78(7):817–20.
5. Røsvik A, Øymar K, Kvaløy JT, Berget M. Oxygen saturation
in healthy newborns; influence of birth weight and mode of
delivery. J Perinat Med. 2009;37(4):403–6.
6. Saugstad OD, Rootwelt T, Aalen O. Resuscitation of
asphyxiated newborn infants with room air or oxygen: an
international controlled trial: the Resair 2 study. Pediatrics.
7. O’Donnell CPF, Kamlin COF, Davis PG, Morley CJ.
Obtaining pulse oximetry data in neonates: a randomised
crossover study of sensor application techniques. Arch Dis
Child Fetal Neonatal Ed. 2005 Jan;90(1):F84–5.
8. Kamlin COF, O’Donnell CPF, Davis PG, Morley CJ. Oxygen
saturation in healthy infants immediately after birth. J
Pediatr. 2006 May;148(5):585–9.
9. Rabi Y, Yee W, Chen SY, Singhal N. Oxygen saturation trends
immediately after birth. J Pediatr. 2006 May;148(5):590–4.
10. Altuncu E, Ozek E, Bilgen H, Topuzoglu A, Kavuncuoglu S.
Percentiles of oxygen saturations in healthy term newborns
in the first minutes of life. Eur J Pediatr. 2008 Jun;167(6):687–8.
11. House JT, Schultetus RR, Gravenstein N. Continuous
neonatal evaluation in the delivery room by pulse oximetry.
J Clin Monit. 1987 Apr;3(2):96–100.
12. Dimich I, Singh PP, Adell A, Hendler M, Sonnenklar N,
Jhaveri M. Evaluation of oxygen saturation monitoring by
pulse oximetry in neonates in the delivery system. Can J
Anaesth J Can Anesth. 1991 Nov;38(8):985–8.
JNMA allow to read, download, copy, distribute, print, search, or link to the full texts of its articles and allow readers to use them for any other lawful purpose. The author(s) are allowed to retain publishing rights without restrictions. The JNMA work is licensed under a Creative Commons Attribution 4.0 International License. More about Copyright Policy.