Is Acute Intrapartum Fetal Asphyxia Associated with an Increase in Fetal Nucleated Red Blood Cells?
ACOG ePoster. Chu A. Apr 27, 2018; 211637; 28J
Amanda Chu
Amanda Chu
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Abstract
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Introduction: Fetal heart rate abnormalities and elevated nucleated red blood cells (nRBCs) have been suggested as markers of fetal asphyxia. Animal studies suggest that the time between the onset of hypoxia and FHR abnormalities is short. The time interval in humans is unknown. Our study aims to evaluate the association between nRBCs and acute intrapartum fetal asphyxia.

Methods: Study patients included consecutive NICU admissions (2013 to 2017) with cord gases indicating severe fetal asphyxia (n = 35). Controls without asphyxia were NICU patients matched for gestational age (n = 72). All had a category I FHR tracing on admission. Fetal asphyxia was defined by an umbilical cord pH
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