Naomi
In units where I work within Northern Ireland, cord blood gases are only done if
 
·         Emergency caesarean section is performed
·         Instrumental vaginal delivery is performed
·         A fetal blood sample has been performed in labour
·         Birth, if the baby’s condition at birth is poor
 
These are the recommendations from
 
The Use of Electronic Fetal Monitoring. National Institute for Clinical
Excellence. May 2001
http://www.nice.org.uk/page.aspx?o=guidelineC
 
 
Other articles which may be of interest to you are:
 
The merit of routine cord blood pH measurement at birth
http://www.atypon-link.com/WDG/doi/pdf/10.1515/JPM.1999.021
 
Umbilical cord pH and risk factors for acidaemia in neonates in  Kerman
http://www.emro.who.int/Publications/Emhj/1101_2/PDF/13%20Umbilical%20cord%20blood.pdf
 
Umbilical cord blood sampling and expert data care
http://www.k2ms.com/support/Documents/K2EDCPD.pdf
 
Hope this helps
Briege
 
Briege Lagan
PhD Student/Clinical Midwife Specialist 
University of Ulster
Northern Ireland


Naomi Wilkin <[EMAIL PROTECTED]> wrote:
 
 
 
Hi all,
Just wondering how common it is for cord blood gases to be done in
maternity units. I work in a small metro. hospital with a very busy
maternity unit and our medical 'powers that be' are pushing for them
to be done at every birth. Something we, the midwives, are very,
very reluctant to do.
I was also wondering if anyone knows of any research that may help us
to prevent this from becoming a routine thing.

Thanks
Naomi.


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