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Original Papers

The evaluation of amniotic fluid lactate level in predicting cesarean delivery and early neonatal acidemia

Authors:

Zeynep Toksoy Karasin,

Health Sciences University Bursa Yüksek Ihtisas Training and Research Hospital, Bursa, TR
About Zeynep Toksoy
Obstetrics and Gynecology
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Tayfur Çift,

Health Sciences University Bursa Yüksek Ihtisas Training and Research Hospital, Bursa, TR
About Tayfur
Obstetrics and Gynecology
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Süleyman Serkan Karaşin

Health Sciences University Bursa Yüksek Ihtisas Training and Research Hospital, Bursa, TR
About Süleyman Serkan
Obstetrics and Gynecology
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Abstract

AIM Evaluate whether lactate increase in amniotic fluid influences cesarean delivery or correlation of this increase with oxytocin induction and early neonatal blood gas parameters. METHODS We designed this prospective study of 408 pregnant women. We divided the groups as vaginal delivery (n=184), emergency cesarean (n=46), and planned cesarean delivery (n=178). We evaluated the AFL values in terms of being associated with labor outcomes and neonatal blood gas parameters. RESULTS AFL level was different between all three groups. Cord blood pH, lactate values, and maternal age were different between the groups. We analyzed the AFL level and cord blood lactate (CBL) values according to acidemia. The group's lactate levels with a pH<7.2 were higher than those with an average pH. In oxytocin-treated groups (n = 230), AFL and CBL levels were higher than those that did not receive oxytocin (n = 178). Cord blood pH levels were not different in groups. There was an inverse correlation between the AFL and cord blood pH levels. However, we found a positive correlation between the AFL and CBL and base gas deficit. CONCLUSION Higher AFL concentration is associated with oxytocin induction and may increase the risk of early neonatal acidemia
How to Cite: Karasin, Z.T., Çift, T. and Karaşin, S.S., 2022. The evaluation of amniotic fluid lactate level in predicting cesarean delivery and early neonatal acidemia. Sri Lanka Journal of Obstetrics and Gynaecology, 44(1), pp.7–15. DOI: http://doi.org/10.4038/sljog.v44i1.8026
Published on 16 Jun 2022.
Peer Reviewed

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