Routine testing of umbilical cord blood after normal delivery should be discontinued

• On many newborns in Sweden routine samples of blood are taken from the umbilical cord after birth to measure the acid-base balance. These tests were introduced with the aim to objectively measure the well-being and stress levels of the newborn. The information was to be used as a measurement of quality of care, for research and as a tool to help guide decisions around the care-needs of the newborn. After 10 years of routine analysis it has become clear that the results of these tests have limited clinical value and that they are a poor measurement of quality of care. © 2014 Elsevier B.V.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Pediatrik (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Pediatrics (hsv//eng)

Nyckelord

Normal delivery

Routine testing

Umbilical cord blood

acid base balance

acidosis

Apgar score

Article

blood analysis

blood sampling

cerebral palsy

cost effectiveness analysis

diagnostic procedure

fetus distress

health care cost

human

induced hypothermia

midwife

perinatal asphyxia

practice guideline

priority journal

umbilical cord

vaginal delivery

wellbeing

chemistry

female

fetus blood

health care quality

newborn

pH

pregnancy

Sweden

Blood Chemical Analysis

Fetal Blood

Humans

Hydrogen-Ion Concentration

Infant

Newborn

Quality of Health Care

Normal delivery

Routine testing

Umbilical cord blood

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