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Time From Neuraxial Anesthesia Placement to Delivery Is Inversely Proportional to Umbilical Arterial Cord pH at Scheduled Cesarean Delivery

Rimsza, Rebecca R.; Perez, William M.; Babbar, Shilpa; O'Brien, Megan; Vricella, Laura K.

Obstetrical & Gynecological Survey: September 2019 - Volume 74 - Issue 9 - p 509–510
doi: 10.1097/OGX.0000000000000721
OBSTETRICS: MANAGEMENT OF LABOR, DELIVERY, AND THE PUERPERIUM
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(Abstracted from Am J Obstet Gynecol 2019;220:389.e1–389.e9)

Risks to the fetus during cesarean delivery, although rare, can include neonatal depression and hypoxic ischemic encephalopathy during nonemergent cesarean delivery. It is known that neuraxial anesthesia–related hypotension can contribute to uterine hypoperfusion and decreased umbilical arterial pH at cesarean delivery.

Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Women's Health, St Louis University School of Medicine, St Louis, MO (R.R.R., W.M.P., S.B., L.K.V.); and Department of General Surgery, University of Central Florida, Orlando, FL (M.O.)

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