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Assessment of lactate production as a response to sustained intrapartum hypoxia in large-for-gestational-age newborns.

Zaigham, Mehreen LU ; Källén, Karin LU and Olofsson, Per LU (2018) In Acta Obstetricia et Gynecologica Scandinavica p.1267-1273
Abstract
Introduction

Lactate concentration in umbilical cord blood is an important measure of intrapartum anaerobic metabolism. The aim of the study was to compare lactate production of large‐for‐gestational‐age (LGA) fetuses against appropriate‐for‐gestational‐age (AGA) fetuses during hypoxia, in diabetic and non‐diabetic mothers.
Material and methods

A total of 17 358 validated paired arterial and venous umbilical cord blood samples taken at birth with a full panel of pH, glucose, and lactate were analyzed relative to LGA (n = 2789) and AGA (n = 14 569). Umbilical cord blood acidemia (pH < mean minus 2 SD) was identified in 518 cases.
Results

Diabetes, but not acidemia, was more common among LGA (5.4%) than... (More)
Introduction

Lactate concentration in umbilical cord blood is an important measure of intrapartum anaerobic metabolism. The aim of the study was to compare lactate production of large‐for‐gestational‐age (LGA) fetuses against appropriate‐for‐gestational‐age (AGA) fetuses during hypoxia, in diabetic and non‐diabetic mothers.
Material and methods

A total of 17 358 validated paired arterial and venous umbilical cord blood samples taken at birth with a full panel of pH, glucose, and lactate were analyzed relative to LGA (n = 2789) and AGA (n = 14 569). Umbilical cord blood acidemia (pH < mean minus 2 SD) was identified in 518 cases.
Results

Diabetes, but not acidemia, was more common among LGA (5.4%) than AGA cases (2.9%) (respectively P < .0001 and P < .69). At normal pH, glucose was lower in non‐diabetes LGA cases, but not in diabetes LGA compared with corresponding AGA cases (respectively P < .0001 and P < .067). Glucose levels were higher in all groups during acidemia (P ≤ .0005), with lower values in non‐diabetes LGA but not in diabetes LGA compared with corresponding AGA cases (respectively P = .005 and P < .58). At normal pH, lactate was lower in non‐diabetes LGA but not in diabetes LGA compared with corresponding AGA cases (respectively P < .0001 and P < .98); during acidemia, lactate levels were higher in all groups (P < .0001), resulting in no significant difference between LGA and AGA in diabetes as well as in non‐diabetes cases (respectively P = .29 and P < .084).
Conclusions

Considering cord acidemia a proxy for intrapartum hypoxia, LGA fetuses showed no impaired ability to produce lactate during hypoxia. Maternal diabetes did not hamper the ability of LGA fetuses to produce lactate during hypoxia. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Obstetricia et Gynecologica Scandinavica
pages
1267 - 1273
publisher
Wiley-Blackwell
external identifiers
  • scopus:85053011945
ISSN
1600-0412
DOI
10.1111/aogs.13384
language
English
LU publication?
yes
id
fc495490-5c87-48ab-a71d-5cbaa7c3aed6
date added to LUP
2018-06-11 09:02:45
date last changed
2018-10-14 04:48:20
@article{fc495490-5c87-48ab-a71d-5cbaa7c3aed6,
  abstract     = {Introduction<br>
<br>
Lactate concentration in umbilical cord blood is an important measure of intrapartum anaerobic metabolism. The aim of the study was to compare lactate production of large‐for‐gestational‐age (LGA) fetuses against appropriate‐for‐gestational‐age (AGA) fetuses during hypoxia, in diabetic and non‐diabetic mothers.<br>
Material and methods<br>
<br>
A total of 17 358 validated paired arterial and venous umbilical cord blood samples taken at birth with a full panel of pH, glucose, and lactate were analyzed relative to LGA (n = 2789) and AGA (n = 14 569). Umbilical cord blood acidemia (pH &lt; mean minus 2 SD) was identified in 518 cases.<br>
Results<br>
<br>
Diabetes, but not acidemia, was more common among LGA (5.4%) than AGA cases (2.9%) (respectively P &lt; .0001 and P &lt; .69). At normal pH, glucose was lower in non‐diabetes LGA cases, but not in diabetes LGA compared with corresponding AGA cases (respectively P &lt; .0001 and P &lt; .067). Glucose levels were higher in all groups during acidemia (P ≤ .0005), with lower values in non‐diabetes LGA but not in diabetes LGA compared with corresponding AGA cases (respectively P = .005 and P &lt; .58). At normal pH, lactate was lower in non‐diabetes LGA but not in diabetes LGA compared with corresponding AGA cases (respectively P &lt; .0001 and P &lt; .98); during acidemia, lactate levels were higher in all groups (P &lt; .0001), resulting in no significant difference between LGA and AGA in diabetes as well as in non‐diabetes cases (respectively P = .29 and P &lt; .084).<br>
Conclusions<br>
<br>
Considering cord acidemia a proxy for intrapartum hypoxia, LGA fetuses showed no impaired ability to produce lactate during hypoxia. Maternal diabetes did not hamper the ability of LGA fetuses to produce lactate during hypoxia.},
  author       = {Zaigham, Mehreen and Källén, Karin and Olofsson, Per},
  issn         = {1600-0412},
  language     = {eng},
  pages        = {1267--1273},
  publisher    = {Wiley-Blackwell},
  series       = {Acta Obstetricia et Gynecologica Scandinavica},
  title        = {Assessment of lactate production as a response to sustained intrapartum hypoxia in large-for-gestational-age newborns.},
  url          = {http://dx.doi.org/10.1111/aogs.13384},
  year         = {2018},
}