• Wajeeha Syed, Nazia Liaqat, Qudsia Qazi, and Sumaira Yasmeen.
• Dr. Wajeeha Syed, FCPS, Assistant Professor, Gynae Unit, Department of Gynae, Medical Teaching Institute, Lady Reading Hospital, Peshawar, KPK, Pakistan.
• Pak J Med Sci. 2020 Nov 1; 36 (7): 1529-1532.

ObjectivesTo determine relationship between immediate postpartum umbilical cord pH, fetal distress and neonatal outcome.MethodsThis descriptive cross-sectional study was conducted in the department of Gynaecology, Lady Reading Hospital Peshawar, Pakistan, from January 2019 to July 2019. This study included 27 full-term pregnant women who had abnormal CTG during the active or latent phase of labour. Data were analyzed by IBM SPSS Statistics for Windows, Version 23.0.ResultsOut of 27, most patients 13 (48.14%) were in the age group 20-25 years,11 (40.74%) to 26-30 years and 3 (11.11%) belonged to 31-35 years of age group. CTG abnormalities were severe bradycardia, late deccelerations and persistent variable deccelerations with loss of baseline variability. Of all delivered babies, 21 (77%) babies had birth weight<3.5 kg and 6 (22%) had >3.5 kg birth weight. 20 (74.07%) had acidosis (pH <7.2) at the time of birth, of which one had severe hypoxemia and acidosis with pH 6.85. APGAR score at 0 minutes showed a strong positive correlation (r=0.818, p= <0.001) with cord pH, while APGAR at five minutes was also strongly correlated (r= 773, p=<0.001). Of all babies 18(66.66%) with PH less than 7.2 were admitted in NICU while only 2 babies with PH more than 7.2 were admitted. (p value= 0.005).ConclusionLow umbilical cord pH values of babies born by cesarean section (for fetal distress) are strongly correlated with low APGAR score at birth and higher rates of NICU admission.Copyright: © Pakistan Journal of Medical Sciences.

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