The Indian Journal of Pediatrics

, Volume 65, Issue 2, pp 297–302 | Cite as

The effect of asphyxia on gut blood flow in term neonates

  • Esin Koç
  • Saadet Arsan
  • Hasan Özcan
  • Ayşegül Zenciroglu
  • Iihan Erdem
  • Fadil Ertogan
Original Article

Abstract

Transcutaneous Doppler ultrasound measurements were made of the superior mesenteric artery of 25 term infants to correlate the intestinal blood flow with neonatal acid-base status as measured in umbilical artery blood and newborn condition as reflected by Apgar score. Compared with the babies whose umbilical artery pH was higher than 7.20 (peak systolic velocity: 84.1 cn/sn, mean velocity 48.6 cm/sn), the blood flow of superior mesenteric artery was significantly decreased in the newborn babies whose umbilical artery pH was less than 7.20 (peak systolic velocity 48.8 cm/sn, mean velocity=32.6 cm/sn). Although no such relationship existed between Apgar scores and superior mesenteric artery blood flow indices, a significant linear correlation between superior mesenteric artery blood flow and umbilical artery pH was noted.

A reduction of intestinal circulation was observed during umbilical cord blood acidemia and hypoxemia.

Key words

Birth asphyxia Doppler ultrasound Gut blood flow velocity Superior mesenteric artery 

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Copyright information

© Dr. K C Chaudhuri Foundation 1998

Authors and Affiliations

  • Esin Koç
    • 1
  • Saadet Arsan
    • 2
  • Hasan Özcan
    • 3
  • Ayşegül Zenciroglu
    • 4
  • Iihan Erdem
    • 3
  • Fadil Ertogan
    • 2
  1. 1.Department of PediatricsGazi University School of MedicineAnkaraTurkey
  2. 2.Ankara University School of MedicineAnkaraTurkey
  3. 3.Department of RadiologyAnkara University School of MedicineAnkaraTurkey
  4. 4.Neonatalogy UnitDr. Sami Ulus Children's HospitalAnkaraTurkey

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