The Indian Journal of Pediatrics

, Volume 81, Issue 3, pp 248–253

Prooxidant-Antioxidant Balance in Perinatal Asphyxia

  • Hassan Boskabadi
  • Abbas Navaee Boroujeni
  • Hesam Mostafavi-Toroghi
  • Golkoo Hosseini
  • Majid Ghayour-Mobarhan
  • Dariush Hamidi Alamdari
  • Mahtab Biranvandi
  • Hamidreza Saber
  • Gordon A. Ferns
Original Article

Abstract

Objective

To determine the prooxidant-antioxidant balance (PAB) in neonatal asphyxia and compare it with values for PAB in healthy neonates.

Methods

In a prospective observational study, serum PAB of umbilical cord blood of 30 neonates with asphyxia [pH < 7.2, low Apgar score, signs of respiratory distress syndrome (RDS)] as the case group and 35 healthy neonates (without an abnormal clinical event at birth and after the first week) as the control group were compared.

Results

Among the 35 neonates in the control group, the average level of serum PAB was 20.00 HK units, which was significantly lower than for the 30 neonates within the case group (40.46 HK units; p = 0.019). The blood pH in the case group was significantly lower than for control group (P < 0.001). In controls, HCO3- and pCO2 were 18.6 mmol/L and 38.5 mmHg respectively, whilst in the case group these values were 15.5 mmol/L and 45.7 mmHg respectively (p < 0.05).

Conclusions

Determination of PAB may be useful in the early diagnosis of perinatal asphyxia and is consistent with HCO3-, pCO2 and Apgar score.

Keywords

Asphyxia neonatorum Hypoxia-ischemia Brain Reactive oxygen species Antioxidants Oxidative stress 

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Copyright information

© Dr. K C Chaudhuri Foundation 2013

Authors and Affiliations

  • Hassan Boskabadi
    • 1
  • Abbas Navaee Boroujeni
    • 1
  • Hesam Mostafavi-Toroghi
    • 2
  • Golkoo Hosseini
    • 2
  • Majid Ghayour-Mobarhan
    • 2
  • Dariush Hamidi Alamdari
    • 2
  • Mahtab Biranvandi
    • 3
  • Hamidreza Saber
    • 2
  • Gordon A. Ferns
    • 4
  1. 1.Neonatal Research Center, School of MedicineMashhad University of Medical SciencesMashhadIran
  2. 2.Biochemistry of Nutrition Research Center, School of MedicineMashhad University of Medical SciencesMashhadIran
  3. 3.Gynecology Hospital, School of MedicineMashhad University of Medical SciencesMashhadIran
  4. 4.Division of Medical EducationBrighton and Sussex Medical SchoolBrightonUK

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