Lactic dehydrogenase in umbilical cord blood in healthy infants after different modes of delivery
Open accessAbstract
Background: LDH may be a valuable marker for some of the most important diseases in newborns, and umbilical cord blood is a non-invasive and easy way to obtain blood for analysis. Aims of this study were to define interval for LDH in arterial and venous cord blood at delivery in truly healthy newborns. Method: a prospective observational study was performed at Soder Hospital, Stockholm, Sweden during 2011-2012. Umbilical cord blood was collected at delivery, and value of LDH was analysed in 549 healthy infants >37 weeks of gestation, born after an uncomplicated pregnancy from a healthy mother. Results: The 2.5th and 97.5th percentile for arterial LDH was 162-612 u/L and 252-636 u/L for venous LDH. Instrumental delivery and acute caesarian section showed significantly higher intervals and elective caesarian section significantly lower than vaginal delivery. Haemolysis (>0.3 g/l) disqualified a 13-41% of the samples. Conclusion: Reported LDH levels are in accordance with earlier studies and appear to be a sensitive marker for intrapartal stress factors. The absence of an arterial/venous difference makes the sampling of cord blood easier but frequent haemolysis is a problem when using the standard method of analyses.
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The 97.5th percentiles for cord LDH corresponded to 612 U/L in artery and 636 U/L in vein.
“The 97.5th percentiles corresponded to 612 and 636 U/L, respectively.”
From Umbilical cord pH, blood gases, and lactate at birth: normal values, interpretation, and clinical utility. (2023) · cites this paper as [129]
Exposure to labor contractions results in higher LDH compared with elective CD, and instrumental delivery and acute CD increase it further.
“Exposure to labor contractions results in higher LDH compared with elective CD, 133 and instrumental delivery and acute CD increase it further.129”
From Umbilical cord pH, blood gases, and lactate at birth: normal values, interpretation, and clinical utility. (2023) · cites this paper as [129]
In 549 healthy term pregnancies, mean (SD) LDH was 403 (100) U/L in cord artery and 402 (97) U/L in vein; median (range) was 396 (84-834) U/L in artery and 390 (81-828) U/L in vein.
“In the total series (N¼549), the mean (SD) and median (range) LDH values were 403 (100) and 396 (84e834) U/L in the cord artery and 402 (97) and 390 (81e828) U/ L in the vein.”
From Umbilical cord pH, blood gases, and lactate at birth: normal values, interpretation, and clinical utility. (2023) · cites this paper as [129]
There is no significant difference between arterial and venous LDH concentrations in the cord.
“There is no significant difference between arterial and venous LDH concentrations in the cord, which eases blood sampling and enables use of either arterial, venous, or mixed blood.129”
From Umbilical cord pH, blood gases, and lactate at birth: normal values, interpretation, and clinical utility. (2023) · cites this paper as [129]
Mode of delivery influences cord LDH concentration.
“The mode of delivery influences the cord LDH concentration.”
From Umbilical cord pH, blood gases, and lactate at birth: normal values, interpretation, and clinical utility. (2023) · cites this paper as [129]
The normal reference values reported by Wiberg-Itzel included cases with hemolysis (>0.3 g/L free Hb in plasma), which occurred in 30% of arterial and 21% of venous samples.
“The normal reference values reported by Wiberg-Itzel 129 included cases with hemolysis (>0.3 g/L free Hb in plasma), which occurred in 30% of arterial and 21% of venous samples.”
From Umbilical cord pH, blood gases, and lactate at birth: normal values, interpretation, and clinical utility. (2023) · cites this paper as [129]
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A rapid smartphone-based lactate dehydrogenase test for neonatal diagnostics at the point of care
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Could the Umbilical Cord Suggest the Method of Anesthesia?
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- Authors
- Wiberg-Itzel, E., Josephson, H., Wiberg, N., Olson, L., Winbladh, B., & Karlsson, M.
- Affiliations
- Herlev Hospital (DK)
- Venue
- Journal of Neonatal Biology
- Publisher
- OMICS Publishing Group
- Published
- 2015
- Volume
- 04
- Issue
- 04
- ISSN
- 2167-0897 (ISSN-L)
- OpenAlex
- W2603912718
- Cited by
- 6
- References
- 23
- Citations by year
- 2024: 1 · 2023: 2 · 2022: 1 · 2020: 1 · 2019: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Journal of Neonatal Biology (publishedVersion, cc-by)
- Lund University Publications (Lund University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Neonatal Health and Biochemistry
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Neonatal and fetal brain pathology
- Keywords
- lactate dehydrogenase, umbilical cord blood, healthy newborns, mode of delivery, cesarean section, vaginal delivery, reference values, hemolysis, non-invasive biomarkers
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