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    Cerebrospinal fluid xanthochromia in newborns is related to maternal labor before delivery

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    Authors
    Nigrovic, Lise E.
    Trivedi, Michelle K.
    Edlow, Jonathan A.
    Neuman, Mark I.
    UMass Chan Affiliations
    Department of Pediatrics, Division of Pediatric Pulmonology
    Document Type
    Journal Article
    Publication Date
    2007-11-01
    Keywords
    cerebrospinal fluid
    labor
    xanthochromia
    cerebrospinal fluid proteins
    delivery method
    Maternal and Child Health
    Pediatrics
    
    Metadata
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    Link to Full Text
    https://doi.org/10.1542/peds.2007-0681
    Abstract
    OBJECTIVE: The purpose of this work was to investigate whether xanthochromia in newborns is related to maternal labor before delivery. METHODS: We reviewed the medical charts of all of the infants < or = 30 days of age who had a lumbar puncture performed in a single pediatric emergency department between 2003 and 2005. Xanthochromia was detected by the hospital laboratory using the qualitative visual inspection method. We used logistic regression to determine the relationship between maternal labor before birth and the presence of cerebrospinal fluid xanthochromia, adjusting for factors known to be associated with xanthochromia. RESULTS: Of the 478 newborns who had a lumbar puncture performed during the study period, 134 (28%) had xanthochromia. Of the 449 infants with delivery method recorded in the medical chart, 332 (74%) were born via vaginal delivery, 24 (5%) via cesarean section after maternal labor, and 93 (21%) via cesarean section without maternal labor. After excluding patients with hyperbilirubinemia (total bilirubin > or = 15 mg/dL) and adjusting for factors known to be associated with xanthochromia (cerebrospinal fluid red blood cells > or = 20,000 cells per mL and cerebrospinal fluid protein > or = 150 mg/dL), infants born after maternal labor had a higher rate of cerebrospinal fluid xanthochromia than infants born without any labor. CONCLUSIONS: Xanthochromia is a common finding in the cerebrospinal fluid of newborns and is associated with maternal labor preceding delivery.
    Source

    Nigrovic LE, Trivedi M, Edlow JA, Neuman MI. Cerebrospinal fluid xanthochromia in newborns is related to maternal labor before delivery. Pediatrics. 2007 Nov;120(5):e1212-6. doi: 10.1542/peds.2007-0681. Epub 2007 Oct 8. PMID: 17923536. Link to article on publisher's site

    DOI
    10.1542/peds.2007-0681
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/29987
    PubMed ID
    17923536
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1542/peds.2007-0681
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