Pre-ductal and post-ductal O2 saturation in healthy term neonates after birth

Objective: To determine the pre- and post-duckal oxygen saturation (SpO(2)) levels during the first minutes after birth in healthy term infants. Study design: In a prospective. cohort study, sensors were placed on the right hand and on 1 foot of the neonate. Pre- and post-ductal SpO(2) levels were recorded during the lust 15 minutes after birth. Exclusion criteria were gestational age < 37 weeks, presence of risk factors for asphyxia, emergency cesarean delivery (C/D), congenital anomalies, and multiple pregnancies. Infants who were treated with O-2 or positive pressure ventilation were also excluded from the study. Results: The mean (SD) gestational age of the 110 infants was 39 weeks (1.1), and the mean birth weight was 3340 grams (359). At 5 minutes, the mean pre-ductal SpO(2) level was 89% (7), and the mean post-ductal SpO(2) level was 81% (10). Pre- and post-ductal SpO(2) levels were significantly different during the first 15 minutes after birth- The SpO(2) level was lower in babies delivered by 013 in comparison to babies born by vaginal delivery. Conclusions: In healthy newly born infants oxygen saturation rises slowly and does not usually reach 90% in the first 5 minutes of life. A gradient between pre- and post-ductal SpO(2) levels remains significant for the first 15 minutes of life.