QuestionCorrection: the baby's bicarbonate level was negative 15. Is that still within the normal range? If not, how far is that from the normal range? Could you elaborate on the potential neurological damage?
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Followup To
Question -
My sister just completed a very difficult birth and I'm trying to figure things out without bombarding her with questions. The baby was upside down (not breech - I think it's called back labor) and had an elevated heart rate and fever. Can you tell me what the normal sodium bicarbonate level for a baby at birth; hers was 15. What could be the long term reprucussions of a lack of oxygen at birth? How long can a baby go with out oxygen at birth without ramifications? Thank you very much for your answers - it is extremely helpful for our understanding.
Answer -
A bicarbonate level of 15 is within normal limits. It is also common for the baby to be born posterior (back down, face up), but it is a more difficult delivery. The baby behaves as if it is one pound larger. If there is a deprivation of oxygen at birth, this can lead to asphyxia of the baby and can lead to neurologic damage (cerebral palsy, etc). A baby can go without oxygen for around 3 minutes before serious ramifications. Often, babies are born not breathing, but usually start breathing spontaneously within a few mintues. Sometimes, they have to be stimulated. Once they start breathing, all is usually fine.
AnswerA negative bicarbonate level may be normal or abnormal. I can't comment oon potential for neurological damage because I do not know all the details of her case. Usually, if there was oxygen depletion at birth, there is a limited amount of time to correct it. Find out the pH of the cord blood. That is a more accurate measure of neurological status. If you are interested, get the complete records of the hospital for review.
