{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T12:10:37Z","timestamp":1788437437266,"version":"build-2803163510"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T00:00:00Z","timestamp":1713139200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T00:00:00Z","timestamp":1713139200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100007280","name":"Srinakharinwirot University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007280","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The objective was to evaluate the cost\u2010effectiveness of using umbilical cord blood pH (UC\u2010pH) in combination with APGAR score for neonatal asphyxia, in terms of high\u2010risk pregnancies, compared to using the APGAR score only. Neonatal outcomes and the proportions of patients admitted to the neonatal intensive care unit (NICU) were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cost\u2010effectiveness ambispective analysis study was carried out, comparing (i) UC\u2010pH combined with APGAR score and (ii) APGAR score only in 399 term pregnancies with a high risk for neonatal asphyxia. Costs included implementation, medical, and admission costs. Incremental cost\u2010effectiveness ratios (ICER) were calculated. The proportions of patients admitted to the NICU were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>UC\u2010pH combined with APGAR score demonstrated a cost\u2010effective outcome (3990.64 USD vs 5545.11 USD) and an ICER shown as saving 103.66 USD compared to the APGAR score alone. The need for NICU admission was less in the umbilical cord blood collection group (18 vs 33 cases).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A combination of UC\u2010pH with APGAR score assessment for neonatal asphyxia in a high\u2010risk term pregnancy can effectively reduce costs and requirement for NICU admission.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.15540","type":"journal-article","created":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T09:04:05Z","timestamp":1713171845000},"page":"281-286","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A cost\u2010effectiveness analysis of using umbilical cord blood\n                    <scp>pH<\/scp>\n                    for the diagnosis and management of neonatal asphyxia in term high\u2010risk pregnancy"],"prefix":"10.1002","volume":"167","author":[{"given":"Patipan","family":"Winiyom","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine Srinakharinwirot University  Nakhon Nayok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pornpimon","family":"Janyoungsak","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine Srinakharinwirot University  Nakhon Nayok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amarin","family":"Narkwichean","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine Srinakharinwirot University  Nakhon Nayok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kitsarawut","family":"Khuancharee","sequence":"additional","affiliation":[{"name":"Department of Preventive and Social Medicine, Faculty of Medicine Srinakharinwirot University  Nakhon Nayok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1485-1415","authenticated-orcid":false,"given":"Wipada","family":"Laosooksathit","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine Srinakharinwirot University  Nakhon Nayok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,15]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/pr.2013.206"},{"key":"e_1_2_9_3_1","unstructured":"Gillam\u2010KrakauerM GowenCWJr.Birth Asphyxia. StatPearls; 2023."},{"issue":"2","key":"e_1_2_9_4_1","first-page":"59","article-title":"Interpretation of the experts' consensus on the criteria for the diagnosis and grading of neonatal asphyxia in China","volume":"2","author":"Chen ZL","year":"2013","journal-title":"Transl Pediatr"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-2651"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1515\/JPM.1999.021"},{"issue":"7","key":"e_1_2_9_7_1","first-page":"521","article-title":"Role of pH value of umbilical artery blood in neonatal asphyxia","volume":"11","author":"Gao C","year":"2009","journal-title":"Zhongguo Dang Dai Er Ke Za Zhi"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c1471"},{"issue":"3","key":"e_1_2_9_9_1","article-title":"Short term outcome of neonates born with abnormal umbilical cord arterial blood gases","volume":"25","author":"Ahmadpour\u2010Kacho M","year":"2015","journal-title":"Iran J Pediatr"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2010.01192.x"},{"issue":"4","key":"e_1_2_9_11_1","first-page":"401","article-title":"Correlation between umbilical cord pH and Apgar score in high\u2010risk pregnancy","volume":"20","author":"Ahmadpour\u2010Kacho M","year":"2010","journal-title":"Iran J Pediatr"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1515\/jpm-2015-0398"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13052-014-0094-2"},{"issue":"3","key":"e_1_2_9_14_1","first-page":"278","article-title":"Risk factors for birth asphyxia in newborns delivered at Nongkhai hospital","volume":"35","author":"Panna S","year":"2020","journal-title":"Srinagarind Med J"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-1966"},{"issue":"1","key":"e_1_2_9_16_1","first-page":"17","article-title":"Factors associated with birth asphyxia in Pattani hospital, Thailand","volume":"23","author":"Rachatapantanakorn O","year":"2005","journal-title":"Songklanagarind Med J"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0226891"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200611000-00058"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-0899"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2021-006135"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.15540","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.15540","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.15540","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T12:29:45Z","timestamp":1772972985000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.15540"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,15]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1002\/ijgo.15540"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.15540","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,15]]},"assertion":[{"value":"2024-02-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}