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Summary. The effects of maternal pethidine administration (100 mg itramuscularly) were investigated in 150 infants at 1–2 h after birth, 95 infants whose mothers had not received pethidine served as a control group. Pethidine administration showed no effect on pH or Pco2 of cord blood and neonatal arterial blood at 1–2 h after birth if the time interval between pethidine administration and delivery was ≤1 h. However, when the interval was >1 h: umbilical vein blood PCO2 was higher; neonatal arterial blood PCO2 was higher; neonatal baseline heart rate was higher, although long-term variability was similar; the percentage time spent crying was considerably reduced compared with the corresponding values in the control group. The long-term effects of pethidine are unknown but the adverse neonatal factors particularly if the time interval between administration of the drug and delivery is >1 h should be kept in mind.