Document Detail

Neurological findings in neonates with low Apgar in Zimbabwe.
MedLine Citation:
PMID:  9228489     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: Document neurological condition of African neonates with a low apgar score.
SETTING: Mpilo Hospital, Bulawayo, Zimbabwe.
SUBJECTS: 165 babies with an Apgar score of 5 or less at 5 min.
METHODS: Neurological examination at term age according to Prechtl. Babies were classified as normal, suspect or abnormal and compared with two reference groups, one from Groningen, the Netherlands and one from Grenada in the Caribbean.
RESULTS: A higher number of Zimbabwean babies were delivered by Caesarean section compared to the Groningen group (P < 0.001). Babies delivered by vacuum extraction scored significantly lower compared to babies delivered by Caesarean section (P < 0.003). Twenty abnormal signs derived from the neonatal neurological examination proved to be predictive on the total optimality score (P < 0.001). The number of infants who were classified as abnormal was higher in the Zimbabwean population (P < 0.01).
CONCLUSION: The selected abnormal signs derived from the neonatal neurological examination proved to be highly predictive on the neurological condition. The neonatal morbidity in Zimbabwean neonates with a low Apgar score was higher when compared with two reference groups from Groningen and Grenada.
M J Wolf; G Beunen; P Casaer; B Wolf
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  73     ISSN:  0301-2115     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  1997 Jun 
Date Detail:
Created Date:  1997-09-05     Completed Date:  1997-09-05     Revised Date:  2014-07-29    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  115-9     Citation Subset:  IM    
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MeSH Terms
Apgar Score*
Birth Weight / physiology
Gestational Age
Infant, Newborn
Nervous System Diseases / epidemiology*
Prospective Studies
Zimbabwe / epidemiology

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