Document Detail

Pregnancy and perinatal factors associated with persistently low Apgar scores: an analysis of the birth records of infants born in South Australia.
MedLine Citation:
PMID:  2361537     Owner:  NLM     Status:  MEDLINE    
This study included all newborns with Apgar scores below seven at one minute after birth who were born in 1986 and whose births were notified to the South Australian Perinatal Statistics Collection. Univariate comparisons were made of the demographic, obstetric and pregnancy outcome characteristics of the 301 newborns whose Apgar scores remained below seven at five minutes and the 3165 whose scores recovered to seven or more. The results provide a general risk profile of the 301 newborn infants who perform poorly at birth, as indicated by a low Apgar score at both one and five minutes. Adverse risk factors identified in this study were similar to those for intellectual disability (mental retardation) and cerebral palsy in South Australia. It is suggested that persisting low Apgar scores, when combined with the other risk factors demonstrated in this and previous studies, would provide more reliable prognostic information than would Apgar scores alone. The study also shows that the majority of infants with low Apgar scores at one minute scored seven or better at five minutes. This demonstrates, that although a low one minute Apgar score has value in identifying newborns in need of immediate attention, it must be supplemented by the five minute score's stronger association with perinatal morbidity.
O Jonas; A Chan; T Macharper; D Roder
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of epidemiology     Volume:  6     ISSN:  0393-2990     ISO Abbreviation:  Eur. J. Epidemiol.     Publication Date:  1990 Jun 
Date Detail:
Created Date:  1990-08-06     Completed Date:  1990-08-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8508062     Medline TA:  Eur J Epidemiol     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  136-41     Citation Subset:  IM    
Epidemiology Branch, South Australian Health Commission, Adelaide.
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MeSH Terms
Apgar Score*
Cerebral Palsy / epidemiology*
Infant, Newborn
Mental Retardation / epidemiology*
Pregnancy Complications / epidemiology
Pregnancy Outcome / epidemiology
Risk Factors
South Australia / epidemiology

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