Document Detail


The relationship between Apgar score, umbilical artery pH and operative delivery for fetal distress in 2778 infants born at term.
MedLine Citation:
PMID:  1995389     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A total of 2778 infants born at term were studied to determine the relationship between Apgar scores after 1 min, umbilical artery pH values, mode of delivery, a diagnosis of fetal distress leading to operative delivery, and sex. Eighty-three percent of the population had normal Apgar scores (greater than or equal to 8) and normal pH values (greater than 7.15) in which 10% were operatively delivered for fetal distress (ODFD). Sixty-one percent of the children with low Apgar scores (less than or equal to 7) had normal pH values, and 74% of the infants with acidosis (pH less than or equal to 7.15) had normal Apgar score. Twenty-four percent of the infants with a low Apgar score and/or acidosis were ODFD (sensitivity). Ninety percent of the infants who had Apgar scores and pH values were not ODFD (specificity). The predictive value (a low Apgar score and/or acidosis) of ODFD was 33%, and the negative predictive value (normal Apgar score and a normal pH) of ODFD was 85%. A significantly higher incidence of ODFD and acidosis was found in boys.
Authors:
A L Hoffmann; J O Hjortdal; N J Secher; B Weile
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  38     ISSN:  0301-2115     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  1991 Jan 
Date Detail:
Created Date:  1991-03-27     Completed Date:  1991-03-27     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  97-101     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Arhus Municipal Hospital, University of Arhus, Denmark.
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MeSH Terms
Descriptor/Qualifier:
Acidosis / blood*
Apgar Score*
Chi-Square Distribution
Delivery, Obstetric / methods
Female
Fetal Blood / metabolism*
Fetal Distress / diagnosis*,  physiopathology
Humans
Hydrogen-Ion Concentration
Infant, Newborn
Male
Predictive Value of Tests
Pregnancy
Risk Factors
Sex Factors
Umbilical Arteries

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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