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Showing 3 results for Apgar
Fozieh Bakhsha, Zahra Yousefi, Mohammad Aryaie, Sayyad Yaghoub Jafari, Abdorrahman Tofighi Rad, Ali Abbasi,
Volume 3, Issue 1 (1-2016)
Abstract
Introduction: Apgar score evaluation is a common method to evaluate physiological changes of newborns and can help to predict the neonatal life chance. This study was conducted to determine the Apgar score of newborns with two methods of vaginal delivery and spinal anesthesia and its relationship with the associated factors in Gorgan health care facility.
Materials and methods: A cross-sectional study was design to conduct the research. Totally 215 cases were selected, including all records of patients during 2010 and Apgar score was checked in the first and fifth minutes. Data were analyzed using chi-square test.
Results: Results showed that 92.5 and 94 percent of neonatal Apgar scores in the first and fifth minutes were more than seven, respectively. There were no significant statistical differences between Apgar scores of the first and fifth minutes in two methods of vaginal delivery and cesarean section under spinal anesthesia technique (P>0.05). However, premature newborns, those with low birth weight and maternal preeclampsia had lower Apgar scores, and their statistical differences were significant (P<0.001).
Conclusion: The findings indicate the effect of factors such as prematurity, low birth weight, maternal preeclampsia on low Apgar score at birth of the babys. It is important that problems affecting the baby's health care measures must be considered by the planners of the health of mother and child.
Marzieh Bagheri, Hojjatallah Javidi, Seyed Ebrahim Hossini, Naderh Sohrabi,
Volume 8, Issue 3 (6-2021)
Abstract
Introduction: Prenatal events such as premature birth, low birth weight, and low Apgar score can affect life after birth. The present study aimed to determine the correlation between birth Apgar score and cognitive development and symptoms of behavioral disorders in children and adolescents.
Materials and Methods: In the present study 300 children aged 5-12 years old entered the study. Neonatal Apgar score and other information related to the neonatal at birth were extracted from delivery records. Cognitive development was evaluated by the Raven's Coloured Progressive. Symptoms of behavioral disorders were assessed by the Rutter Behavioral Disorders Questionnaire for parents and the validity of 97% and reliability of 92% were achieved. Data analysis was performed in SPSS software. The data obtained from the questionnaires were analyzed using Pearson correlation coefficient.
Results: The correlation between Apgar score and cognitive development was equal to 0.351 which was significant at P < 0.001. there was a significant relationship between Apgar score and cognitive development. Also, the correlation between Apgar score and attention-deficit/hyperactivity disorder (ADHD), antisocial behavior, maladaptation, anxiety, and aggression was 0.368, 0.265, 0.419, 0.434, and 0.553, respectively. All of them were significant at P < 0.001, i.e., there was a significant inverse relationship between Apgar and attention-deficit/hyperactivity disorder, antisocial behavior, maladaptation, anxiety, as well as aggression.
Conclusion: Factors that reduce the Apgar score at birth can affect cognitive development and behavior in childhood and adolescence and cause many problems. On the other hand, more hospitalization of these infants in their intensive care unit can lead to disruption in child development.
Khairollah Asadollahi, Arezoo Karimi , Nazanin Rezaei , Mirhadi Mussavi , Monireh Azizi , Salman Daliri ,
Volume 11, Issue 2 (4-2024)
Abstract
Introduction: The Apgar score, assessing newborns' health at birth, indicates adverse conditions and the need for medical attention. This study investigates its predictive value for neonatal outcomes.
Material & Methods: This retrospective cohort study involved 207 neonates in Ilam city hospitals (2015-2016). It compared two groups: 69 neonates with Apgar scores <7 (exposed) and 138 with scores ≥7 (unexposed) at birth. Neonates were followed through the neonatal period, and outcomes were compared. Statistical analysis used SPSS Statistics software.
Results: At the fifth minute, the exposed group had higher rates of resuscitation need (51% vs. 26.7%, p=0.01), re-admission (51% vs. 31.1%), and mortality (60% vs. 12.2%, p=0.03) compared to the unexposed group. Relative risks for the exposed group were 3.8 (resuscitation), 6.1 (NICU admission), 2.94 (re-admission), and 2.5 (mortality) at the first minute, and 2.9, 2.7, 2.3, and 19.9, respectively, at the fifth minute.
Conclusion: Apgar scores <7 increase the risk of adverse neonatal outcomes including NICU admission, resuscitation, and higher mortality rates. The Apgar score serves as a valuable predictor of adverse neonatal outcomes.
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