Apgar scores and umbilical arterial pH in preterm newborn infants
American Journal of Obstetrics and GynecologyPublished 1 July 1984
Robert L. Goldenberg, John F. Huddleston, Kathleen G. Nelson
Citations72
SJR quartileQ1
SJR score2.77
SNIP2.75
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
There is little congruity between the Apgar score and umbilical cord pH in preterm infants, and it is not appropriate to label preterm newborn infants as asphyxiated based on a low Apgar Score.
Abstract
One- and five-minute Apgar scores and umbilical cord arterial pH values were compared in preterm newborn infants of various gestational ages. The more premature the infant, the more likely the Apgar score was low in the presence of a pH greater than or equal to 7.25. Conversely, the closer to term, the more frequently an infant with a pH of less than 7.25 had an Apgar score of greater than or equal to 7. Therefore, in preterm infants, there is little congruity between the Apgar score and umbilical cord pH. Based on these findings, it is not appropriate to label preterm newborn infants as asphyxiated based on a low Apgar score.
Keywords
MedicineNeuroscience
PEDIATRICSApgar Scores as Predictors of Chronic Neurologic Disability
632 Citations1981Karin B. Nelson, Jonas H. Ellenberg
Apgar scores were recorded at one and five minutes for approximately 49,000 infants, and at ten, 15, and 20 minutes for babies who did not achieve a score of 8 or higher at five minutes and followed to the age of 7 years.
The LancetDO APGAR SCORES INDICATE ASPHYXIA?
364 Citations1982G. S. SYKES
The relation between the Apgar scores and the acid-base status of the babies at birth was assessed in a prospective study of 1210 consecutive deliveries and it was found that only 21% of babies with a 1 min Apgar score had an acid- base status.
Archives of Disease in ChildhoodIntrauterine Asphyxia and the Developing Fetal Brain
280 Citations1978
Pediatric Clinics of North AmericaThe Newborn (APGAR) Scoring System: Reflections and Advice
190 Citations1966Virginia Apgar
Nearly fifteen years after the Apgar score was introduced, Apgar reflected on its usefulness for increasing newborn survival, and noted that there were still methodological problems with using it for neonatal research.
Archives of Disease in ChildhoodQuality of survival after severe birth asphyxia.
92 Citations1977Andrew J. Thomson, Margaret Searle +1 more
The quality of life enjoyed by the large majority of the survivors was such as to justify a positive approach to the resuscitation of very severely asphyxiated neonates, and any perinatal factor which predicted the occurrence of serious handicap with certainty was not identified.
British Journal of AnaesthesiaSIGNIFICANCE OF THE INDIVIDUAL COMPONENTS OF THE APGAR SCORE
53 Citations1973J. Selwyn Crawford, Paul Davies +1 more
The most informative set of components in respect of the acid-base state of the infants appeared to be heart rate and muscle tone and reflex irritability.
PubMedResults of the intensive perinatal management of very-low-birth-weight infants (501 to 1,500 grams).
49 Citations1979Bowes Wa, M Halgrimson +1 more
The improved survival of the infants weighing 1,500 gm or less when compared with infants of similar weights in preceding years is attributed to more intensive perinatal management of these mothers and their very-low-birth-weight infants.
American Journal of Obstetrics and GynecologyFetal and neonatal biochemistry and Apgar scores
48 Citations1973Houchang D. Modanlou, Sze-Ya Yeh +2 more
It is speculated that the prediction of Apgar scores may be possible by measuring the fetal pH during the course of labor and delivery and that serial biochemical measurements with guide preparation for adequate treatment of a depressed newborn infant.
American Journal of Obstetrics and GynecologyThe effect of intrauterine hypoxia on the child surviving to 4 years
38 Citations1975Kenneth R. Niswander, Myron Gordon +1 more
Children of low birth weight in either group experienced lower I. Q. scores and higher risk of abnormal findings on the motor tests at 4 years than the babies of mature birth weight.
Clinics in PerinatologyThe Clinical Use of Umbilical Cord Acid-Base Determinations in Perinatal Surveillance and Management
33 Citations1982Joanne L. Wihle, Roy H. Petrie +2 more
The value of the routine practice of obtaining a segment of umbilical cord at delivery for the determining of acid-base values is discussed, which may help the obstetrician establish an etiology of an intrapartum problem, aid in the resuscitation of the newborn infant, and help the neonatologist in the immediate management ofThe newborn infant.
American Journal of Obstetrics and GynecologyFetal heart rate monitoring in premature infants weighing 1,500 grams or less
29 Citations1980Watson Bowes, Steven G. Gabbe +1 more
Fetal heart rate patterns can play an important role in the intrapartum assessment of the condition of the very-low-birth-weight infant and may be used to select those infants requiring prompt operative intervention and vigorous neonatal resuscitation.
Clinics in PerinatologyPrediction of Acid-Base Values from Intrapartum Fetal Heart Rate Data and their Correlation with Scalp and Funic Values
21 Citations1982Frank C. Miller
The author examines the value of correlating fetal heart rate data and fetal capillary blood acid-base values in order to more specifically predict the fetal condition.