Do we assess ‘colour’ appropriately using the Apgar score?

Blake, Diane

doi:10.1016/j.jnn.2010.03.002

Cited by 7 publications

(5 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The impact of discourses is also found in the nursing curriculum, which use hegemonic and normative approaches to teach nursing practice. For example, the APGAR score is the primary assessment tool used at the time of birth to determine the health status of a newborn by examining physical appearance and physiology (Blake, ). In reference to appearance, the APGAR scoring system indicates that a newborn is considered “healthy” if the skin appears pink as opposed to blue (Blake, ).…”

Section: Understanding Leadership Through Black Feminist Poststructurmentioning

confidence: 99%

“…For example, the APGAR score is the primary assessment tool used at the time of birth to determine the health status of a newborn by examining physical appearance and physiology (Blake, ). In reference to appearance, the APGAR scoring system indicates that a newborn is considered “healthy” if the skin appears pink as opposed to blue (Blake, ). However, Blake, suggested that this scoring is not appropriate for newborns from ethnic origins, especially those of African ancestry, and therefore should be revised to be more inclusive of ethnic diversity.…”

Section: Understanding Leadership Through Black Feminist Poststructurmentioning

confidence: 99%

“…In reference to appearance, the APGAR scoring system indicates that a newborn is considered “healthy” if the skin appears pink as opposed to blue (Blake, ). However, Blake, suggested that this scoring is not appropriate for newborns from ethnic origins, especially those of African ancestry, and therefore should be revised to be more inclusive of ethnic diversity. Similarly, nursing texts present a myriad of stereotypes and cultural assumptions to be used during interactions with particular groups.…”

Section: Understanding Leadership Through Black Feminist Poststructurmentioning

confidence: 99%

See 2 more Smart Citations

Understanding the invisibility of black nurse leaders using a black feminist poststructuralist framework

Jefferies

Goldberg

Aston

et al. 2018

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

Section: Understanding Leadership Through Black Feminist Poststructurmentioning

confidence: 99%

Section: Understanding Leadership Through Black Feminist Poststructurmentioning

confidence: 99%

Section: Understanding Leadership Through Black Feminist Poststructurmentioning

confidence: 99%

See 1 more Smart Citation

Understanding the invisibility of black nurse leaders using a black feminist poststructuralist framework

Jefferies

Goldberg

Aston

et al. 2018

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…Concerns have been raised regarding routine perinatal practices, such as Apgar scores, in which skin colour is a key element of neonatal examination. A much-debated question is whether neonates’ colour is assessed appropriately when scoring the Apgar [ 6 ] and whether this disadvantages infants with darker skin pigmentation. Guidelines should mitigate these concerns and describe effective and safe means of assessment for all infants.…”

Section: Introductionmentioning

confidence: 99%

A review of the current policies and guidance regarding Apgar scoring and the detection of jaundice and cyanosis concerning Black, Asian and ethnic minority neonates

Furness,

Fair,

Higginbottom

et al. 2024

BMC Pediatr

View full text Add to dashboard Cite

Background Ethnic inequalities in maternal and neonatal health in the UK are well documented. Concerns exist regarding the use of skin colour in neonatal assessments. Healthcare professionals should be trained to recognise symptoms of diverse skin tones, and comprehensive, and inclusive guidance is necessary for the safe assessment of all infants. Disparities in healthcare provision have been emphasised during the COVID-19 pandemic, and additional research is needed to determine whether such policies adequately address ethnic minority neonates. Methods A desktop search included searches of guidance produced for the United Kingdom (UK). Further searches of the Cochrane and World Health Organization (WHO) were used to identify any international guidance applicable in the UK context. Results Several policies and one training resource used descriptors ‘pink,’ ‘pale,’ ‘pallor,’ and ‘blue’ about neonatal skin and mucous membrane colour. No policies provided specific guidance on how these colour descriptors may appear in neonates with different skin pigmentation. Only the NICE guidance and HEE e-learning resource acknowledged the challenges of assessing jaundice in infants with diverse skin tones, while another guideline noted differences in the accuracy of bilirubin measurements for the assessment of jaundice. Three policies and one training resource advised against relying on visual observation of skin colour when diagnosing neonatal conditions. The training resource included images of ethnic minority neonates, although most images included white infants. Conclusions Inadequate consideration of ethnicity in UK policy and training perpetuates disparities, leading to inaccurate assessments. A review is needed for inclusivity in neonatal care, regardless of skin pigmentation.

show abstract

“…1 [4]. The skin color changes is one of the observationational elements the midwives will look for from 1 to 5 minutes after birth [5]. Central cyanosis is usually caused by diseases of the heart or lungs.…”

Section: Introductionmentioning

confidence: 99%

Conceptual Determination and Assessment of Cyanosis

Azmi¹,

Delbressine²,

Feijs³

2016

IJBBB

View full text Add to dashboard Cite

Cyanosis can be detected in a blue-purplish discoloration area commonly around the mucous membranes which are around the lips, fingers and toes. It is one of the respiratory distress' symptoms in newborn babies that can be caused by either the low level of oxygenated blood or poor circulation. Low oxygen saturation in the blood will make the skin and lips appear to be blue since the blood's color changes from bright red to a darker bluish. Babies with cyanosis need urgent assessment and initiation of medical care. Therefore, a systematic and rational approach in identifying cyanosis symptoms are crucial since its occurrence is known to be one of the most difficult situation to be handled in pediatric world. Thus, the early detection of cyanosis symptoms and understanding the physiology of oxygenation in neonates are important to save the babies' lives. The goals of this paper are to introduce a new approach for early cyanosis detection and determination of cyanotic and non-cyanotic skin color based on the actual reflectance spectrum of oxyhemoglobin, (HbO2) and deoxyhemoglobin, (Hb). The actual transmission spectrum and the wavelength of cyanotic and non-cyanotic skin are calculated based on optical properties in each skins' layers. A block diagram is developed to represent the light's pathway in the cyanotic and non-cyanotic skin color and the transfer functions in each block diagram used to describe the relationship between individual layers. Finally, as an objective measure of cyanotic and non-cyanotic skin color, the International Commission on Illumination (CIE) of color space values (L*, a* and b*) are determined. The calculation results reveal that colorimetry assessment can demonstrate the evaluation of cyanosis based on oxygenation level in the blood.

show abstract

Do we assess ‘colour’ appropriately using the Apgar score?

Cited by 7 publications

References 3 publications

Understanding the invisibility of black nurse leaders using a black feminist poststructuralist framework

Understanding the invisibility of black nurse leaders using a black feminist poststructuralist framework

A review of the current policies and guidance regarding Apgar scoring and the detection of jaundice and cyanosis concerning Black, Asian and ethnic minority neonates

Conceptual Determination and Assessment of Cyanosis

Contact Info

Product

Resources

About