Retrospective analysis of risk factors for low 1-minute Apgar scores in term neonates

Yang, Congmei; Chen, Xia; Zu, Shuiling; He, Fangjie

doi:10.1590/1414-431x20199093

Cited by 18 publications

(20 citation statements)

References 28 publications

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“…This means that as Apgar score decreased, neonatal admission was increased. This comes in agreement with Yang et al, [9] who found that, neonates who had low 1-min Apgar scores were more frequently admitted to the neonatology department and in agreement with Salustiano et al, [10] who found that, in infants with low Apgar score at 5 min, there is increased risk of admission to neonatal intensive care unit.…”

Section: Discussionsupporting

confidence: 92%

Study of the Neonatal Resuscitation and Adaptation Score (NRAS) Compared to the Apgar Score in Neonatal Resuscitation

Elglil

Ibrahim

Shihab

et al. 2020

JAMMR

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Introduction: The Neonatal Resuscitation and Adaptation Score (NRAS) was developed to address the concerns regarding how resuscitation impacts the Apgar score and how it can be accounted for in the scoring assessment. Aims: The objective of this work was to compare between the Neonatal Resuscitation and Adaptation Score (NRAS) and the Apgar score, to determine the correlation between the two scoring systems, and their predictive ability for mortality and short-term morbidities. Methodology: This study was a prospective cohort study. It was carried out on 410 neonates in Tanta University Hospital. Both Apgar and NRAS scores were recorded for all cases at 1st and 5th minutes of life. The scores were divided into three categories: Low (0-3), Middle (4-6), High (7-10). All neonates were followed up for 48 hours. Correlation between both scores and neonatal outcome were recorded. Results: There was a significant positive correlation between Apgar and NRAS scores at both 1st and 5th minutes. NRAS score was more précised in discriminating neonatal admissions, mortality, need for respiratory support and morbidities than Apgar score at both 1st and 5th minutes. The regression model revealed that Apgar 5th min and both of NRAS 1st and 5th minutes were significant predictors for neonatal mortality and morbidities. The most significant predictor was NRAS 1st min. Conclusion: Both scores can be used in assessing the neonatal condition. The most significant predictor for neonatal mortality and morbidities was NRAS 1st min.

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Section: Discussionsupporting

confidence: 92%

Study of the Neonatal Resuscitation and Adaptation Score (NRAS) Compared to the Apgar Score in Neonatal Resuscitation

Elglil

Ibrahim

Shihab

et al. 2020

JAMMR

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“…This score has been used as a predictive index for neonatal mortality and morbidity, and for later neurologic or developmental disability ( 51 ). Numerous factors can influence Apgar score, such as maternal education and BMI, gestational age, pathological obstetrics, longer duration of the second stage of labor, neonatal weight and meconium-stained amniotic fluid ( 52 ). The present results suggested that 1-min Apgar score was a risk factor for respiratory assistance in premature infants, indicating that weight control in pregnant women, reduction of the preterm birth and other measures may reduce the use of ventilators.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for respiratory assistance in premature infants

Li¹,

Gao

Cheng

et al. 2021

Exp Ther Med

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Premature infants are prone to dyspnea after birth due to immature development, and some infants require respiratory assistance. However, the risk factors for respiratory assistance in premature infants are rarely reported. The present study enrolled 3,394 premature infants (665 infants had been provided with respiratory assistance and 2,729 had not used respiratory assistance) to retrospectively analyze the risk factors associated with respiratory aid. The multivariate logistic regression analysis demonstrated that placental abnormality [odds ratio (OR)=1.284; P=0.048], the male sex (OR=0.696; P=0.001), delivery via cesarean section (OR=1.538; P<0.001), low 1-min Apgar score (OR=0.727; P<0.001), low birth weight (OR=0.999; P=0.005) and low gestational age (OR=0.616; P<0.001) were independent risk factors for respiratory assistance in premature infants. Overall, a number of risk factors, including placental abnormality, cesarean section, low 1-min Apgar score, low birth weight and small gestational age, were identified for respiratory assistance in premature infants. By conducting a risk assessment of risk factors at birth and using this information to provide timely respiratory assistance, the survival rates of premature infants may increase.

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“…The incidence of MSAF (meconiumstained amniotic fluid) was associated with a low Apgar score due to the presence of meconium aspiration syndrome (Yang et al, 2019). Meconium-mixed amniotic fluid is a commonly observed phenomenon.…”

Section: The Effect Of Low Birth Weight On the Risk Of Asphyxiamentioning

confidence: 99%

Meta-Analysis: Amniotic Meconium and Low Birth Weight as Predictors of Asphyxia in Newborns

Widiyaningrum,

Pamungkasari,

Murti

2020

J MATERN CHILD HEALTH

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Background: Preterm birth, intrapartumrelated complications (birth asphyxia or difficulty breathing at birth), infections and birth defects accounted for the majority of neonatal deaths in 2017. Low birth weight and amniotic fluid with meconium are factors associated with perinatal asphyxia. The aim of this study was to conduct a meta-analysis to estimate the influence of meconium in the amniotic fluid and low birth weight on the risk of asphyxia in newborns based on the results of previous similar studies. Subjects and Method: This was a systematic review and meta-analysis following the PRISMA flow diagram. The formula for PICO is as follows: P= newborn, I= mixed amniotic fluid with low birth weight, C = clear amniotic fluid and normal birth weight (≥2,500 g). Database: PubMed, Google Scholar, Clinical Key, Springer Link and Science Direct with keywords ("asphyxia" OR "birth asphyxia") AND ("meconium stained amniotic" OR "meconium stained liquor" OR "meconium stained amniotic liquor") AND "Low birth weight" AND "newborns" AND "cross sectional". The research inclusion criteria were full text articles and in English. Articles published from 2010 to 2020. The study design was cross-sectional with multivariate analysis using Revman 5.3 and results reported in adjusted odds ratio (aOR). Results:The results of the meta-analysis in 11 primary studies showed that the effect of meconium in the amniotic fluid was statistically significant in increasing the risk of asphyxia in newborns by 5.16 times compared to clear membranes (aOR 5.16; 95% CI = 3.73-7.13; p <0.001). The effect of low birth weight was statistically significant in increasing the risk of asphyxia in newborns by 2.94 times compared to normal birth weight (aOR 2.94; 95% CI = 1.84-4.70; p <0.001). Conclusion: Amniotic meconium and low birth weight increase the incidence of newborn asphxia. Early detection in proper control and monitoring of labor, development of a comprehensive partograph and adequate prenatal care with the provision of social support reduces the frequency and negative effects of perinatal asphyxia.

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Retrospective analysis of risk factors for low 1-minute Apgar scores in term neonates

Cited by 18 publications

References 28 publications

Study of the Neonatal Resuscitation and Adaptation Score (NRAS) Compared to the Apgar Score in Neonatal Resuscitation

Study of the Neonatal Resuscitation and Adaptation Score (NRAS) Compared to the Apgar Score in Neonatal Resuscitation

Risk factors for respiratory assistance in premature infants

Meta-Analysis: Amniotic Meconium and Low Birth Weight as Predictors of Asphyxia in Newborns

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