The Apgar Score and Its Components in the Preterm Infant

Hegyi, Thomas; Carbone, Tracy; Anwar, Mujahid; Ostfeld, Barbara; Hiatt, Mark; Koons, Anne; Pinto‐Martin, Jennifer; Paneth, Nigel

doi:10.1542/peds.101.1.77

Cited by 124 publications

(102 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Neonatal resuscitation among preterm infants improves with experience and education of provider institution [25][26][27]. Normal 5-minutes Apgar [28] (7.9 ± 1.2, Table 2) in the present study indicated overall success of neonatal resuscitative effort provided to study infants after birth. Mothers' tend to experience more severe psychological stress when an infant appears more critically ill [29,30].…”

Section: Discussionsupporting

confidence: 49%

Application of Perceived Maternal Parenting Self-Efficacy (PMP S-E) Questionnaire in a Mid-West Community Medical Center NICU in the United States

Hsiao¹,

Pitetti²,

Smith³

2016

Neonat Pediatr Med

View full text Add to dashboard Cite

Preterm birth and infants' admission to neonatal intensive care units (NICU) are associated with significant emotional and psychological stresses on mothers that interfere with normal mother-infant relationship. Maternal selfefficacy in parenting ability may predict long-term outcome of mother-infant relationship as well as neurodevelopmental and behavioral development of preterm infants. The Perceived Maternal Parenting Self-Efficacy (PMP S-E) tool was developed to measure self-efficacy in mothers of premature infants in the United Kingdom. The present study determined if maternal and neonatal characteristics could predict PMP S-E scores of mothers who were administered to in a mid-west community medical center NICU. Mothers whose infants were born less than 37 weeks gestational age and admitted to a level III neonatal intensive care unit participated. Participants completed the PMP S-E and demographic survey prior to discharge. A logistic regression analysis was conducted from PMP S-E scores involving 103 dyads using maternal education, race, breast feeding, maternal age, infant's gestational age, Apgar 5-minute score, birth weight, mode of delivery and time from birth to completion of PMP S-E questionnaire. Time to completion of survey and gestational age were the significant predictors of PMP S-E scores. The finding of this study concerning the utilization of the PMP S-E in a United States mid-west tertiary neonatal center suggest that interpretation of the score requires careful consideration of these two variables.

show abstract

Section: Discussionsupporting

confidence: 49%

Application of Perceived Maternal Parenting Self-Efficacy (PMP S-E) Questionnaire in a Mid-West Community Medical Center NICU in the United States

Hsiao¹,

Pitetti²,

Smith³

2016

Neonat Pediatr Med

View full text Add to dashboard Cite

show abstract

“…Since this is a retrospective, single-center study, it also makes it difficult to generalize the results. This study was designed primarily to look at differences in overall Apgar scores, which has some limitations for use in extremely preterm neonates, 9 but is widely used nonetheless. Instead, an improvement in heart rate may have been a better indicator of response to resuscitation.…”

Section: Discussionmentioning

confidence: 99%

T-Piece Resuscitator Versus Self-Inflating Bag for Preterm Resuscitation: An Institutional Experience

Jayaram

Sima

Barker³

et al. 2012

Respir Care

View full text Add to dashboard Cite

BACKGROUND: Manual ventilation in the delivery room is provided with devices such as selfinflating bags (SIBs), flow-inflating bags, and T-piece resuscitators. OBJECTIVE: To compare the effect of type of manual ventilation device on overall response to resuscitation among preterm neonates born at < 35 weeks gestation. METHODS: Retrospective data were collected in 2 time periods. Primary outcome was overall response to resuscitation, as measured by Apgar score. Secondary outcomes were incidence of air leaks, need for chest compressions/epinephrine, need for intubation, and surfactant use. RESULTS: We identified 294 resuscitations requiring ventilation. SIB was used for 135 neonates, and T-piece was used for 159 neonates. There was no significant difference between the 1-min and 5-min Apgar scores between SIB and T-piece (P ‫؍‬ .77 and P ‫؍‬ .11, respectively), nor were there significant differences in secondary outcomes. The rate of rise of Apgar score was higher, by 0.47, with T-piece, compared to SIB (95% CI 0.08 -0.87, P ‫؍‬ .02). CONCLUSIONS: Although some manikin studies favor T-piece for providing reliable and consistent pressures, our experience did not indicate significant differences in effectiveness of resuscitation between the T-piece and SIB in preterm resuscitations.

show abstract

“…A 5-minute APGAR score of less than 7 was considered predictive of poor infant outcome. 9,10 The final outcome examined was infant death at less than a year of age.…”

Section: Methodsmentioning

confidence: 99%

Hospitalization and Infant Outcomes among Women Exposed and Unexposed to Tocolysis

2004

View full text Add to dashboard Cite

OBJECTIVE:To examine whether infants exposed to tocolytics are at increased risk for selected adverse clinical and hospitalization outcomes. STUDY DESIGN:We conducted a population-based cohort study of women with preterm labor, in Washington State from 1989 to 2001 (N ¼ 79,679), using linked hospitalization records. Relative risks for infant outcomes were estimated using multivariate logistic regression. RESULTS:Adjusted risk estimates for infants exposed to tocolysis were greater for respiratory distress (RR ¼ 1.5, 95% CI 1.4 to 1.6), intubation (RR ¼ 1.4, 95% CI 1.2 to 1.5), and bacterial infection (RR ¼ 1.6, 95% CI 1.4 to 1.8). Exposed infants were also more likely to have birth hospitalizations >2 days (RR ¼ 1.4, 95% CI 1.3 to 1.4), require transfer (RR ¼ 1.5, 95% CI 1.3 to 1.8), have increased hospital costs (RR ¼ 2.3, 95% CI 2.2 to 2.4), and require readmisssion within the first year of life (RR ¼ 1.2, 95% CI 1.1 to 1.3). CONCLUSION:Infants exposed to tocolytics appeared to have relatively poorer hospitalization and clinical outcomes; significant benefits were not observed.

show abstract

The Apgar Score and Its Components in the Preterm Infant

Cited by 124 publications

References 16 publications

Application of Perceived Maternal Parenting Self-Efficacy (PMP S-E) Questionnaire in a Mid-West Community Medical Center NICU in the United States

Application of Perceived Maternal Parenting Self-Efficacy (PMP S-E) Questionnaire in a Mid-West Community Medical Center NICU in the United States

T-Piece Resuscitator Versus Self-Inflating Bag for Preterm Resuscitation: An Institutional Experience

Hospitalization and Infant Outcomes among Women Exposed and Unexposed to Tocolysis

Contact Info

Product

Resources

About