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Minerva Pediatrica 2010 June;62(3):249-52

Copyright © 2010 EDIZIONI MINERVA MEDICA

language: English

New assessment of relationship between Apgar score and early neonatal mortality

Vahabi S., Haidari M., Akbari Torkamani S., Gorbani Vaghei A.

1 Department Anesthesiology, Lorestan University of Medical Sciences, Khoramabad, Iran 2 Department of Urology, Lorestan University of Medical Sciences, Khoramabad, Iran 3 Department of Obstetrics and Gynecology, Lorestan University of Medical Sciences, Khoramabad, Iran 4 Lorestan University of Medical Sciences, Khoramabad, Iran


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AIM: Apgar scoring system was proposed in 1952 for evaluating the physical condition of neonates at 1 and 5 minutes after delivery. We designed this study to examine the original intent of Apgar system to predict neonatal survival during almost 50 years of its application.
METHODS: We carried out a prospective cohort analysis of 1161 live born term neonates delivered by cesarean section at 37 weeks of gestation or later at Khoram-abad Asali hospital in Iran during 2003 to 2005. Apgar score in 1 and 5 minutes after delivery were determined and charted. We evaluated two groups, neonates with Apgar score of equal or more than 5 in 5 minute after birth, and the ones with less than 5. The relation between neonatal mortality during first 48 hours after birth and 5 minute Apgar score was assessed. All analysis was performed with SPSS Software and c2 test.
RESULTS: In 1161 neonates, 8 were with five minute Apgar score less than 5, and their mortality rate in first 48 hours after birth was 5, as compared with 13 in 1153 for neonates with 5 minute Apgar score equal or more than 5. Neonatal mortality rate was 625 in 1000 for neonates with 5 minute Apgar score less than 5 and 11.4 in 1000 for infants with score equal or more than 5. There was statistically significance between two groups (P@0.0001).
CONCLUSION: Apgar score is still as meaningful as it was in 1952. Apgar score after birth can be used as a rapid method for assessing the survival of neonate. Although low 5 minute Scores were rare in this study but there was strongly predictive relation between it and early neonatal mortality.

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