Retrospective analysis of risk factors for low 1-minute Apgar scores in term neonates
The current study was designed to investigate the perinatal risk factors for low 1-min Apgar scores in term neonates. We retrospectively analyzed the maternal and neonatal clinical data of 10,550 infants who were born through vaginal delivery from 37 weeks 0 days to 41 weeks 6 days of single gestati...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Divulgação Científica
2019-11-01
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| Series: | Brazilian Journal of Medical and Biological Research |
| Subjects: | |
| Online Access: | http://www.scielo.br/pdf/bjmbr/v52n12/1414-431X-bjmbr-52-12-e9093.pdf |
| _version_ | 1819007168746094592 |
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| author | Congmei Yang Xia Chen Shuiling Zu Fangjie He |
| author_facet | Congmei Yang Xia Chen Shuiling Zu Fangjie He |
| author_sort | Congmei Yang |
| collection | DOAJ |
| description | The current study was designed to investigate the perinatal risk factors for low 1-min Apgar scores in term neonates. We retrospectively analyzed the maternal and neonatal clinical data of 10,550 infants who were born through vaginal delivery from 37 weeks 0 days to 41 weeks 6 days of single gestation from January 2013 to July 2018. Because the 1-min Apgar score reflects neonatal status at birth, we analyzed the risk factors for low (score <7) 1-min Apgar scores through logistic regression. Among these 10,550 neonates, 339 (3.2%) had low (score <7) 1-min Apgar scores. Among them, 321 (94.7%) were admitted to the neonatology department for further observation or treatment. Multivariate analysis revealed that educational background, body mass index, gestational age, pathological obstetrics, longer duration of the second stage of labor, forceps delivery or vacuum extraction, neonatal weight, neonatal sex, and meconium-stained amniotic fluid were independent risk factors for 1-min Apgar scores <7. Neonates who had low 1-min Apgar scores were more frequently admitted to the neonatology department for further observation or treatment. Early detection of risk factors and timely intervention to address these factors may improve neonatal outcomes at birth and reduce the rate of admission to the neonatology department. |
| first_indexed | 2024-12-21T00:20:18Z |
| format | Article |
| id | doaj.art-b9bae28163994d1b85ea97157ce0302f |
| institution | Directory Open Access Journal |
| issn | 1414-431X |
| language | English |
| last_indexed | 2024-12-21T00:20:18Z |
| publishDate | 2019-11-01 |
| publisher | Associação Brasileira de Divulgação Científica |
| record_format | Article |
| series | Brazilian Journal of Medical and Biological Research |
| spelling | doaj.art-b9bae28163994d1b85ea97157ce0302f2022-12-21T19:22:06ZengAssociação Brasileira de Divulgação CientíficaBrazilian Journal of Medical and Biological Research1414-431X2019-11-01521210.1590/1414-431x20199093Retrospective analysis of risk factors for low 1-minute Apgar scores in term neonatesCongmei Yanghttps://orcid.org/0000-0003-0082-7027Xia Chenhttps://orcid.org/0000-0002-7915-4568Shuiling Zuhttps://orcid.org/0000-0002-8063-9415Fangjie Hehttps://orcid.org/0000-0002-3628-2324The current study was designed to investigate the perinatal risk factors for low 1-min Apgar scores in term neonates. We retrospectively analyzed the maternal and neonatal clinical data of 10,550 infants who were born through vaginal delivery from 37 weeks 0 days to 41 weeks 6 days of single gestation from January 2013 to July 2018. Because the 1-min Apgar score reflects neonatal status at birth, we analyzed the risk factors for low (score <7) 1-min Apgar scores through logistic regression. Among these 10,550 neonates, 339 (3.2%) had low (score <7) 1-min Apgar scores. Among them, 321 (94.7%) were admitted to the neonatology department for further observation or treatment. Multivariate analysis revealed that educational background, body mass index, gestational age, pathological obstetrics, longer duration of the second stage of labor, forceps delivery or vacuum extraction, neonatal weight, neonatal sex, and meconium-stained amniotic fluid were independent risk factors for 1-min Apgar scores <7. Neonates who had low 1-min Apgar scores were more frequently admitted to the neonatology department for further observation or treatment. Early detection of risk factors and timely intervention to address these factors may improve neonatal outcomes at birth and reduce the rate of admission to the neonatology department.http://www.scielo.br/pdf/bjmbr/v52n12/1414-431X-bjmbr-52-12-e9093.pdf1-min Apgar scoresTerm neonatesSecond stage of laborVaginal deliveryMeconium-stained amniotic fluid |
| spellingShingle | Congmei Yang Xia Chen Shuiling Zu Fangjie He Retrospective analysis of risk factors for low 1-minute Apgar scores in term neonates Brazilian Journal of Medical and Biological Research 1-min Apgar scores Term neonates Second stage of labor Vaginal delivery Meconium-stained amniotic fluid |
| title | Retrospective analysis of risk factors for low 1-minute Apgar scores in term neonates |
| title_full | Retrospective analysis of risk factors for low 1-minute Apgar scores in term neonates |
| title_fullStr | Retrospective analysis of risk factors for low 1-minute Apgar scores in term neonates |
| title_full_unstemmed | Retrospective analysis of risk factors for low 1-minute Apgar scores in term neonates |
| title_short | Retrospective analysis of risk factors for low 1-minute Apgar scores in term neonates |
| title_sort | retrospective analysis of risk factors for low 1 minute apgar scores in term neonates |
| topic | 1-min Apgar scores Term neonates Second stage of labor Vaginal delivery Meconium-stained amniotic fluid |
| url | http://www.scielo.br/pdf/bjmbr/v52n12/1414-431X-bjmbr-52-12-e9093.pdf |
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