The relationship between the five-minute Apgar score, mode of birth and neonatal outcomes

Thavarajah, Harshithaa, Flatley, Christopher and Kumar, Sailesh (2017) The relationship between the five-minute Apgar score, mode of birth and neonatal outcomes. The Journal of Maternal-Fetal and Neonatal Medicine, 26 1-7. doi:10.1080/14767058.2017.1315666

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Author Thavarajah, Harshithaa
Flatley, Christopher
Kumar, Sailesh
Title The relationship between the five-minute Apgar score, mode of birth and neonatal outcomes
Journal name The Journal of Maternal-Fetal and Neonatal Medicine   Check publisher's open access policy
ISSN 1476-7058
1476-4954
Publication date 2017-04-26
Year available 2017
Sub-type Article (original research)
DOI 10.1080/14767058.2017.1315666
Open Access Status File (Author Post-print)
Volume 26
Start page 1
End page 7
Total pages 7
Place of publication Abingdon, Oxfordshire United Kingdom
Publisher Taylor & Francis
Language eng
Abstract To investigate the relationship between the five-minute Apgar score categories (low, intermediate, and normal), mode of birth and neonatal outcomes.

This was a retrospective cross sectional study of term singleton deliveries at Mater Mothers' Hospital in Brisbane, Australia between January 2007 and December 2015. The five minute score was subdivided in to three categories - low (0-3), intermediate (4-6), and normal (≥7). These were correlated with adverse neonatal outcomes and mode of birth. The referent cohort was the normal Apgar group.

The study cohort consisted of 39,258 births with a recorded five minute Apgar score. Of these, 38,705 (98.6%) neonates had a normal (≥7) Apgar score, 439 (1.1%) had an intermediate score (4-6) and 114 (0.3%) had a low (0-3) score. Neonatal complications including respiratory distress, feeding problems, hypothermia, and seizures were all significantly associated with both low and intermediate Apgar scores. Emergency operative birth (caesarean and instrumental) conveyed a higher risk of low and intermediate scores and poorer neonatal outcomes.

Low and intermediate five minute Apgar scores were strongly associated with mode of birth and poorer neonatal outcomes.
Formatted abstract
Objective: To investigate the relationship between the five-minute Apgar score categories (low, intermediate, and normal), mode of birth and neonatal outcomes.

Methods: This was a retrospective cross sectional study of term singleton deliveries at Mater Mothers’ Hospital in Brisbane, Australia between January 2007 and December 2015. The five minute score was subdivided in to three categories – low (0–3), intermediate (4–6), and normal (≥7). These were correlated with adverse neonatal outcomes and mode of birth. The referent cohort was the normal Apgar group.

Results: The study cohort consisted of 39,258 births with a recorded five minute Apgar score. Of these, 38,705 (98.6%) neonates had a normal (≥7) Apgar score, 439 (1.1%) had an intermediate score (4–6) and 114 (0.3%) had a low (0–3) score. Neonatal complications including respiratory distress, feeding problems, hypothermia, and seizures were all significantly associated with both low and intermediate Apgar scores. Emergency operative birth (caesarean and instrumental) conveyed a higher risk of low and intermediate scores and poorer neonatal outcomes.

Conclusions: Low and intermediate five minute Apgar scores were strongly associated with mode of birth and poorer neonatal outcomes.
Keyword Agpar
Score
Neonatal
Outcome
Death
Caesarean section
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Mater Research Institute-UQ (MRI-UQ)
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Created: Wed, 01 Nov 2017, 10:42:17 EST by Johanna Barclay on behalf of Mater Research Institute-UQ