Low Apgar scores at 5 minutes in a low risk population: Maternal and obstetrical factors and postnatal outcome

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Autor(es): dc.contributorUniversidade de São Paulo (USP)-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.creatorSalustiano, Eugenia Maria Assunção-
Autor(es): dc.creatorCampos, Juliana Alvares Duarte Bonini-
Autor(es): dc.creatorIbidi, Silvia Maria-
Autor(es): dc.creatorRuano, Rodrigo-
Autor(es): dc.creatorZugaib, Marcelo-
Data de aceite: dc.date.accessioned2025-08-21T19:48:52Z-
Data de disponibilização: dc.date.available2025-08-21T19:48:52Z-
Data de envio: dc.date.issued2022-04-29-
Data de envio: dc.date.issued2022-04-29-
Data de envio: dc.date.issued2012-01-01-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1016/s0104-4230(12)70254-3-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/227150-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/227150-
Descrição: dc.descriptionObjective: To evaluate the association between Apgar scores of less than seven at five minutes (AS5min < 7) and antenatal factors and postnatal outcomes. Methods: A retrospective cohort and case-control study of 27,252 consecutive term newborns in a low risk obstetrical population between January 2003 and December 2010. Maternal and infant databases were reviewed from all cases with AS5min < 7 (n = 121; 0.4%) and 363 cases with AS5min ≥ 7 at 5 minutes who were randomly selected by a computer program. The main outcomes were neonatal death, newborn respiratory distress, need for orotracheal intubation and neonatal intensive care unit (NICU), and hypoxic-ischemic-encephalopathy. Results: After multiple regression analysis, repeated late decelerations on cardiotocography (OR: 2.4; 95% CI: 1.4-4.1) and prolonged second stage of labor (OR: 3.3; 95% CI: 1.3-8.3) were associated with AS5min < 7, as well as neonatal respiratory distress (OR: 3.0; 95% CI: 1.3-6.9), orotracheal intubation (OR: 2.5; 95% CI: 1.2-4.8), need for NICU (OR: 9.5; 95% CI: 6.7-16.8), and hypoxic-ischemicencephalopathy (OR: 14.1; 95% CI: 3.6-54.7). No other antenatal factors were associated with AS5min < 7 (p > 0.05). Conclusion: Repeated late decelerations and prolonged second stage of labor in the low-risk population are predictors of AS5min < 7, a situation associated with increased risk of neonatal respiratory distress, need for mechanical ventilatory support and NICU, and hypoxic-ischemic-encephalopathy. © 2012 Elsevier Editora Ltda. All rights reserved.-
Descrição: dc.descriptionDepartment of Obstetrics and Gynecology University Hospital Medical School Universidade de São Paulo (USP), São Paulo, SP-
Descrição: dc.descriptionDepartment of Social Odontology Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Araraquara, SP-
Descrição: dc.descriptionIntensive Care Unit University Hospital USP, São Paulo, SP-
Descrição: dc.descriptionDepartment of Obstetrics and Gynecology Medical School USP, São Paulo, SP-
Descrição: dc.descriptionDepartment of Social Odontology Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP), Araraquara, SP-
Formato: dc.format587-593-
Idioma: dc.languageen-
Idioma: dc.languagept_BR-
Relação: dc.relationRevista da Associacao Medica Brasileira-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectApgar scores-
Palavras-chave: dc.subjectAsphyxia-
Palavras-chave: dc.subjectDelivery-
Palavras-chave: dc.subjectHypoxic-ischemic-encephalopathy-
Palavras-chave: dc.subjectNeonatal mortality-
Palavras-chave: dc.subjectTerm-
Título: dc.titleLow Apgar scores at 5 minutes in a low risk population: Maternal and obstetrical factors and postnatal outcome-
Título: dc.titleBaixos índices de Apgar no quinto minuto de vida em população de baixo risco: Fatores maternos e obstétricos e resultados pós-natais-
Tipo de arquivo: dc.typevídeo-
Aparece nas coleções:Repositório Institucional - Unesp

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