Factors affecting the differentiation of the apgar score and the biochemical correlation of fetal well-being – A prospective observational clinical study

The purpose of the study was to identify the features of both the labor and the assisting physicians when evaluating the newborn according to the Apgar score and how these correlate with the biochemical markers of fetal well-being in order to make the Apgar score more objective. A prospective observational clinical study conducted in a 3 reference level center between 1 April 2014 and 31 March 2015. The study enrolled 17 neonatologists and 1527 term newborns. The Apgar score is highest after natural vaginal delivery, lower after instrumental labor (p