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 observ...
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| Veröffentlicht in: | Journal of Mother and Child 2021-01, Vol.22 (3), p.238-246 |
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| container_title | Journal of Mother and Child |
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| creator | Kostro, Maria Jacyna, Natalia Głuszczak-Idziakowska, Ewa Sułek-Kamas, Katarzyna Jakiel, Grzegorz Wilińska, Maria |
| description | 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 |
| doi_str_mv | 10.34763/devperiodmed.20182203.238246 |
| format | Article |
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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 <0.001). The pH of the umbilical cord blood and lactate concentration correlate better with a high score than with a lowered one. The young age of a physician does not reduce Apgar score reliability. There were no differences in Apgar assessment according to physicians' training and the time of labor. There were no correlations between abnormalities in postnatal central nervous system ultrasound and the Apgar score.
Biochemical tests of umbilical cord blood significantly increase the Apgar score reliability.</description><identifier>ISSN: 2719-6488</identifier><identifier>EISSN: 2719-535X</identifier><identifier>DOI: 10.34763/devperiodmed.20182203.238246</identifier><identifier>PMID: 34981909</identifier><language>eng</language><publisher>Poland: Sciendo</publisher><subject>Apgar Score ; Apgar, Virginia ; Cesarean section ; Childbirth & labor ; Female ; Females ; Fetal Blood ; Fetuses ; Heart rate ; Humans ; Infant, Newborn ; krew pępowinowa ; Labor, Obstetric ; neonatolog ; neonatologist ; Newborn babies ; noworodek donoszony ; Pregnancy ; Prospective Studies ; Questionnaires ; Regression analysis ; Reproducibility of Results ; skala Apgar ; Soranus of Ephesus ; Specialization ; term newborn ; Umbilical cord ; umbilical cord blood ; Vagina ; Womens health</subject><ispartof>Journal of Mother and Child, 2021-01, Vol.22 (3), p.238-246</ispartof><rights>2018 Maria Kostro, Natalia Jacyna, Ewa Głuszczak-Idziakowska, Katarzyna Sułek-Kamas, Grzegorz Jakiel, Maria Wilińska, published by Sciendo.</rights><rights>2018. This work is published under http://creativecommons.org/licenses/by/4.0 (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2828-9980cee29aad878b7054f59b9a933ffb874921caa4f72f04dc581c1e869ac6df3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://sciendo.com/pdf/10.34763/devperiodmed.20182203.238246$$EPDF$$P50$$Gwalterdegruyter$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://sciendo.com/article/10.34763/devperiodmed.20182203.238246$$EHTML$$P50$$Gwalterdegruyter$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,27901,27902,76133,76134</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34981909$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kostro, Maria</creatorcontrib><creatorcontrib>Jacyna, Natalia</creatorcontrib><creatorcontrib>Głuszczak-Idziakowska, Ewa</creatorcontrib><creatorcontrib>Sułek-Kamas, Katarzyna</creatorcontrib><creatorcontrib>Jakiel, Grzegorz</creatorcontrib><creatorcontrib>Wilińska, Maria</creatorcontrib><title>Factors affecting the differentiation of the apgar score and the biochemical correlation of fetal well-being – A prospective observational clinical study</title><title>Journal of Mother and Child</title><addtitle>J Mother Child</addtitle><description>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 <0.001). The pH of the umbilical cord blood and lactate concentration correlate better with a high score than with a lowered one. The young age of a physician does not reduce Apgar score reliability. There were no differences in Apgar assessment according to physicians' training and the time of labor. There were no correlations between abnormalities in postnatal central nervous system ultrasound and the Apgar score.
Biochemical tests of umbilical cord blood significantly increase the Apgar score reliability.</description><subject>Apgar Score</subject><subject>Apgar, Virginia</subject><subject>Cesarean section</subject><subject>Childbirth & labor</subject><subject>Female</subject><subject>Females</subject><subject>Fetal Blood</subject><subject>Fetuses</subject><subject>Heart rate</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>krew pępowinowa</subject><subject>Labor, Obstetric</subject><subject>neonatolog</subject><subject>neonatologist</subject><subject>Newborn babies</subject><subject>noworodek donoszony</subject><subject>Pregnancy</subject><subject>Prospective Studies</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Reproducibility of Results</subject><subject>skala Apgar</subject><subject>Soranus of Ephesus</subject><subject>Specialization</subject><subject>term newborn</subject><subject>Umbilical cord</subject><subject>umbilical cord blood</subject><subject>Vagina</subject><subject>Womens health</subject><issn>2719-6488</issn><issn>2719-535X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdUc1u1DAYjBCIVqWvgCwhJC5Z_JP451hVlCIqcQGJm-XYn7eusnGwk6321nfgyNvxJPVmt4A4eTyeb76Rp6reErxijeDsvYPtCClEtwG3ophISjFbUSZpw59Vp1QQVbes_f78iHkj5Ul1nvMdxpi2hGEpXlYnrFGSKKxOq19Xxk4xZWS8BzuFYY2mW0AulGuCYQpmCnFA0S-0GdcmoWxjKnhwC9eFaG9hE6zpUXlI0P8Z8TAV8h76vu5gb_374Se6QGOKedwv2wKKXYa0XSb2830YFqM8zW73qnrhTZ_h_HieVd-uPny9vK5vvnz8dHlxU1sqqayVktgCUGWMk0J2AreNb1WnjGLM-06KRlFijWm8oB43zraSWAKSK2O58-ysenfwLcF-zJAnvQnZltRmgDhnTTnhrWKcyiJ985_0Ls6pRM-akZYLLpjCRfX6qJq7UpQeU9iYtNNP314Enw-Ce9NPkBys07wr4K8bwXppXP_buH5qXB8ap5QVwB4BxSemZQ</recordid><startdate>20210129</startdate><enddate>20210129</enddate><creator>Kostro, Maria</creator><creator>Jacyna, Natalia</creator><creator>Głuszczak-Idziakowska, Ewa</creator><creator>Sułek-Kamas, Katarzyna</creator><creator>Jakiel, Grzegorz</creator><creator>Wilińska, Maria</creator><general>Sciendo</general><general>De Gruyter Poland</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20210129</creationdate><title>Factors affecting the differentiation of the apgar score and the biochemical correlation of fetal well-being – A prospective observational clinical study</title><author>Kostro, Maria ; Jacyna, Natalia ; Głuszczak-Idziakowska, Ewa ; Sułek-Kamas, Katarzyna ; Jakiel, Grzegorz ; Wilińska, Maria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2828-9980cee29aad878b7054f59b9a933ffb874921caa4f72f04dc581c1e869ac6df3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Apgar Score</topic><topic>Apgar, Virginia</topic><topic>Cesarean section</topic><topic>Childbirth & labor</topic><topic>Female</topic><topic>Females</topic><topic>Fetal Blood</topic><topic>Fetuses</topic><topic>Heart rate</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>krew pępowinowa</topic><topic>Labor, Obstetric</topic><topic>neonatolog</topic><topic>neonatologist</topic><topic>Newborn babies</topic><topic>noworodek donoszony</topic><topic>Pregnancy</topic><topic>Prospective Studies</topic><topic>Questionnaires</topic><topic>Regression analysis</topic><topic>Reproducibility of Results</topic><topic>skala Apgar</topic><topic>Soranus of Ephesus</topic><topic>Specialization</topic><topic>term newborn</topic><topic>Umbilical cord</topic><topic>umbilical cord blood</topic><topic>Vagina</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kostro, Maria</creatorcontrib><creatorcontrib>Jacyna, Natalia</creatorcontrib><creatorcontrib>Głuszczak-Idziakowska, Ewa</creatorcontrib><creatorcontrib>Sułek-Kamas, Katarzyna</creatorcontrib><creatorcontrib>Jakiel, Grzegorz</creatorcontrib><creatorcontrib>Wilińska, Maria</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of Mother and Child</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kostro, Maria</au><au>Jacyna, Natalia</au><au>Głuszczak-Idziakowska, Ewa</au><au>Sułek-Kamas, Katarzyna</au><au>Jakiel, Grzegorz</au><au>Wilińska, Maria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors affecting the differentiation of the apgar score and the biochemical correlation of fetal well-being – A prospective observational clinical study</atitle><jtitle>Journal of Mother and Child</jtitle><addtitle>J Mother Child</addtitle><date>2021-01-29</date><risdate>2021</risdate><volume>22</volume><issue>3</issue><spage>238</spage><epage>246</epage><pages>238-246</pages><issn>2719-6488</issn><eissn>2719-535X</eissn><abstract>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 <0.001). The pH of the umbilical cord blood and lactate concentration correlate better with a high score than with a lowered one. The young age of a physician does not reduce Apgar score reliability. There were no differences in Apgar assessment according to physicians' training and the time of labor. There were no correlations between abnormalities in postnatal central nervous system ultrasound and the Apgar score.
Biochemical tests of umbilical cord blood significantly increase the Apgar score reliability.</abstract><cop>Poland</cop><pub>Sciendo</pub><pmid>34981909</pmid><doi>10.34763/devperiodmed.20182203.238246</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; De Gruyter Open Access Journals; PubMed Central; Alma/SFX Local Collection; PubMed Central Open Access; Sciendo |
| subjects | Apgar Score Apgar, Virginia Cesarean section Childbirth & labor Female Females Fetal Blood Fetuses Heart rate Humans Infant, Newborn krew pępowinowa Labor, Obstetric neonatolog neonatologist Newborn babies noworodek donoszony Pregnancy Prospective Studies Questionnaires Regression analysis Reproducibility of Results skala Apgar Soranus of Ephesus Specialization term newborn Umbilical cord umbilical cord blood Vagina Womens health |
| title | Factors affecting the differentiation of the apgar score and the biochemical correlation of fetal well-being – A prospective observational clinical study |
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