Flores NG, González GND, Torres NP

Language: Spanish
References: 16
Page: 113-116
PDF size: 32.24 Kb.

ABSTRACT

Introduction: Apgar score is a method originally developed to assess the conditions under which infants are born, but subsequently has been involved as a prognostic index for asphyxia, perinatal morbidity and mortality.
Objective: To determine neonatal morbidity presented in a group of term infants with low Apgar score recovered.
Material and methods: We reviewed files of term newborns with low Apgar recovered in a General Hospital in the course of two years. The data studied were: demographics of the mother and newborn, the Apgar score at one five minutes, the result of blood gases, the result of asphyxia profile by laboratory. We determined the percentage of co-morbidity and mortality. The data analysis was performed using descriptive statistics.
Results: We reviewed 120 files. The birth was vaginal in 51 (42.5%) cases and by cesarean section in 69 (57.5%). Gestational age at birth was 39 ± 1 weeks (media and standard deviation), neonatal weight 3.040 ± 636 g, females 58 (48%) and male 62 (52%). The Apgar score at one minute was 5.3 ± 0.9, and five minutes of 8.3 ± 0.6. The hospital stay was 4.5 ± 2 days. In umbilical cord blood gases pH was 7.19 ± 1.0. During the hospitalization in 29 patients (24.1%) morbidity was present predominating; neonatal jaundice in 19 cases, conjunctivitis in five, two fracture of clavicle, one with polycythemia, neonatal cephalohematoma, and transient tachypnea of the new born. In laboratory: elevation of liver enzymes in 31.6%, musculoskeletal enzymes in 28.3%, hypoglycemia in 27.5%, troponin I in 14.1%.
Conclusions: None of the patients with low Apgar score recovered was diagnosed with asphyxia at discharge and only 24.1% of the group presented any neonatal morbidity.

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