Thavarajah Harshithaa, Flatley Christopher, Kumar Sailesh
a Mater Research Institute, University of Queensland , South Brisbane , Australia.
b School of Medicine , The University of Queensland , Brisbane , Australia.
J Matern Fetal Neonatal Med. 2018 May;31(10):1335-1341. doi: 10.1080/14767058.2017.1315666. Epub 2017 Apr 26.
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.
探讨五分钟阿氏评分类别（低、中、正常）、分娩方式与新生儿结局之间的关系。
这是一项对2007年1月至2015年12月在澳大利亚布里斯班玛特母亲医院足月单胎分娩进行的回顾性横断面研究。五分钟评分分为三类——低（0 - 3分）、中（4 - 6分）和正常（≥7分）。将这些与不良新生儿结局和分娩方式相关联。参照队列是阿氏评分正常组。
研究队列包括39258例有记录的五分钟阿氏评分的分娩。其中，38705例（98.6%）新生儿阿氏评分正常（≥7分），439例（1.1%）评分为中等（4 - 6分），114例（0.3%）评分为低（0 - 3分）。包括呼吸窘迫、喂养问题、体温过低和惊厥在内的新生儿并发症与低和中等阿氏评分均显著相关。急诊手术分娩（剖宫产和器械助产）导致低和中等评分以及较差新生儿结局的风险更高。
低和中等五分钟阿氏评分与分娩方式及较差的新生儿结局密切相关。
