Obsa Mohammed Suleiman, Shanka Getahun Molla, Menchamo Misrak Woldayohannes, Fite Robera Olana, Awol Meron Abrar
Department of Anesthesia, Wolaita Sodo University, Wolaita, Ethiopia.
School of Medicine, Wolaita Sodo University, Wolaita, Ethiopia.
J Pregnancy. 2020 Jan 6;2020:5986269. doi: 10.1155/2020/5986269. eCollection 2020.
Newborns can be assessed clinically using the Apgar score test to quickly and summarily assess the health of newborn physical condition immediately after delivery and to determine any immediate need for extra medical or emergency care. This study is aimed at assessing factors associated with Apgar score among newborns delivered by cesarean sections and factors associated with Apgar score.
Institutional-based cohort study design was conducted. All eligible study participants were included. Training was given for data collectors and supervisors. Regular supervision and follow-up was made. Data was entered into Epi Info version 7 computer software by investigators and was transported to SPSS version 20 computer program for analysis. Bivariate and multivariate analysis was used to identify factors associated with Apgar score.
A total 354 newborn babies were included into the study. Majority of baby had low Apgar score at one minute and high Apgar score at five minutes. About 30.2% of newborn baby had Apgar score below seven minutes. On the other hand, about 12.8% of all newborns had low Apgar score at five minutes. It had been found that those neonates who were born when skin incision to delivery time is greater than three minutes were about fourfolds more likely to have low Apgar score than those who were born when skin incision to delivery time is less than three minutes (AOR 3.645) (95% CI (0.116-26.421)).
Newborn babies have a low Apgar score at one minute as compared to five minutes. But low Apgar score at five minutes has long-term sequel. Therefore, it is very important to reduce factors associated with low Apgar score at both minutes.
新生儿可通过阿氏评分测试进行临床评估，以便在分娩后迅速、概括地评估新生儿身体状况的健康程度，并确定是否需要立即进行额外医疗或急救护理。本研究旨在评估剖宫产分娩新生儿中与阿氏评分相关的因素以及与阿氏评分相关的其他因素。
采用基于机构的队列研究设计。纳入所有符合条件的研究参与者。对数据收集者和监督员进行培训。进行定期监督和随访。研究人员将数据录入Epi Info 7版计算机软件，并传输至SPSS 20版计算机程序进行分析。采用双变量和多变量分析来确定与阿氏评分相关的因素。
共有354名新生儿纳入本研究。大多数婴儿1分钟时阿氏评分低，5分钟时阿氏评分高。约30.2%的新生儿阿氏评分低于7分。另一方面，所有新生儿中约12.8%在5分钟时阿氏评分低。研究发现，皮肤切开至分娩时间大于3分钟出生的新生儿，其阿氏评分低的可能性是皮肤切开至分娩时间小于3分钟出生的新生儿的约4倍（调整后比值比3.645）（95%置信区间（0.116 - 26.421））。
与5分钟时相比，新生儿1分钟时阿氏评分较低。但5分钟时阿氏评分低会有长期后果。因此，在这两个时间点减少与低阿氏评分相关的因素非常重要。
