Factors associated with low Apgar in newborns in birth center

Abstract

Objective: to analyze factors associated with Apgar of 5 minutes less than 7 of newborns of women selected for care at the Center for Normal Birth (ANC). Method: a descriptive crosssectional study with data from 9,135 newborns collected between July 2001 and December 2012. The analysis used absolute and relative frequency frequencies and bivariate analysis using Pearson's chi-square test or the exact Fisher. Results: fifty-three newborns (0.6%) had Apgar less than 7 in the 5th minute. The multivariate analysis found a positive association between low Apgar and gestational age less than 37 weeks, gestational pathologies and intercurrences in labor. The presence of the companion was a protective factor. Conclusion: the Normal Birth Center is a viable option for newborns of low risk women as long as the protocol for screening low-risk women is followed. RESUMOObjetivo: analisar os fatores associados ao Apgar de quinto minuto menor do que sete de recém-nascidos de mulheres selecionadas para a assistência no Centro de Parto Normal (CPN). Método: estudo descritivo transversal com dados de 9.135 recém-nascidos, coletados entre julho de 2001 e dezembro de 2012. Na análise foi utilizada a apuração de frequências absolutas e relativas das variáveis e análise bivariada mediante o cálculo dos testes de quiquadrado de Pearson ou exato de Fisher. Resultados: 53 recém-nascidos (0,6%) tiveram Apgar menor que sete no quinto minuto. A análise multivariada encontrou associação positiva entre baixo Apgar e idade gestacional menor que 37 semanas, patologias na gestação e intercorrências no trabalho de parto. A presença do acompanhante foi um fator protetor. Conclusão: o CPN é uma opção viável para recém-nascidos de mulheres de baixo risco desde que o protocolo de seleção das mulheres de baixo risco seja seguido. Descritores: Índice de Apgar; Parto Normal; Enfermagem Obstétrica; Parto Humanizado; Trabalho de Parto. RESUMENObjetivo: analizar los factores asociados al Apgar de quinto minuto menor que siete de los recién nacidos de mujeres, seleccionadas para la asistencia en el Centro de Parto Normal (CPN). Método: estudio descriptivo transversal con datos de 9.135 recién nacidos, recogidos entre julio de 2001 y diciembre de 2012. En el análisis se utilizaron el escrutado de frecuencias absolutas y relativas de las variables y el análisis bivariado mediante el cálculo de la prueba de Chi-cuadrado de Pearson o prueba exacta de Pearson Fisher. Resultados: cincuenta y tres recién nacidos (0,6%) tuvieron Apgar menor que siete en el quinto minuto. El análisis multivariado encontró asociación positiva entre bajo Apgar y edad gestacional menor que 37 semanas, patologías en la gestación e interocurrencias en el trabajo de parto. La presencia del acompañante fue un factor protector. Conclusión: el CNP es una opción viable para los recién nacidos de mujeres de bajo riesgo desde que siga el protocolo de selección de las mujeres de bajo riesgo. Descriptores: Puntaje de Apgar; Parto Normal; Enfermería Obstétrica; Parto Humanizado; Trabajo de Parto. ...

Maternal factors associated with immediate low Apgar score in newborn babies at an intermediate hospital in Northern Namibia

“…Similarly, some studies in Brazil and Malawi did not find an association between mothers' educational level and low Apgar score. 5,19 Marital status was not an associated factor for low Apgar score in this study (p>0.110), although this study recorded a number of single mothers (45.8%) with low Apgar score. Chiabi 20 recorded 54.4% of single mothers delivering low Apgar score babies in Cameroon, which was higher than the findings of this study, while Gudayu 17 in Nigeria recorded 95% of married mothers delivering low Apgar score babies, which is high and similar to the findings of this study, that recorded 57,7% of married mothers.…”

“…Mothers that booked for antenatal care in this study were 47.6%, which is almost similar to the findings in Brazil, which recorded 42.3%, while in Ethiopia similar studies recorded that 88% of mothers attended antenatal care, which is higher than the findings of this study. 17,19 Furthermore, during the gestational weeks, the timing when mothers started antenatal care was not associated with low Apgar score in this study (p>0.399). Mothers who started antenatal care in the second trimester (16-28 weeks) constituted 28.6% of this study, while the study conducted in Nigeria reported that 73.6% of mothers started antenatal care in the second trimester.…”

“…Similarly, some studies in Brazil and Malawi did not find an association between mothers’ educational level and low Apgar score. 5 ; 19 …”

“…Studies in Colombia, Brazil and Cameroon, found that marital status was an associated factor for low Apgar score. 19-21 This is possibly because partners living with expectant mothers would meet all their pregnancy needs. The presence of a partner in the house provides social and financial support that promotes regular antenatal care consultations that prevent risk factors leading to low Apgar score.…”

Childbirth care in a regional healthcare network of the Mãe Paranaense Network

“…Ainda em relação à antibioticoterapia, observaram-se diferenças estatísticas entre as proporções de intercorrências intraparto e os tipos de parto analisados. A proporção de intercorrências é maior nos casos de cesáreas, com uso de antibioticoterapia, fatores que podem resultar em escore de Apgar inferior a 7, no quinto minuto de vida do neonato (9) . Contudo, a cesárea pode ter sido a justificativa para resolver a complicação que colocava mãe e bebê ao risco de vida, nestas situações.…”