Fatores perinatais associados a recém-nascidos de termo com pH&lt;7,1 na artéria umbilical e índice de Apgar &lt;7,0 no 5º minuto

Zorzi, Patrícia de Moraes De; Madi, José Mauro; Rombaldi, Renato Luís; Araújo, Breno Fauth de; Zatti, Helen; Madi, Sônia Regina Cabral; Barazzetti, Daniel Ongaratto

doi:10.1590/s0100-72032012000800007

Cited by 6 publications

(2 citation statements)

References 15 publications

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“…Data from hospital-based studies found association between cardiotocography alterations indicating nonreassuring fetal status and low Apgar scores. These studies did not find significant association between intercurrences that constitute emergencies such as cord prolapse, true knot, meconium, shoulder dystocia and placental abruption and low Apgar score at birth (27)(28) . However, the intercurrences mentioned above constitute intrapartum emergencies that may require immediate intervention and availability of a specialized team, conditions which are limited or absent in the NDC.…”

Section: Factors Associated With Low Apgar In Newborns In Birth Centermentioning

confidence: 77%

Factors associated with low Apgar in newborns in birth center

et al. 2019

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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. ...

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Section: Factors Associated With Low Apgar In Newborns In Birth Centermentioning

confidence: 77%

Factors associated with low Apgar in newborns in birth center

et al. 2019

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“…Other studies in Brazil showed that the Apgar score in newborns of mothers with HIV was higher than seven in the first and fifth minute, not being related with the HIV infection. Values less than seven are associated with unfavorable outcomes during childbirth, especially neonatal asphyxia 16,24,30 .…”

Section: Discussionmentioning

confidence: 99%

Risk Factors of Hiv-1 Vertical Transmission (Vt) and the Influence of Antiretroviral Therapy (Art) in Pregnancy Outcome

Barral¹,

Oliveira²,

Lobato³

et al. 2014

Rev. Inst. Med. trop. S. Paulo

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In the absence of intervention, the rate of vertical transmission of HIV can range from 15-45%. With the inclusion of antiretroviral drugs during pregnancy and the choice of delivery route this amounts to less than 2%. However ARV use during pregnancy has generated several questions regarding the adverse effects of the gestational and neonatal outcome. This study aims to analyze the risk factors for vertical transmission of HIV-1 seropositive pregnant women living in Rio Grande and the influence of the use of ARVs in pregnancy outcome. Among the 262 pregnant women studied the rate of vertical transmission of HIV was found to be 3.8%. Regarding the VT, there was a lower risk of transmission when antiretroviral drugs were used and prenatal care was conducted at the referral service. However, the use of ART did not influence the outcome of pregnancy. However, initiation of prenatal care after the first trimester had an influence on low birth weight, as well as performance of less than six visits increased the risk of prematurity. Therefore, the risk factors analyzed in this study appear to be related to the realization of inadequate pre-natal and maternal behavior.

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Association of maternal, fetal and labor variables with a low Apgar score in the fifth minute in term pregnancy: a case–control study

Machado

Pinto

Gerencer

et al. 2022

Arch Gynecol Obstet

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Purpose To search for maternal, labor-related and fetal variables associated with low Apgar in the fifth minute in term pregnancy. Methods A retrospective case-control study with term births was conducted in a public teaching hospital from 2013 to 2020. Cases were term births with Apgar score less than 7 in the fifth minute, and controls, the next one or two births following a case, with Apgar of 7 or more. Non-cephalic presentations, multiples and malformations were excluded. We accessed 100 cases and 190 controls. We considered significant values of p < 0.05. Results Were accessed 27 variables which could be risk factors, from which 12 were associated with the outcome. We found a protective effect of prelabor cesarean for the outcome, odds ratio (OR) 0.38, p = 0.013. Consequently, we conducted two sets of analyses: in the whole group and in the group of laboring women. The values of OR were in general greater in the group of laboring women, compared with the whole group. We conducted multivariate analysis within the group of women in labor. The variables which fitted best in the model were nulliparity, male sex of the fetus, less than six prenatal visits and abnormal cardiotocography; all remained significant. An association of rupture of membranes more than 360 min with the outcome, even after controlling fpr duration of labor, was found; adjusted OR 2.45, p = 0.023. Conclusion Twelve variables were associated with the outcome. Prelabor cesarean had a protective effect. The time of ruptured membranes was associated with low Apgar. Keywords Low Apgar term • Rupture of membranes • Fetal distress • Neonatal morbidity • Mode of delivery What does this study add to the clinical work?Prelabor cesarean is protective against low Apgar in term. Most of cases of low Apgar in term come from pregnancies without maternal diseases.Time of ruptured membranes is associated with low Apgar in term.

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Fatores perinatais associados a recém-nascidos de termo com pH<7,1 na artéria umbilical e índice de Apgar <7,0 no 5º minuto

Abstract: Low Apgar score at the 5th min of life associated with pH<7.1 in the umbilical artery can predict adverse neonatal outcomes.

Cited by 6 publications

References 15 publications

Factors associated with low Apgar in newborns in birth center

Factors associated with low Apgar in newborns in birth center

Risk Factors of Hiv-1 Vertical Transmission (Vt) and the Influence of Antiretroviral Therapy (Art) in Pregnancy Outcome

Association of maternal, fetal and labor variables with a low Apgar score in the fifth minute in term pregnancy: a case–control study

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