![]() ![]() ![]() Apgar score is influenced by the gestational age, neonate's maturity, drugs, etc. The ACOG in the committee opinion on Apgar score, stated that a low Apgar score beyond 5 minutes is a suggestive criterion for asphyxia, however, there are several limitations with the Apgar score that make it inappropriate to be used alone for establishing the diagnosis of asphyxia, or for predicting the adverse neonatal outcomes. In addition some studies used the Apgar score for the assessment of birth asphyxia and the prediction of adverse neonatal outcomes. ![]() live births, while in the 2006 the American College of Obstetricians and Gynecologists (ACOG) reported an incidence of 25– live births.Įarly newborn assessment, prediction of the neonatal complications, and prompt intervention is crucial, to prevent the progression of asphyxia and also not to loose the window of therapeutic opportunity for minimizing its complications.Īpgar scoring system which was described in 1950s, is the oldest and most commonly used assessment tools for the evaluation of the newborn and the need for interventions in the delivery room. The prevalence of fetal asphyxia is increasing in 1990s the incidence of asphyxia was reported as 5. Asphyxia is a damaging condition of impaired blood gas exchange, leading, if it persists to progressive hypoxemia, hypercapnia, and tissue oxygen debt, which can cause serious central nervous system, respiratory, cardiovascular, and renal complications. ![]()
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