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Clinical evaluation of the fetus and neonate. Relation between intra-partum cardiotocography, Apgar score, cord blood acid-base status and neonatal morbidity

Valentin, Lil LU ; Ekman, G; Isberg, Per-Erik LU ; Polberger, Staffan LU and Marsal, Karel LU (1993) In Archives of Gynecology and Obstetrics 253(2). p.103-115
Abstract
The relation between intra-partum cardiotocography (CTG), cord blood acid-base status, Apgar score and neonatal morbidity was studied in 1228 consecutively live-born babies and in a subgroup of 200 babies (148 babies with a 1 min Apgar score < or = 8 and 52 randomly selected babies with a 1 min Apgar score > or = 9). The scores for the individual components of the 1 min Apgar score were strongly associated with each other, whereas the scores for the individual components of the 5 min Apgar score were less strongly associated. At 1 min the scores for muscle tone, reflex irritability and respiration but not the scores for heart rate and skin colour were associated with arterial and venous cord blood pH (low scores being associated with... (More)
The relation between intra-partum cardiotocography (CTG), cord blood acid-base status, Apgar score and neonatal morbidity was studied in 1228 consecutively live-born babies and in a subgroup of 200 babies (148 babies with a 1 min Apgar score < or = 8 and 52 randomly selected babies with a 1 min Apgar score > or = 9). The scores for the individual components of the 1 min Apgar score were strongly associated with each other, whereas the scores for the individual components of the 5 min Apgar score were less strongly associated. At 1 min the scores for muscle tone, reflex irritability and respiration but not the scores for heart rate and skin colour were associated with arterial and venous cord blood pH (low scores being associated with low pH). Out of the individual components of the Apgar score, heart rate and reflex irritability at 1 min were the best discriminators between "healthy or relatively healthy" and "severely ill" babies. Intrapartum CTG, total Apgar score and cord blood acid-base status were only weakly related. Venous cord blood pH was the best predictor of the 1 min Apgar score. Intra-partum CTG (silent pattern), 5 min Apgar score and venous cord blood pH were the best predictors of severe neonatal morbidity. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cardiotocography, Acid-base balance, Apgar score
in
Archives of Gynecology and Obstetrics
volume
253
issue
2
pages
103 - 115
publisher
Springer
external identifiers
  • Scopus:0027220654
ISSN
1432-0711
DOI
10.1007/BF02768736
language
English
LU publication?
yes
id
06cc1051-3241-4ce9-9bcf-bfb84bf179d0 (old id 1107486)
date added to LUP
2008-07-31 09:55:52
date last changed
2017-01-01 07:58:39
@article{06cc1051-3241-4ce9-9bcf-bfb84bf179d0,
  abstract     = {The relation between intra-partum cardiotocography (CTG), cord blood acid-base status, Apgar score and neonatal morbidity was studied in 1228 consecutively live-born babies and in a subgroup of 200 babies (148 babies with a 1 min Apgar score &lt; or = 8 and 52 randomly selected babies with a 1 min Apgar score &gt; or = 9). The scores for the individual components of the 1 min Apgar score were strongly associated with each other, whereas the scores for the individual components of the 5 min Apgar score were less strongly associated. At 1 min the scores for muscle tone, reflex irritability and respiration but not the scores for heart rate and skin colour were associated with arterial and venous cord blood pH (low scores being associated with low pH). Out of the individual components of the Apgar score, heart rate and reflex irritability at 1 min were the best discriminators between "healthy or relatively healthy" and "severely ill" babies. Intrapartum CTG, total Apgar score and cord blood acid-base status were only weakly related. Venous cord blood pH was the best predictor of the 1 min Apgar score. Intra-partum CTG (silent pattern), 5 min Apgar score and venous cord blood pH were the best predictors of severe neonatal morbidity.},
  author       = {Valentin, Lil and Ekman, G and Isberg, Per-Erik and Polberger, Staffan and Marsal, Karel},
  issn         = {1432-0711},
  keyword      = {Cardiotocography,Acid-base balance,Apgar score},
  language     = {eng},
  number       = {2},
  pages        = {103--115},
  publisher    = {Springer},
  series       = {Archives of Gynecology and Obstetrics},
  title        = {Clinical evaluation of the fetus and neonate. Relation between intra-partum cardiotocography, Apgar score, cord blood acid-base status and neonatal morbidity},
  url          = {http://dx.doi.org/10.1007/BF02768736},
  volume       = {253},
  year         = {1993},
}