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Long-term outcome in term breech infants with low Apgar score--a population-based follow-up

Krebs, L; Langhoff-Roos, J and Thorngren-Jerneck, Kristina LU (2001) In European Journal of Obstetrics, Gynecology, and Reproductive Biology 100(1). p.5-8
Abstract
OBJECTIVE: To investigate the relation between low Apgar score in breech infants and handicap in childhood. STUDY DESIGN: A case-control study. A questionnaire to mothers of 323 non-malformed, singleton infants delivered in breech presentation at term, 105 cases with Apgar score below 7 at 5 min and 218 controls. RESULTS: Four cases (4.6%) and one control (0.5%) had cerebral palsy. In infants without cerebral palsy, speech/language problems were more frequent than controls (10.6 versus 3.2%) (P=0.02). There were no differences in rates of deficits in attention, motor control and perception (DAMP), epilepsy, cognitive developmental delay or learning disabilities. Absence of any handicap or disability was reported in 65 cases (75%) compared... (More)
OBJECTIVE: To investigate the relation between low Apgar score in breech infants and handicap in childhood. STUDY DESIGN: A case-control study. A questionnaire to mothers of 323 non-malformed, singleton infants delivered in breech presentation at term, 105 cases with Apgar score below 7 at 5 min and 218 controls. RESULTS: Four cases (4.6%) and one control (0.5%) had cerebral palsy. In infants without cerebral palsy, speech/language problems were more frequent than controls (10.6 versus 3.2%) (P=0.02). There were no differences in rates of deficits in attention, motor control and perception (DAMP), epilepsy, cognitive developmental delay or learning disabilities. Absence of any handicap or disability was reported in 65 cases (75%) compared to 172 controls (92%) (OR: 3.9; 95% CI: 1.9-7.9). CONCLUSION: Even though low Apgar score indicates an increased risk of neurological sequelae, most (75%) breech infants with low Apgar score are without a handicap/disability at follow-up. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
European Journal of Obstetrics, Gynecology, and Reproductive Biology
volume
100
issue
1
pages
5 - 8
publisher
Elsevier
external identifiers
  • wos:000172947400002
  • scopus:0035842244
ISSN
0301-2115
DOI
language
English
LU publication?
yes
id
7cc4fbbd-2b3b-43aa-9eda-4111f4ec24df (old id 1297398)
date added to LUP
2009-07-14 12:10:45
date last changed
2018-05-29 11:10:17
@article{7cc4fbbd-2b3b-43aa-9eda-4111f4ec24df,
  abstract     = {OBJECTIVE: To investigate the relation between low Apgar score in breech infants and handicap in childhood. STUDY DESIGN: A case-control study. A questionnaire to mothers of 323 non-malformed, singleton infants delivered in breech presentation at term, 105 cases with Apgar score below 7 at 5 min and 218 controls. RESULTS: Four cases (4.6%) and one control (0.5%) had cerebral palsy. In infants without cerebral palsy, speech/language problems were more frequent than controls (10.6 versus 3.2%) (P=0.02). There were no differences in rates of deficits in attention, motor control and perception (DAMP), epilepsy, cognitive developmental delay or learning disabilities. Absence of any handicap or disability was reported in 65 cases (75%) compared to 172 controls (92%) (OR: 3.9; 95% CI: 1.9-7.9). CONCLUSION: Even though low Apgar score indicates an increased risk of neurological sequelae, most (75%) breech infants with low Apgar score are without a handicap/disability at follow-up.},
  author       = {Krebs, L and Langhoff-Roos, J and Thorngren-Jerneck, Kristina},
  issn         = {0301-2115},
  language     = {eng},
  number       = {1},
  pages        = {5--8},
  publisher    = {Elsevier},
  series       = {European Journal of Obstetrics, Gynecology, and Reproductive Biology},
  title        = {Long-term outcome in term breech infants with low Apgar score--a population-based follow-up},
  url          = {http://dx.doi.org/},
  volume       = {100},
  year         = {2001},
}