Risk factors of incomplete Apgar score and umbilical cord blood gas analysis: a retrospective observational study

Anne A. C. van Tetering*, Joost van de Ven, Annemarie F. Fransen, Jeanne P. Dieleman, Pieter J. van Runnard Heimel, S. Guid Oei

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

6 Citations (Web of Science)

Abstract

Objective: To investigate whether incomplete umbilical cord blood gas (UCBG) analysis occurs more often than the incomplete reporting of the Apgar score, and risk factors associated with the incomplete values.

Methods: A total of 8824 infants born alive after 26 weeks' gestation between January 2009 and April 2013 were included. We extracted data on five-minute Apgar score, UCBG analysis, gestational age, mode of delivery, time of delivery and multiple pregnancy. Univariate and multivariable logistic regression analyses were performed.

Results: Five-minute Apgar score was incomplete in 15 cases (0.2%) and UCBG analysis in 1960 cases (22.2%), p

Conclusions: Measuring five-minute Apgar score generated less incomplete data compared with UCBG analysis. The risk factors associated with incomplete UCBG analysis were noted. Study outcomes with UCBG analysis as neonatal assessment tool should be interpreted with caution.

Original languageEnglish
Pages (from-to)2539-2544
Number of pages6
JournalJournal of Maternal-Fetal & Neonatal Medicine
Volume30
Issue number21
DOIs
Publication statusPublished - 2017

Keywords

  • Apgar score
  • blood gas analysis
  • epidemiology
  • perinatal outcome
  • umbilical cord blood
  • RANDOMIZED CONTROLLED-TRIAL
  • BIRTH-WEIGHT
  • DELIVERY
  • INFANTS
  • LABOR
  • CARE
  • SAMPLES
  • VALUES
  • PH

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