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

doi:10.1080/14767058.2016.1256985

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 journal › Article › Academic › peer-review

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 language	English
Pages (from-to)	2539-2544
Number of pages	6
Journal	Journal of Maternal-Fetal & Neonatal Medicine
Volume	30
Issue number	21
DOIs	https://doi.org/10.1080/14767058.2016.1256985
Publication status	Published - 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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10.1080/14767058.2016.1256985

Cite this

@article{d2f7a029a5ac4fce88ec4688df80af3d,

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

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%), pConclusions: 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.",

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

author = "{van Tetering}, {Anne A. C.} and {de Ven}, {Joost van} and Fransen, {Annemarie F.} and Dieleman, {Jeanne P.} and Heimel, {Pieter J. van Runnard} and Oei, {S. Guid}",

year = "2017",

doi = "10.1080/14767058.2016.1256985",

language = "English",

volume = "30",

pages = "2539--2544",

journal = "Journal of Maternal-Fetal & Neonatal Medicine",

issn = "1476-7058",

publisher = "Routledge/Taylor & Francis Group",

number = "21",

}

TY - JOUR

T1 - Risk factors of incomplete Apgar score and umbilical cord blood gas analysis

T2 - a retrospective observational study

AU - van Tetering, Anne A. C.

AU - de Ven, Joost van

AU - Fransen, Annemarie F.

AU - Dieleman, Jeanne P.

AU - Heimel, Pieter J. van Runnard

AU - Oei, S. Guid

PY - 2017

Y1 - 2017

N2 - 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%), pConclusions: 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.

AB - 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%), pConclusions: 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.

KW - Apgar score

KW - blood gas analysis

KW - epidemiology

KW - perinatal outcome

KW - umbilical cord blood

KW - RANDOMIZED CONTROLLED-TRIAL

KW - BIRTH-WEIGHT

KW - DELIVERY

KW - INFANTS

KW - LABOR

KW - CARE

KW - SAMPLES

KW - VALUES

KW - PH

U2 - 10.1080/14767058.2016.1256985

DO - 10.1080/14767058.2016.1256985

M3 - Article

C2 - 27884069

SN - 1476-7058

VL - 30

SP - 2539

EP - 2544

JO - Journal of Maternal-Fetal & Neonatal Medicine

JF - Journal of Maternal-Fetal & Neonatal Medicine

IS - 21

ER -