In addition, newborn who delivered under spinal anesthesia had a better Apgar score which is consistent with other similar studies. The result of this study also revealed that majority of newborn babies had better Apgar score both at one and five minutes. The higher magnitude of low Apgar score in Gondar University Hospital could be attributed to preanesthetic condition as 92% of the cases were emergency C/S, fetal distress being the leading indication. In contrast to this study, the magnitude of low Apgar score in Gondar University Hospital was high (37.5%). The magnitude of low Apgar score was 30.2% and 12.8% at one minute and five minutes, respectively, which is almost closest to review conducted in Uganda teaching hospital 28%. Majority of the pregnant mothers who gave birth by cesarean section were found between age group 25 and 29 of whom the mean age was 25.28 ± SD (4.267) (minimum 20 and maximum 38). ![]() The 1 min Apgar score may signal the need for immediate resuscitation, and the Apgar score measured 5 min after birth is a predictor of neonatal mortality and several neurological outcomes. ![]() Rarely, if there are concerns about the baby condition and the first two scores are low, less than 7, the scoring is also performed at 10, 15, and 20 minutes after delivery. Īpgar score is usually done to the baby twice: once at one minute after birth and again at 5 minutes after birth. However, several possible causes of low Apgar scores exist, such as perinatal asphyxia and congenital infections. A total score of 7-10 is considered “normal,” and a lower Apgar score indicates depressed vitality. Scores obtainable are between 0 and 10, with 10 is the highest possible score. The score is based on measures of heart rate, respiratory effort, skin color, muscle tone, and reflex irritability. įive factors are used to evaluate the baby's condition and each factor is scored on a scale of 0 to 2, with 2 being the best score for each: the scoring system is an accepted tool for assessing the vitality of newborn infants. The test is simple and repeatable method to quickly and summarily assess the health of newborn physical condition immediately after delivery and to determine any immediate need for extra emergency care. Virginia Apgar to evaluate the health of newborn and assess the effects of obstetric anesthesia on newborns at birth. Newborns delivered by cesarian section (CS) can be assessed clinically using the Apgar score which was devised in 1952 by Dr.
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