Factors Associated with Low Apgar Score in the Maternity of Pereira Rossell Hospital
Abstract
Introduction: Neonatal depression is one of the most frequent causes of admission of newborns to
specialized units of neonatal care. Perinatal asphyxia is one of the causes of low Apgar score, are due to:
maternal (age, obstetric pathologies, socioeconomic level, addictions, etc.), labor and delivery, or fetal
alterations.
Objective: To determine the perinatal factors associated with the low Apgar score at 5 minutes.
Design: Retrospective study of cases and controls in 2015 and 2016. Institution: Maternity, Women Hospital,
Centro Hospitalario Pereira Rossell, Montevideo, Uruguay.
Patients: We included all term newborns with Apgar at 5 minutes less than or equal to 5.
Results: There was a total of 12,528 births of full-term newborns in the HM. 34 cases of newborns with
Apgar at 5 minutes less than or equal to 5. This corresponds to 0.27% of the population. No statistically
significant differences were identified regarding the main factors associated with perinatal asphyxia.
Conclusions: In the analysis of this population, most of the analyzed factors are not associated with cases of
Apgar at 5 minutes less than or equal to 5 (moderate-severe neonatal depression), so that most of these cases
may not be avoidable.
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