Would omitting the assessment of heart rate be harmful to initial neonatal care?
| Autor: | Kojiro Minami, Kaoru Ishikawa, Kana Yoshida, Madoka Furuhashi, Ken Miyazaki, Naohiko Kuno |
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| Rok vydání: | 2007 |
| Předmět: |
Male
congenital hereditary and neonatal diseases and abnormalities Resuscitation Muscle tone Heart Rate Heart rate Reflex medicine Respiratory effort Humans reproductive and urinary physiology business.industry Respiration Muscle Tonus Infant Newborn Obstetrics and Gynecology medicine.anatomical_structure Anesthesia Pediatrics Perinatology and Child Health Apgar Score Apgar score Female Neonatology business Reflex irritability |
| Zdroj: | The journal of maternal-fetalneonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians. 20(6) |
| ISSN: | 1476-7058 |
| Popis: | To test the hypothesis that counting heart rate is dispensable and other components of the Apgar score are satisfactory to evaluate the physical condition of infants shortly after birth in routine deliveries.The database of the Japanese Red Cross Nagoya First Hospital was reviewed for newborn infants whose Apgar scores were marked by trained neonatologists attending delivery.The scores of respiratory effort, muscle tone, and reflex irritability increased parallel to Apgar scores. Heart rate gained higher marks even in lower Apgar scores, whereas color demonstrated lower marks even in higher Apgar scores. Correlation coefficients were higher among respiratory effort, muscle tone, and reflex irritability. In contrast, both heart rate and color exhibited lower correlation coefficients against other components and total Apgar scores. High correlation coefficients were shown between the sum of the four components other than heart rate and the total score.Heart rate and color play more independent roles in the Apgar score. Heart rate seems to be dispensable and the other components of the Apgar score are satisfactory to evaluate the physical condition of infants shortly after birth, and hence, counting heart rate may be omitted in routine deliveries when a newborn infant is apparently well. |
| Databáze: | OpenAIRE |
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