Fifty years ago, physician Virginia
Apgar of Columbia University developed a scoring system to rate a newborn's health.
Studies show that with unsupervised skin - to - skin contact comes an increased risk of Sudden Unexpected Postnatal Collapse (SUPC), «a condition in which a previously vigorous, spontaneously breathing infant who had a five - minute
Apgar of 8 or more, unexpectedly becomes apneic, often necessitating full resuscitation.»
My son was also born with
an APGAR of 2 after a lengthy vaginal labor in the hospital, nearly 10 lbs.
The reality was that my son had
an APGAR of 2.
Uh, all my kids were born at home with
an APGAR of 10.
With
an Apgar of one it was silent but for the squeak of theatre crocs on the floor.
The absolute risk of a baby having a 5 minute
Apgar of zero is 0.16 per 1000 for those delivered by MDs in hospital, and 1.63 per 1000 for babies delivered by «home midwife» (CPM in most cases).
I don't know (and other people here do), but I do know that, per the Grunebaum paper, if a baby is born with
an APGAR of 0 far from qualified personnel to resuscitate him / her, their prognosis is as grim as it can possibly be.
So, yes, I do have an idea, my one nephew was still born, in a hospital at 38 weeks (not the hospitals fault, it was ob negligence, he died 2 weeks earlier) and their next child was delivered by c - section which was considered «emergency» even though she was made to wait 45 minutes before they could operate, and baby was born not breathing, with
an apgar of 2 and has cerebral palsy.
their next child was delivered by c - section which was considered «emergency» even though she was made to wait 45 minutes before they could operate, and baby was born not breathing, with
an apgar of 2 and has cerebral palsy
The risk is less and perhaps enough that there isn't a clear difference in mortality but the greatly increased risk of
apgar of 0 at 5 minutes shows that there is an increased risk for babies born to women who have had a previous (presumably normal) birth.
Very few naturally - born newborns get a first
APGAR of 10, because most are a little blue in the hands and feet.
The baby she harmed had
an Apgar of less than 7 at 10 minutes.
A baby born «lifeless» — that is, blue, no heart rate, no respiratory effort, no movement at all — doesn't get to a 1 - minute
apgar of 5.
He had
an APGAR of 3, he wasn't breathing because of swelling in his neck (his face and neck endured the entire trauma a baby's head usually takes when it traveled through the birth canal).
She was born with
an Apgar of three.
He was covered in meconium, but had
APGARs of 8 and 9.
Tell that to the NURSE who told me if I didn't let her give me Pitocin that my baby would be born «with
apgars of zero — that means dead.»
She complains that the press release (out of Cornell) conflates stillbirth with
Apgars of 0.
He had
apgars of 5 / 6/8 but swallowed fluid, had retractions in his abdomen, & would stop crying.
«He had
apgars of 5 / 6/8 but swallowed fluid».
Does anyone with medical training think for a second this baby truly had
apgars of 5, 6, and 8 prior to trfr?
Maybe I'm wrong looking at the increased neonatal death rate in MANA's study, the increased risk of HIE in January 2014 ACOG, the increased risk of
Apgars of 0 at 5 minutes (Grunebaum 2014) at homebirth as compared to hospital birth.
She was pink, breathing and perfectly healthy with 1 and 5 minute
APGARS of 9 and 10.
Not exact matches
This means the rate
of respiratory distress, hemmhorage, lower
apgar scores, etc..
Babies get a score
of 0 — 2 in each category, and the five results are combined to get the
Apgar score.
The baby was delivered at home eleven minutes after the waters broke and had an
Apgar score
of 8 at five minutes.
Let's focus more what the
Apgar zero paper says about the outcomes
of midwives» deliveries in the hospital.
Even if every single one
of those babies had a 5 - minute
Apgar score
of zero, Grunebaum's rate
of zero
Apgars in the hospital would increase from 0.25 / 1000 to 0.49 / 1000.
When we examine a little more closely what it means to have a 5 - minute
Apgar score
of zero, we might find that it does include some babies who died shortly after birth.
May you be one
of the women who has a not very painful 10 hour labor, delivers a baby with 9/10
apgars, and departs the hospital thinking, «What was all the fuss about?»
Clearly MANA is very worried in the wake
of publication
of the Grunebaum study that shows that homebirth increases the risk
of a 5 minute
Apgar score
of 0 by nearly 1000 %.
Another limitation is that it is not possible to know from the CDC data whether a 5 - minute
Apgar score
of 0 was effectively a stillbirth that occurred antepartum or intrapartum.
They will literally sacrifice anything to the cause
of midwifery and probably fudge their numbers and
apgars all the freaking time, and it STILL looks horrible for them.
He is the winner
of numerous other honors and awards, including a 1995 «Miracle Maker» award honoring exceptional children's physicians from A.H. Robbins Co., the National Education and
Apgar Awards
of the AAP, the Outstanding Faculty Award from the Virginia State Council on Higher Education, and recognition as one
of the «10 Parenting Leaders» by Parenting Magazine.
According to the Nelson Textbook
of Pediatrics, «The
Apgar score was not designed to predict the neurologic outcome.
She had a little trouble breathing and so had an
Apgar score initially
of 5 but as soon as they bulb suctioned she did breathe and she ended up with a 9 five minutes later.
Nurse - midwives demonstrated with a high grade level
of evidence a lower rate
of cesarean sections, lower
apgar scores, lower labor augmentation, lower episotomy rates, equivalent low birthrates, lower vaginal operative deliveries, less use
of labor analgesia and epidurals, and lower rates
of third - and fourth - degree perineal lacerations.
Case mix was based on the presence
of at least one
of the following: congenital abnormalities, small for gestational age, preterm birth, or low
Apgar score.
The most important paper on homebirth published in 2013 showed that homebirth increases the risk
of a 5 minute
Apgar score
of zero by nearly 1000 %!
We analyzed 8 outcomes
of child health (neonatal deaths, prenatal deaths,
Apgar
The decision to use the 5 minute
Apgar score
of 0 means that we are looking at severe intrapartum compromise, almost certainly resulting in death.
Hyponatremia, low
Apgar, aspiration
of contaminated water.
We analyzed 8 outcomes
of child health (neonatal deaths, prenatal deaths,
Apgar...», or even «The findings suggest that homebirths attended by midwives may be equally safe if not safer for women with low - risk pregnancies», which could mean «safer for women» who have «low - risk pregnancies» or equally «safer» for «women who have low - risk pregnancies».
The
apgars assigned during the stress
of a hospital birth gone bad are already not particularly reliable.
Increased risk
of death, HIE, seizures, low
Apgars, etc?
The authors» decision to use the 5 minute
Apgar score
of zero is truly inspired.
There is simply no question that the data shows that homebirth raises the risk
of a 5 minute
Apgar score
of 0 by nearly 1000 %.
There is simply no way that a higher incidence
of neonatal death can not be associated with a higher incidence
of low
Apgar scores: there must be more near misses in the home birth group.