The researchers identified children diagnosed with CP or epilepsy before the age of 16 in various national registers using diagnostic codes and then calculated the risk of CP and epilepsy
for every Apgar level at five and ten minutes after birth and in relation to changes in Apgar score between ten and five minutes.
The adjusted odds ratio
for Apgar scores lower than 7 at 5 minutes in the home birth group compared with physician - attended hospital births was 0.84 (95 % CI 0.32 — 2.19).
Not exact matches
This is what
APGAR stands
for:
This author suggests the increased need
for mechanical ventilation, neonatal seizures and low
Apgar scores in homebirth groups, particularly those attended by «other» midwives, could reflect an inability to effectively resuscitate the newborn.
He was born with no
APGAR, was resuscitated and kept in NICU
for almost a week to assess damage.
For example, a baby obviously in distress will not be left alone until the one - minute
APGAR says that they need help.
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.
Especially with planned cesarean, some babies will inadvertently be delivered prematurely.1 Babies born even slightly before they are ready may experience breathing and breastfeeding problems.21 One to two babies per 100 will be cut during the surgery.33 Studies comparing elective cesarean section or cesarean section
for reasons unrelated to the baby with vaginal birth find that babies are 50 % more likely to have low
Apgar scores, 5 times more likely to require assistance with breathing, and 5 times more likely to be admitted to intermediate or intensive care.4 Babies born after elective cesarean section are more than four times as likely to develop persistent pulmonary hypertension compared with babies born vaginally.17 Persistent pulmonary hypertension is life threatening.
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.
And all she has to show
for it is my normal, annoying little brother and a big scar... those horrible interventions resulted in a pink, 8 pound screaming baby with good
apgars.
My impression
for HBs in general is that midwives tend to skew
Apgar scores high and that they tend to deal with PPH reactively as opposed to proactively.
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».
Does anyone with medical training think
for a second this baby truly had
apgars of 5, 6, and 8 prior to trfr?
My assistant's primary roll during those moments after birth is accurately noting times
for my apprentice and I to evaluate
Apgars, in my home birth practice.
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.
Considering all the blue and grey babies that had a 9
APGAR on HB videos,
for a baby to get a 0 must be really horrible.
Who's recording the
Apgars for these unintended home births?
It's the same study that Stacy48918 has kindly posted again
for you (the 5 minute
Apgar score of 0 study).
I also found a CDC powerpoint presentation in a Goodge search
for «hospital birth
apgar score distribution» so here is a link to that search if anybody is interested.
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).
With an
Apgar of one it was silent but
for the squeak of theatre crocs on the floor.
The posterior position at birth also is associated with a higher risk of short - term complications
for the baby, such as lower five - minute
Apgar scores, an greater likelihood of needing to be admitted to the neonatal intensive care unit, and a longer hospital stay.
Labor induction has been increasing since the early 1990s, 1 and the rate is running at about 20 %
for pregnancies at term.2, 3 Induction of labor compared with spontaneous labor is associated with adverse maternal outcomes, including at least a doubling in the caesarean delivery rate, 4,5 25 — 50 % increase in instrumental vaginal delivery rate, 3,5 higher postpartum hemorrhage rate, 5 and prolonged labor.5 Neonates born after induced labor are more likely to have low
Apgar score and low umbilical cord blood pH. 5
He took some photos and when they moved the boys to do the
APGAR checks he asked me if it's ok if he leaves my side
for a second to check on his boys.
Human milk feeding was associated with a 57 % reduction in the odds of infection, in general, controlling
for gestational age, mechanical ventilation days, 5 - minute
Apgar score, and days without enteral feedings and a 53 % reduction in the odds of sepsis / meningitis, in specific, controlling
for gestational age, mechanical ventilation days, and days without enteral feedings.
In addition, the infant's birth weight,
Apgar scores, and need
for neonatal intensive care unit (NICU) admission were noted.
Human milk feeding was independently associated with a reduced odds of infection (odds ratio [OR] = 0.46, 95 % confidence interval [CI]: 0.24 — 0.87;P =.016), controlling
for birth weight, 5 - minute
Apgar score, mechanical ventilation days, and days without enteral feedings.
Human milk feeding was independently correlated with a reduced odds of infection (odds ratio [OR] = 0.43; 95 % confidence interval [CI]: 0.23 — 0.81), controlling
for gestational age, 5 - minute
Apgar score, mechanical ventilation days, and days without enteral feedings; and was independently correlated with a reduced odds of sepsis / meningitis (OR = 0.47, 95 % CI: 0.23 — 0.95), controlling
for gestational age, mechanical ventilation days, and days without enteral feedings.
No matter where baby ends up immediately after delivery, they will be assessed
for the following:
APGAR: a quick assessment of baby's overall health done at 1 minute and 5 minutes after birth.
In a secondary analysis of a multicenter randomized study of fetal pulse oximetry, of 4,126 nulliparous women who reached the second stage of labor, none of the following neonatal outcomes was found to be related to the duration of the second stage, which in some cases was 5 hours or more: 5 - minute
Apgar score of less than 4, umbilical artery pH less than 7.0, intubation in the delivery room, need
for admission to the neonatal intensive care unit, or neonatal sepsis (27).
There were no differences between groups
for fetal loss equal to / after 24 weeks and neonatal death, induction of labour, antenatal hospitalisation, antepartum haemorrhage, augmentation / artificial oxytocin during labour, opiate analgesia, perineal laceration requiring suturing, postpartum haemorrhage, breastfeeding initiation, low birthweight infant, five - minute
Apgar score less than or equal to seven, neonatal convulsions, admission of infant to special care or neonatal intensive care unit (s) or in mean length of neonatal hospital stay (days).
lion of zion,
for the specific population of healthy normal woman with healthy normal pregnancies, they have found that home births actually have better outcomes
for both baby and mother — i.e. better
apgars, better weight gain after the birth, and other indicators of maternal and baby wellbeing.
We thought at first that there may be risk
for confounding if the control group used uterotonics or analgesics, but our review of the latest systematic reviews gave us no reason to suspect that this would confound the results; though it was interesting that neonatal safety of uterotonics and analgesics was determined based on limited outcomes of
APGARs and NICU admission.
For planned out - of - hospital births, there was an increase in some complications, such as seizures and low
Apgar scores (a measure of a newborn's overall health), but the absolute risk remained low.
Rates of low
Apgar scores at 5 minutes did not differ among the groups (Table 5)(p value cut - off
for statistical significance after Bonferroni correction 0.003).
An
Apgar score is a simple way
for doctors or midwives to quickly assess the health of a newborn.
We observed no significant differences between the home - birth group and either comparison group with respect to a 5 - minute
Apgar score of less than 7, a diagnosis of asphyxia at birth, seizures, or the need
for assisted ventilation beyond the first 24 hours of life.
Dr Virginia
Apgar designed the simple acronym APGAR to evaluate for A-Appearance, P - Pulse, G - Grimace, A-Activity, and R - Respira
Apgar designed the simple acronym
APGAR to evaluate for A-Appearance, P - Pulse, G - Grimace, A-Activity, and R - Respira
APGAR to evaluate
for A-Appearance, P - Pulse, G - Grimace, A-Activity, and R - Respiration.
Then the midwife did the
APGAR test, then handed the baby back to me
for a first feeding — which helps with the delivery of the placenta.
Models were developed using the following possible predictors of breastfeeding duration: maternal race, maternal education, paternal education, maternal age, socioeconomic status, 22 marital status, parity, mode of delivery, previous breastfeeding experience, timing of feeding method selection, problems with pregnancy / labor / delivery, breastfeeding goal (weeks), family preference
for breastfeeding, paternal preference
for breastfeeding, having friends who breastfed, randomization group, 16 plans to return to work, infant's 5 - minute
Apgar score, and infant's age in minutes when first breastfed (first successful latch and feeding).
Rates of perinatal mortality, 5 - minute
Apgar scores, meconium aspiration syndrome or need
for transfer to a different hospital
for specialized newborn care were very similar
for the home birth group and
for births in hospital attended by a physician.
Planned out - of - hospital birth also had a statistically significant association with higher rates
for 5 - minute
Apgar scores of less than 7, neonatal seizures, neonatal ventilator support, maternal blood transfusion, and unassisted vaginal delivery but with lower rates of both admission to neonatal intensive care units and obstetrical interventions, including induction and augmentation of labor, operative vaginal delivery, cesarean delivery, and severe perineal lacerations.
ABSTRACT: The
Apgar score provides an accepted and convenient method
for reporting the status of the newborn infant immediately after birth and the response to resuscitation if needed.
Even though she was very healthy
for a baby born at 34 weeks, weighing over five pounds and with
Apgar scores of eight and eight, she was removed from the delivery room within minutes of her birth, before we were able to initiate breastfeeding.
The I2 value was greater than 50 %
for 10 outcomes (antenatal hospitalisation, amniotomy, augmentation, opiate analgesia, attendance at birth by known carer, intact perineum, perineum requiring suturing, duration of postnatal hospital stay, duration of neonatal stay, breastfeeding initiation, and greater than 30 %
for a further six (antepartum haemorrhage, induction of labour, episiotomy, five - minute
Apgar score less than seven, preterm birth, admission to neonatal care).
Among newborn characteristics (dimension 4), higher birth weight and lower 1 - min
Apgar score were associated with delayed OL; birth weight > 3600 g remained a significant risk factor in a model adjusted
for maternal age and BMI.
Exlusion criteria
for infants: preterm, low birthweight (< 2500 g), any complications requiring admission to special care,
Apgar score < 7 at 1 min and 5 min
An even higher risk was noted
for babies with similar
Apgar scores at 10 minutes.
Researchers examined outcome data
for more than 6,500 midwife - attended water births in the United States and found that newborns born in water were no more likely to experience low
Apgar scores, require transfer to the hospital after birth or be hospitalized in their first six weeks of life, than newborns who were not born in water.
They have a higher birthweight and higher
Apgar scores * (except
for American Indians / Alaskan Natives) and are less likely to experience complications requiring medical attention.