PDF(Pubmed)
Abstract：
A variety of factors can predispose newborns to have a low Apgar score after delivery. Identification of the determinants of low Apgar scores is an important first step to take to apply the necessary precautions. This study aimed to identify the determinants of low fifth-minute Apgar score after a Cesarean section. An institutional-based case-control study was conducted among mothers who deliver their newborns by Cesarean section in Nigist Eleni Mohammed Memorial Comprehensive Specialized Hospital, Ethiopia, from July 1, 2022, to September 30, 2022. Data were collected from 70 cases and 140 controls using a semi-structured checklist. A systematic random sampling technique was used to select both charts of mothers with cases and controls. Charts of mothers with newborns Apgar score less than 7 were considered as cases; whereas a similar group of charts of mothers with newborns with fifth-minute Apgar score greater than or equal to 7 were categorized as control. Descriptive statistics and bivariable and multivariable binary logistic regression analyses were conducted to describe the mothers and newborns and identify determinants of the fifth-minute low Apgar score, respectively. Adjusted odds ratios (AOR) with their respective 95% confidence interval (CI) were used to declare the determinant factors, and the statistical significance was set at P < 0.05. In total, 140 controls and 70 cases of mothers charts were enrolled in this study. The Mean ± SD age of mothers of cases and controls were 26.9 ± 4.9 and 27.06 ± 4.1 years, respectively. General anaesthesia (AOR = 4.2; 95% CI: 1.9 ‒ 9.3), rural residence (AOR = 3.7, 95% CI, 1.7‒8.1), low birth weight (AOR = 3.2, 95% CI, 1.3‒7.8), and emergency Cesarean section (AOR = 2.6; 95% CI: 1.2 ‒ 5.8) were identified determinant factors of low fifth minute Apgar score. A fifth-minute low Apgar score was significantly associated with newborns delivered through emergency Cesarean section, low birth weight, rural residence, and delivered from mothers who had undergone Cesarean section under general anaesthesia.
摘要：
多种因素可以使新生儿在分娩后具有低的Apgar评分。确定低Apgar分数的决定因素是采取必要预防措施的重要第一步。这项研究旨在确定剖宫产术后第5分钟Apgar得分低的决定因素。在NigistEleniMohammed纪念综合专科医院剖腹产新生儿的母亲中进行了一项基于机构的病例对照研究，埃塞俄比亚,从2022年7月1日至2022年9月30日。使用半结构化清单从70例病例和140例对照中收集数据。使用系统的随机抽样技术来选择有病例和对照的母亲图表。新生儿Apgar得分小于7的母亲的图表被视为病例；而一组类似的新生儿的母亲图表第五分钟Apgar得分大于或等于7被归类为对照。进行了描述性统计以及双变量和多变量二元逻辑回归分析，以描述母亲和新生儿，并确定第五分钟低Apgar评分的决定因素。分别。调整后的优势比(AOR)及其各自的95%置信区间(CI)用于宣布决定因素，统计学意义为P<0.05。总的来说,这项研究纳入了140例对照和70例母亲图表。病例和对照组母亲的平均±SD年龄分别为26.9±4.9和27.06±4.1岁，分别。全身麻醉（AOR=4.2；95%CI：1.9-9.3），农村住宅(AOR=3.7，95%CI，1.7-8.1)，低出生体重（AOR=3.2，95%CI，1.3-7.8），和急诊剖宫产(AOR=2.6;95%CI:1.2~5.8)是5分钟Apgar评分低的决定因素。第五分钟的低Apgar评分与通过紧急剖腹产分娩的新生儿显着相关，低出生体重,农村住宅,在全身麻醉下接受剖腹产的母亲分娩。
