Association between maternal and neonatal factors and Apgar in usual risk neonates

Authors

DOI:

https://doi.org/10.15253/2175-6783.2018193179

Keywords:

Infant, Newborn, Intensive Care Units, Neonatal, Pregnancy Outcome, Apgar Score.

Abstract

Objective: to verify the association between maternal and neonatal factors and the Apgar score <7 at five minutes of life. Methods: cross-sectional study with 134 newborns. For the analysis of the data collected through an instrument developed by the researchers, we used the description of the absolute and relative frequencies and applied the Chi-square or Fisher’s exact tests. Results: of the total number of newborns, 63.0% had primigravida mother, 56.0% were male, 79.0% had been born from normal delivery, 65.0% had required oxygen and 45.0% had been resuscitated in the delivery room. Among women, 71.0% had made use of oxytocin. Conclusion: use of oxytocin, oxygen and resuscitation in the delivery room showed a significant association with Apgar <7 at five minutes of life. Birth weight, rupture membrane time, meconium clearance, type of delivery, and parity were not related to the low Apgar score.

References

Tadielo BZ, Neves ET, Arrué AM, Silveira A, Ribeiro AC, Tronco CS, et al. Morbidade e mortalidade de recém-nascidos em tratamento intensivo neonatal no Sul do Brasil. Rev Soc Bras Enferm Ped [Internet]. 2013 [citado 2017 jan. 12]; 13(1):7-12. Disponível em: http://www.sobep.org.br/revista/component/zine/article/163-morbidade-e-mortalidade-de-recm-nascidos-em-tratamento-intensivo-neonatal-no-sul-do-brasil.html

Grupo Técnico para o acompanhamento dos ODM. Objetivos de Desenvolvimento do Milênio. Objetivos de desenvolvimento do milênio: relatório nacional de acompanhamento. Brasília: Ipea; 2014.

Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Atenção ao pré-natal de baixo risco. Brasília: Ministério da Saúde; 2012.

Danilack VA, Nunes AP, Phipps MG. Unexpected complications of low-risk pregnancies in the United States. Am J Obstet Gynecol. 2015; 212(6):e1-809.e6. doi: http://dx.doi.org/10.1016/j.ajog.2015.03.038

Borba GG, Neves ET, Arrué AM, Silveira A, Zamberlan KC. Fatores associados à morbimortalidade neonatal: um estudo de revisão. Saúde (Santa Maria). 2014; 40(1):9-14. doi: http://dx.doi.org/10.5902/223658347774

Costa ALRR, Araújo Júnior E, Lima JWO, Costa FS. Fatores de risco materno associados à necessidade de unidade de terapia intensiva neonatal. Rev Bras Ginecol Obstet [Internet]. 2014 [citado 2017 jan. 12]; 36(1):29-34. Disponível em: http://www.scielo.br/pdf/rbgo/v36n1/0100-7203-rbgo-36-01-00029.pdf

Freitas ZMP, Pereira CU, Oliveira DMP. Avaliação do nível de consciência de recém-nascidos com asfixia neonatal. Proposta para unidades de tratamentos intensivos neonatais. Pediatr Mod [Internet]. 2013 [citado 2017 jan 20]; 49(10):419-26. Disponível em: http://www.moreirajr.com.br/revistas.asp?fase=r003&id_materia=5524

Basso CG, Neves ET, Silveira A. The association between attending prenatal care and neonatal morbidity. Texto Contexto Enferm. 2012; 21(2):269-76. doi. http://dx.doi.org/10.1590/S0104-07072012000200003

Hidalgo-Lopezosa P, Hidalgo-Maestre M, Rodríguez-Borrego MA. Labor stimulation with oxytocin: effects on obstetrical and neonatal outcomes. Rev Latino-Am Enfermagem. 2016; 24:e2744. doi: http://dx.doi.org/10.1590/1518-8345.0765.2744

Sousa AMM, Souza KV, Rezende EM, Martins EF, Campos D, Lansky S. Practices in childbirth care in maternity with inclusion of obstetric nurses in Belo Horizonte, Minas Gerais. Esc Anna Nery. 2016; 20(2):324-31. doi: http://dx.doi.org/10.5935/1414-8145.20160044

Motta SAMF, Feitosa DS, Bezerra STF, Dodt RCM, Moura DJM. Implementation of humanized care to natural childbirth. Rev Enferm UFPE on line. 2016 [cited 2017 Sep. 30]; 10(2):593-9. Available from: http://www.revista.ufpe.br/revistaenfermagem/index.php/revista/article/view/6990/pdf_9608

Mousa WF, Al-Metwalli R, Mostafa M. Epidural analgesia during labor vs no analgesia: a comparative study. Saudi J Anaesth.2012; 6(1):36-40. doi:http://dx.doi.org/10.4103/1658-354X.93055

Viellas EF, Domingues RMSM, Dias MAB, Gama SGN, Theme Filha MM, Costa JV, et al. Prenatal care in Brazil. Cad Saúde Pública. 2014; 30(Suppl1):85-100. doi: http://dx.doi.org/10.1590/0102-311X00126013

Oliveira BRG, Vieira CS, Furtado MCC, Mello DF, Lima RAG. Perfil de morbidade de crianças hospitalizadas em um hospital público: implicações para a Enfermagem. Rev Bras Enferm. 2012; 65(4):586-93. doi: http://dx.doi.org/10.1590/S0034-71672012000400006

World Health Organization. WHA global nutrition targets 2025: low birth weight policy brief. South Asia: World Health Organization; 2014.

Coordenação Geral do Programa de Reanimação Neonatal da SBP, International Liaison Committee on Resuscitation (ILCOR) Neonatal Task Force. Programa de Reanimação Neonatal. Reanimação do recém-nascido ≥34 semanas em sala de parto: diretrizes 2016 da Sociedade Brasileira de Pediatria. São Paulo: SBP; 2016.

American Academy of Pediatrics Committee on Fetus and Newborn. American College of Obstetricians and Gynecologists Committee on Obstetric Practice. The Apgar score. Pediatrics. 2015; 136(4):819-22. doi: http://dx.doi.org/10.1542/peds.2015-2651

Published

2018-04-10

How to Cite

Saraiva, J. P., Vogt, S. E., Rocha, J. da S., Duarte, E. D., & Simão, D. A. da S. (2018). Association between maternal and neonatal factors and Apgar in usual risk neonates. Rev Rene, 19, e3179. https://doi.org/10.15253/2175-6783.2018193179

Issue

Section

Research Article

Most read articles by the same author(s)