topic:"Apgar score" found 290 records • Arctic Health

Adverse Infant Outcomes Associated with Discordant Gestational Age Estimates.

https://arctichealth.org/en/permalink/ahliterature281353

Source: Paediatr Perinat Epidemiol. 2016 11;30(6):541-549

Publication Type: Article

Date: 11-2016

Author: Nils-Halvdan Morken; Rolv Skjaerven; Jennifer L Richards; Michael R Kramer; Sven Cnattingius; Stefan Johansson; Mika Gissler; Siobhan M Dolan; Jennifer Zeitlin; Michael S Kramer

Source: Paediatr Perinat Epidemiol. 2016 11;30(6):541-549

Date: 11-2016

Language: English

Publication Type: Article

Keywords: Apgar score; Birth Certificates; Data Accuracy; Female; Finland; Gestational Age; Humans; Infant; Infant mortality; Infant, Premature - physiology; Intensive Care Units, Neonatal; Male; Norway; Pregnancy; Prognosis; Risk assessment; Sweden; Ultrasonography, Prenatal; United States

Abstract: Gestational age estimation by last menstrual period (LMP) vs. ultrasound (or best obstetric estimate in the US) may result in discrepant classification of preterm vs. term birth. We investigated whether such discrepancies are associated with adverse infant outcomes.; We studied singleton livebirths in the Medical Birth Registries of Norway, Sweden and Finland and US live birth certificates from 1999 to the most recent year available. Risk ratios (RR) with 95% confidence intervals (CI) by discordant and concordant gestational age estimation for infant, neonatal and post-neonatal mortality, Apgar score

PubMed ID: 27555359 View in PubMed

Adverse Pregnancy Outcomes among Adolescents in Northwest Russia: A Population Registry-Based Study.

https://arctichealth.org/en/permalink/ahliterature296661

Source: Int J Environ Res Public Health. 2018 02 03; 15(2):

Publication Type: Journal Article

Date: 02-03-2018

Author: Anna A Usynina; Vitaly Postoev; Jon Øyvind Odland; Andrej M Grjibovski

Author Affiliation: Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø 9037, Norway. perinat@mail.ru.

Source: Int J Environ Res Public Health. 2018 02 03; 15(2):

Date: 02-03-2018

Language: English

Publication Type: Journal Article

Keywords: Adolescent; Adult; Apgar score; Body Weight; Delivery, Obstetric; Dietary Supplements; Female; Folic Acid - administration & dosage; Humans; Infant, Low Birth Weight; Infant, Newborn; Logistic Models; Pregnancy; Pregnancy Outcome - epidemiology; Pregnancy in Adolescence - statistics & numerical data; Premature Birth - epidemiology; Registries; Reproductive Tract Infections - epidemiology; Russia - epidemiology; Smoking - epidemiology; Stillbirth - epidemiology; Young Adult

Abstract: This study aimed to assess whether adolescents have an increased risk of adverse pregnancy outcomes (APO) compared to adult women. We used data on 43,327 births from the population-based Arkhangelsk County Birth Registry, Northwest Russia, for 2012-2014. The perinatal outcomes included stillbirth, preterm birth (

PubMed ID: 29401677 View in PubMed

Adverse pregnancy outcomes related to advanced maternal age compared with smoking and being overweight.

https://arctichealth.org/en/permalink/ahliterature105162

Source: Obstet Gynecol. 2014 Jan;123(1):104-12

Publication Type: Article

Date: Jan-2014

Author: Ulla Waldenström; Vigdis Aasheim; Anne Britt Vika Nilsen; Svein Rasmussen; Hans Järnbert Pettersson; Erica Schytt; Erica Shytt

Author Affiliation: Department of Women's and Children's Health, Division of Reproductive and Perinatal Health Care, and the Department of Clinical Science and Education, Södersjukhuset (KI SÖS), Karolinska Institutet, Stockholm, and the Centre for Clinical Research, Dalarna, Falun, Sweden; and the Center for Evidence Based Practice, Faculty of Health Sciences, Bergen University College, and the Department of Clinical Science, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway.

Source: Obstet Gynecol. 2014 Jan;123(1):104-12

Date: Jan-2014

Language: English

Publication Type: Article

Keywords: Adult; Apgar score; Female; Humans; Infant mortality; Infant, Newborn; Infant, Small for Gestational Age; Maternal Age; Norway - epidemiology; Overweight - complications; Pregnancy; Premature Birth - epidemiology - etiology; Smoking - adverse effects; Stillbirth - epidemiology; Sweden - epidemiology

Abstract: To investigate the association between advanced maternal age and adverse pregnancy outcomes and to compare the risks related to advanced maternal age with those related to smoking and being overweight or obese.; A population-based register study including all nulliparous women aged 25 years and older with singleton pregnancies at 22 weeks of gestation or greater who gave birth in Sweden and Norway from 1990 to 2010; 955,804 women were analyzed. In each national sample, adjusted odds ratios (ORs) of very preterm birth, moderately preterm birth, small for gestational age, low Apgar score, fetal death, and neonatal death in women aged 30-34 years (n=319,057), 35-39 years (n=94,789), and 40 years or older (n=15,413) were compared with those of women aged 25-29 years (n=526,545). In the Swedish sample, the number of additional cases of each outcome associated with maternal age 30 years or older, smoking, and overweight or obesity, respectively, was estimated in relation to a low-risk group of nonsmokers of normal weight and aged 25-29 years.; The adjusted OR of all outcomes increased by maternal age in a similar way in Sweden and Norway; and the risk of fetal death was increased even in the 30- to 34-year-old age group (Sweden n=826, adjusted OR 1.24, 95% confidence interval [CI] 1.13-1.37; Norway n=472, adjusted OR 1.26, 95% CI 1.12-1.41). Maternal age 30 years or older was associated with the same number of additional cases of fetal deaths (n=251) as overweight or obesity (n=251).; For the individual woman, the absolute risk for each of the outcomes was small, but for society, it may be significant as a result of the large number of women who give birth after the age of 30 years.; II.

Notes: Erratum In: Obstet Gynecol. 2014 Mar;123(3):669Shytt, Erica [corrected to Schytt, Erica]

PubMed ID: 24463670 View in PubMed

Aetiology in severe and mild mental retardation: a population-based study of Norwegian children.

https://arctichealth.org/en/permalink/ahliterature32919

Source: Dev Med Child Neurol. 2000 Feb;42(2):76-86

Publication Type: Article

Date: Feb-2000

Author: P. Strømme

Author Affiliation: Department of Paediatrics, The National Hospital, Rikshospitalet, University of Oslo, Norway. petter.stromme@rh.uio.no

Source: Dev Med Child Neurol. 2000 Feb;42(2):76-86

Date: Feb-2000

Language: English

Publication Type: Article

Keywords: Adolescent; Apgar score; Birth weight; Cephalometry; Child; Child, Preschool; Diagnosis, Differential; Female; Gestational Age; Humans; Infant; Male; Mental Retardation - diagnosis - epidemiology - etiology - genetics; Norway - epidemiology; Research Support, Non-U.S. Gov't; Risk factors; Severity of Illness Index

Abstract: The aetiology of mental retardation (MR) was studied in a population-based series of Norwegian children derived from 30 037 children born between 1980 and 1985. The study included 178 children, 79 with severe MR (SMR) (IQ

PubMed ID: 10698323 View in PubMed

Alaska's improved pregnancy outcome project: an evaluation

https://arctichealth.org/en/permalink/ahliterature76572

Source: Pages 384-387 in R. Fortuine, ed. Circumpolar Health 84. Proceedings of the International Symposium on Circumpolar Health, 6th, Anchorage, 13-18 May, 1984. University of Washington Press, Seattle. 1985.

Publication Type: Article

Date: 1985

extensive literature review (available upon request), of both the measures of and factors affect- ing pregnancy outcomes, especially among teenagers, three indicators were chosen as outcome measures: infant's birth weight, gestational age, and 5-minute Apgar score. Prematurity, low Apgar score, and

1 document

Author: Dilley, M.

Author Affiliation: Alaska Department of Health and Social Services, Juneau, Alaska

Source: Pages 384-387 in R. Fortuine, ed. Circumpolar Health 84. Proceedings of the International Symposium on Circumpolar Health, 6th, Anchorage, 13-18 May, 1984. University of Washington Press, Seattle. 1985.

Date: 1985

Geographic Location: U.S.

Publication Type: Article

Digital File Format: Text - PDF

Physical Holding: Alaska Medical Library

Keywords: Apgar scores; Birth weight; Fairbanks Health Center; Gestational Age; Improved Pregnancy Outcome (IPO) project; Medical-obstetric factors; Sociodemographic factors

Documents

84-07-06.pdf

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Analysis of perinatal mortality at a teaching hospital in Dar es Salaam, Tanzania, 1999-2003.

https://arctichealth.org/en/permalink/ahliterature79181

Source: Afr J Reprod Health. 2006 Aug;10(2):72-80

Publication Type: Article

Date: Aug-2006

Author: Kidanto Hussein L; Massawe Siriel N; Nystrom Lennarth; Lindmark Gunilla

Author Affiliation: Department of Obstetrics and Gynaecology, Muhimbili National Hospital, Dar es Salaam, Tanzania. hkidanto@muchs.ac.tz

Source: Afr J Reprod Health. 2006 Aug;10(2):72-80

Date: Aug-2006

Language: English

Publication Type: Article

Keywords: Apgar score; Female; Health Surveys; Hospitals, University - statistics & numerical data; Humans; Infant mortality; Infant, Newborn; Pregnancy; Pregnancy Outcome - epidemiology; Retrospective Studies; Tanzania - epidemiology

Abstract: We conducted a retrospective analysis of perinatal mortality at Muhimbili National Hospital (MNH), Dar es Salaam, Tanzania 1999-2003 in order to categorise/classify perinatal deaths as well as to identify key factors in perinatal care that could be improved. Data were retrieved from the MNH obstetric database and causes of early neonatal deaths were traced from the neonatal ward register. The study includes all foetuses weighing =500g. A modified Nordic-Baltic classification was used for classification of perinatal deaths. Over a 5-year period there were 77,815 babies born with a perinatal mortality rate of 124 per 1000 births, 78% of which was labour related stillbirth. The PMR was 913/1000 for singleton births and 723/1000 for multiple births for babies weighing less than 1500 grams and 65/1000 for singleton births and 116/1000 for multiple births for babies weighing 2500 grams or more. Babies weighing less than 1500 grams contributed 26% of PMR, whereas 41% occurred in babies weighing 2500 grams or more. The majority (79%) of neonatal deaths had Apgar score

PubMed ID: 17217119 View in PubMed

Antepartum risk score predicts adverse birth outcomes.

https://arctichealth.org/en/permalink/ahliterature144409

Source: J Obstet Gynaecol Can. 2010 Jan;32(1):16-20

Publication Type: Article

Date: Jan-2010

Author: Igor Burstyn

Author Affiliation: Community and Occupational Medicine Program, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB.

Source: J Obstet Gynaecol Can. 2010 Jan;32(1):16-20

Date: Jan-2010

Language: English

Publication Type: Article

Keywords: Alberta; Apgar score; Female; Humans; Infant, Low Birth Weight; Infant, Newborn; Intensive Care, Neonatal; Pregnancy; Pregnancy outcome; Pregnancy, High-Risk; Premature Birth; Resuscitation; Retrospective Studies; Risk Assessment - methods

Abstract: Standardized risk assessment plays an important role in providing medical care of uniform quality to pregnant women, even though it is not a substitute for clinical judgement. This study was designed to determine whether the antepartum risk score currently used across Alberta is associated with neonatal morbidity and adverse pregnancy outcomes for singleton live births and to examine whether the current classification of "lower risk" pregnancies (score

PubMed ID: 20370976 View in PubMed

Apgar score and risk of autism.

https://arctichealth.org/en/permalink/ahliterature300330

Source: Eur J Epidemiol. 2019 Feb; 34(2):105-114

Publication Type: Journal Article

Date: Feb-2019

Author: Amirhossein Modabbernia; Sven Sandin; Raz Gross; Helen Leonard; Mika Gissler; Erik T Parner; Richard Francis; Kim Carter; Michaeline Bresnahan; Diana Schendel; Mady Hornig; Abraham Reichenberg

Author Affiliation: Department of Psychiatry and Seaver Autism Center, Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy PLC, New York, NY, 10029, USA.

Source: Eur J Epidemiol. 2019 Feb; 34(2):105-114

Date: Feb-2019

Language: English

Publication Type: Journal Article

Keywords: Apgar score; Autism Spectrum Disorder - epidemiology; Birth weight; Cohort Studies; Denmark - epidemiology; Female; Gestational Age; Humans; Infant, Newborn; Male; Norway - epidemiology; Odds Ratio; Prospective Studies; Sweden - epidemiology; Western Australia - epidemiology

Abstract: Low Apgar score has been associated with higher risk for several neurological and psychiatric disorders, including cerebral palsy and intellectual disability. Studies of the association between Apgar score and autism spectrum disorder (ASD) have been inconsistent. We aimed to investigate (1) the association between low Apgar score at 5 min and risk for ASD, and (2) the modifying effects of gestational age and sex on this association in the largest multinational database of ASD. We included prospective data from 5.5 million individuals and over 33,000 cases of ASD from Norway, Sweden, Denmark and Western Australia who were born between 1984 and 2007. We calculated crude and adjusted risk ratios (RR) with 95% confidence intervals (95% CIs) for the associations between low Apgar score and ASD. All analyses for ASD were repeated for autistic disorder (AD). We used interaction terms and stratified analysis to investigate the effects of sex, gestational age, and birth weight on the association. In fully adjusted models, low Apgar scores (1-3) (RR, 1.42; 95% CI, 1.16-1.74), and intermediate Apgar scores (4-6) (RR, 1.50; 95% CI, 1.36-1.65) were associated with a higher RR of ASD than optimal Apgar score (7-10). The point estimates for low (RR, 1.88; 95% CI, 1.41-2.51) and intermediate Apgar score (RR, 1.54; 95% CI, 1.32-1.81) were larger for AD than for ASD. This study suggests that low Apgar score is associated with higher risk of ASD, and in particular AD. We did not observe any major modifying effects of gestational age and sex, although there seems to be substantial confounding by gestational age and birth weight on the observed association.

PubMed ID: 30291529 View in PubMed

Apgar Score and Risk of Neonatal Death among Preterm Infants.

https://arctichealth.org/en/permalink/ahliterature305386

Source: N Engl J Med. 2020 07 02; 383(1):49-57

Publication Type: Journal Article; Research Support, Non-U.S. Gov't

Date: 07-02-2020

Author: Sven Cnattingius; Stefan Johansson; Neda Razaz

Author Affiliation: From the Division of Clinical Epidemiology, Department of Medicine Solna (S.C., S.J., N.R.), and the Department of Clinical Science and Education (S.J.), Karolinska Institutet, Stockholm.

Source: N Engl J Med. 2020 07 02; 383(1):49-57

Date: 07-02-2020

Language: English

Publication Type: Journal Article; Research Support, Non-U.S. Gov't

Keywords: Apgar score; Female; Gestational Age; Humans; Incidence; Infant, Extremely Premature; Infant, Newborn; Infant, Premature; Male; Perinatal Death; Perinatal mortality; Prognosis; Registries; Sweden - epidemiology

Abstract: Gestational age is the major determinant of neonatal death (death within the first 28 days of life) in preterm infants. The joint effect of gestational age and Apgar score on the risk of neonatal death is unknown.; Using data from the Swedish Medical Birth Register, we identified 113,300 preterm infants (22 weeks 0 days to 36 weeks 6 days of gestation) born from 1992 through 2016. In analyses stratified according to gestational age (22 to 24 weeks, 25 to 27 weeks, 28 to 31 weeks, 32 to 34 weeks, and 35 or 36 weeks), we estimated adjusted relative risks of neonatal death and absolute rate differences in neonatal mortality (i.e., the excess number of neonatal deaths per 100 births) according to the Apgar scores at 5 and 10 minutes and according to the change in the Apgar score between 5 minutes and 10 minutes. Scores range from 0 to 10, with higher scores indicating a better physical condition of the newborn.; There were 1986 neonatal deaths (1.8%). The incidence of neonatal death ranged from 0.2% (at 36 weeks of gestation) to 76.5% (at 22 weeks of gestation). Lower Apgar scores were associated with higher relative risks of neonatal death and greater absolute rate differences in neonatal mortality in all gestational-age strata. For example, among infants born at 28 to 31 weeks, the adjusted absolute rate differences according to the 5-minute Apgar score, with those who had a score of 9 or 10 serving as the reference group, were 51.7 (95% confidence interval [CI], 38.1 to 65.4) for a score of 0 or 1, 25.5 (95% CI, 18.3 to 32.8) for a score of 2 or 3, 7.1 (95% CI, 5.1 to 9.1) for a score of 4 to 6, and 1.2 (95% CI, 0.5 to 1.9) for a score of 7 or 8. An increase in the Apgar score between 5 minutes and 10 minutes was associated with lower neonatal mortality than a stable Apgar score.; In this study, Apgar scores at 5 and 10 minutes provided prognostic information about neonatal survival among preterm infants across gestational-age strata. (Funded by the Swedish Research Council for Health, Working Life, and Welfare and Karolinska Institutet.).

PubMed ID: 32609981 View in PubMed

Apgar-score in children prenatally exposed to antiepileptic drugs: a population-based cohort study.

https://arctichealth.org/en/permalink/ahliterature275041

Source: BMJ Open. 2015;5(9):e007425

Publication Type: Article

Date: 2015

Author: Jakob Christensen; Henrik Søndergaard Pedersen; Maiken Ina Siegismund Kjaersgaard; Erik Thorlund Parner; Mogens Vestergaard; Merete Juul Sørensen; Jørn Olsen; Bodil Hammer Bech; Lars Henning Pedersen

Source: BMJ Open. 2015;5(9):e007425

Date: 2015

Language: English

Publication Type: Article

Keywords: Adult; Anticonvulsants - administration & dosage - adverse effects; Apgar score; Cohort Studies; Denmark - epidemiology; Epilepsy - drug therapy; Female; Humans; Infant, Newborn; Logistic Models; Male; Pregnancy; Pregnant Women; Prenatal Exposure Delayed Effects - epidemiology; Registries; Risk factors

Abstract: It is unknown if prenatal exposure to antiepileptic drugs (AEDs) increases the risk of low Apgar score in offspring.; Population-based study using health registers in Denmark.; We identified all 677 021 singletons born in Denmark from 1997 to 2008 and linked the Apgar score from the Medical Birth Register with information on the women's prescriptions for AEDs during pregnancy from the Danish Register of Medicinal Product Statistics. We used the Danish National Hospital Registry to identify mothers diagnosed with epilepsy before birth of the child. Results were adjusted for smoking and maternal age.; Among 2906 children exposed to AEDs, 55 (1.9%) were born with an Apgar score =7 as compared with 8797 (1.3%) children among 674 115 pregnancies unexposed to AEDs (adjusted relative risk (aRR)=1.41 (95% CI 1.07 to 1.85). When analyses were restricted to the 2215 children born of mothers with epilepsy, the aRR of having a low Apgar score associated with AED exposure was 1.34 (95% CI 0.90 to 2.01) When assessing individual AEDs, we found increased, unadjusted RR for exposure to carbamazepine (RR=1.86 (95% CI 1.01 to 3.42)), valproic acid (RR=1.85 (95% CI 1.04 to 3.30)) and topiramate (RR=2.97 (95% CI 1.26 to 7.01)) when compared to unexposed children.; Prenatal exposure to AEDs was associated with increased risk of being born with a low Apgar score, but the absolute risk of a low Apgar score was

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PubMed ID: 26359281 View in PubMed

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