|
| ||||||||||||||||||||||||||||||||||||||||||||||
Use and Abuse of the Apgar Score
Committee on Fetus and Newborn, American Academy of Pediatrics and Committee on Obstetric Practice, American College of Obstetricians and Gynecologists
This is a revised statement published jointly with the American College of Obstetricians and Gynecologists that emphasizes the appropriate use of the Apgar Score. The highlights of the statement include: (1) the Apgar Score is useful in assessing the condition of the infant at birth; (2) the Apgar score alone should not be used as evidence that neurologic damage was caused by hypoxia that results in neurologic injury or from inappropriate intrapartum treatment; and (3) an infant who has had "asphyxia" proximate to delivery that is severe enough to result in acute neurologic injury should demonstrate all of the following: (a) profound metabolic or mixed acidemia (pH <7.00) on an umbilical arterial blood sample, if obtained, (b) an Apgar score of 0 to 3 for longer than 5 minutes, (c) neurologic manifestation, eg, seizure, coma, or hypotonia, and (d) evidence of multiorgan dysfunction.
The following policy statement is a revision:
- The Apgar Score
- American Academy of Pediatrics, Committee on Fetus and Newborn, American College of Obstetricians and Gynecologists, and Committee on Obstetric Practice
Pediatrics 2006 117: 1444-1447.[Abstract] [Full Text] [PDF]
This article has been cited by other articles:
 |
|
 |
|
  S. Dzakpasu, K. S. Joseph, L. Huang, A. Allen, R. Sauve, D. Young, and for the Fetal and Infant Health Study Group of the Decreasing Diagnoses of Birth Asphyxia in Canada: Fact or Artifact Pediatrics, April 1, 2009; 123(4): e668 - e672. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. CC. Lee, L. C. Mullany, J. M. Tielsch, J. Katz, S. K. Khatry, S. C. LeClerq, R. K. Adhikari, S. R. Shrestha, and G. L. Darmstadt Verbal Autopsy Methods to Ascertain Birth Asphyxia Deaths in a Community-based Setting in Southern Nepal Pediatrics, May 1, 2008; 121(5): e1372 - e1380. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. CC. Lee, L. C. Mullany, J. M. Tielsch, J. Katz, S. K. Khatry, S. C. LeClerq, R. K. Adhikari, S. R. Shrestha, and G. L. Darmstadt Risk Factors for Neonatal Mortality Due to Birth Asphyxia in Southern Nepal: A Prospective, Community-Based Cohort Study Pediatrics, May 1, 2008; 121(5): e1381 - e1390. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S H P Simons, D W E Roofthooft, M van Dijk, R A van Lingen, H J Duivenvoorden, J N van den Anker, and D Tibboel Morphine in ventilated neonates: its effects on arterial blood pressure Arch. Dis. Child. Fetal Neonatal Ed., January 1, 2006; 91(1): F46 - F51. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Verma, A. Weir, J. Drummond, and B. F Mitchell Performance profile of an outcome measure: morbidity assessment index for newborns J Epidemiol Community Health, May 1, 2005; 59(5): 420 - 426. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S H P Simons, M van Dijk, R A van Lingen, D Roofthooft, F Boomsma, J N van den Anker, and D Tibboel Randomised controlled trial evaluating effects of morphine on plasma adrenaline/noradrenaline concentrations in newborns Arch. Dis. Child. Fetal Neonatal Ed., January 1, 2005; 90(1): F36 - F40. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. H. P. Simons, M. van Dijk, R. A. van Lingen, D. Roofthooft, H. J. Duivenvoorden, N. Jongeneel, C. Bunkers, E. Smink, K. J. S. Anand, J. N. van den Anker, et al. Routine Morphine Infusion in Preterm Newborns Who Received Ventilatory Support: A Randomized Controlled Trial JAMA, November 12, 2003; 290(18): 2419 - 2427. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D Moster, R T Lie, and T Markestad Joint association of Apgar scores and early neonatal symptoms with minor disabilities at school age Arch. Dis. Child. Fetal Neonatal Ed., January 1, 2002; 86(1): F16 - 21. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M.-E. Dilenge, A. Majnemer, and M. I. Shevell Topical Review: Long-Term Developmental Outcome of Asphyxiated Term Neonates J Child Neurol, November 1, 2001; 16(11): 781 - 792. [Abstract] [PDF]
|
|
|
|
 |
|
 M. Dubik Apgar Scores Still Useful AAP Grand Rounds, May 1, 2001; 5(5): 50 - 50. [Full Text] [PDF]
|
|
|
|
 |
|
 B. M. Casey, D. D. McIntire, and K. J. Leveno The Continuing Value of the Apgar Score for the Assessment of Newborn Infants N. Engl. J. Med., February 15, 2001; 344(7): 467 - 471. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L.-A. Papile The Apgar Score in the 21st Century N. Engl. J. Med., February 15, 2001; 344(7): 519 - 520. [Full Text] [PDF]
|
|
|
|
 |
|
 N. Badawi, J. J Kurinczuk, J. M Keogh, L. M Alessandri, F. O'Sullivan, P. R Burton, P. J Pemberton, and F. J Stanley Intrapartum risk factors for newborn encephalopathy: the Western Australian case-control study BMJ, December 5, 1998; 317(7172): 1554 - 1558. [Abstract] [Full Text]
|
|