General Obstetrics and Gynecology ObstetricsOutcome after successful resuscitation of babies born with Apgar scores of 0 at both 1 and 5 minutes☆
Section snippets
Material and methods
Patients were identified from the perinatal database of the University of Tennessee, Memphis, for deliveries between January 1986 and February 1999. Infants having an Apgar score of 0 at both 1 and 5 minutes but who were subsequently successfully resuscitated and transferred to the neonatal intensive care unit were included in this analysis. Chart review of the paired mother and baby records meeting the inclusion criteria was conducted. For each woman, categoric data were collected concerning
Results
During the study period, 81,603 babies (>22 weeks’ gestation, weight >500 g, or both) were delivered at Crump Women’s Hospital, the University of Tennessee, Memphis. Of these, 103 apparently stillborn babies (1-minute Apgar score of 0) without malformations were successfully resuscitated (1.26/1000). Thirty-three infants were identified as having an Apgar score of 0 at both 1 and 5 minutes. Maternal characteristics are shown in Table I.
Age (y, mean ± SD) 24.4 ±
Comment
This study was undertaken to evaluate infant outcome after successful cardiopulmonary resuscitation of infants who had Apgar scores of 0 at both 1 and 5 minutes because of the paucity of available data in this regard.
The existing literature has focused on apparent stillborn babies (Apgar score of 0 at 1 minute) with a small number of newborns meeting our inclusion criteria. There are three published trials in which outcomes after successful resuscitation of infants with Apgar scores of 0 at
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