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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Cited by (80)
Resuscitation of the newborn
2023, Anaesthesia and Intensive Care MedicinePlacental pathology of resuscitated apparent stillbirth
2022, PathologyNeonatal Life Support 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations
2020, ResuscitationCitation Excerpt :The SysRev102bidentified 15 studies that included 470 infants (see Fig. 2). For the critical outcome of survival until last follow up, we identified very low-certainty evidence (downgraded for risk of bias and inconsistency) from 15 studies103–117 reporting outcomes of 470 newborns to last known follow-up (range: 4 months–8 years of age). The number of enrolled newborns ranged from 3 to 177 per study.
Neonates with a 10-min Apgar score of zero: Outcomes by gestational age
2019, ResuscitationCitation Excerpt :Sproat et al.17 reported that none of the 7 neonates born at <32 weeks’ GA in their study survived. These results correlated with the suggestion by Haddad et al.22 (16 neonates) and Jain et al.6 (58 neonates) that birth weight and GA influence survival of neonates with an Apgar10 = 0, with worst outcomes in the neonates born earlier and at lower birth weights. Similar to what was described by Laptook et al.14 (25 neonates), we found the outcomes of neonates born between 320/7 and 356/7 weeks’ GA or born at ≥36 weeks’ GA with Apgar10 = 0 were similar to the outcomes of their matched neonates with Apgar10 = 1–2.
Newborn Resuscitation
2018, Avery's Diseases of the Newborn: Tenth EditionNewborn Resuscitation
2017, Avery's Diseases of the Newborn, Tenth Edition
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