Revista Brasileira de Enfermagem (Dec 2019)

Factors associated with low Apgar in newborns in birth center

  • Nágela Cristine Pinheiro Santos,
  • Sibylle Emilie Vogt,
  • Elysângela Dittz Duarte,
  • Adriano Marçal Pimenta,
  • Lélia Maria Madeira,
  • Mery Natali Silva Abreu

DOI
https://doi.org/10.1590/0034-7167-2018-0924
Journal volume & issue
Vol. 72, no. suppl 3
pp. 297 – 304

Abstract

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ABSTRACT Objective: to analyze factors associated with Apgar of 5 minutes less than 7 of newborns of women selected for care at the Center for Normal Birth (ANC). Method: a descriptive cross-sectional study with data from 9,135 newborns collected between July 2001 and December 2012. The analysis used absolute and relative frequency frequencies and bivariate analysis using Pearson’s chi-square test or the exact Fisher. Results: fifty-three newborns (0.6%) had Apgar less than 7 in the 5th minute. The multivariate analysis found a positive association between low Apgar and gestational age less than 37 weeks, gestational pathologies and intercurrences in labor. The presence of the companion was a protective factor. Conclusion: the Normal Birth Center is a viable option for newborns of low risk women as long as the protocol for screening low-risk women is followed.

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