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The Apgar Score and Umbilical Arterial pH in the Newborn.

Journal of the Korean Pediatric Society 1990;33(8):1048-1056.
Published online August 31, 1990.
The Apgar Score and Umbilical Arterial pH in the Newborn.
Hoo Jae Hann, Eun Ae Park, Kyung Hee Kim
Department of Pediatrics, School of Medicine, Ewha Womans University Hospital, Seoul, Korea
신생아에서 APGAR 점수와 제대혈산도에 관한 연구
한후재, 박은애, 김경희
이화여자대학교 의과대학 소아과학교실
Received: 20 April 1990   • Accepted: 26 June 1990
Abstract
In this prospective study, the relation between the Apgar scores and umbilical arterial pH at birth was assessed. 314 newborns of gestational age 24 to 42 weeks were included in this study; (95 were preterm and 219 were full-term) The l and 5-minute Apgar scores were directly related to gestational age. In preterm babies, the Apgar scores tend to be low in spite of normal range of umbilical arterial pH. (UA pH >7.25 and Apgar score^6) On the contrary, the Apgar scores were high in babies with lower range of umbilical arterial pH in full-term. (UA pH<7.25 and Apgar score之7) So, we concluded that Apgar score does not usually reflect the degree of acidosis at birth and its value as an index for asphyxial assessment and well-being must be questioned.
Key Words: Apgar score, Umbilical arterial pH, Gestational age


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