ArticleJournal of perinatology : official journal of the California Perinatal Association2024
Increasing trends in a low 5-min Apgar score among (near) term singletons: a Dutch nationwide cohort study.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 6 citations in OpenAlex.
- The 5-min Apgar score and primary school performance: a Dutch nationwide cohort study.European journal of pediatrics · 2025Article
- Trends in Apgar scores and umbilical artery pH: a population-based cohort study on 10,696,831 live births in Germany, 2008-2022.European journal of pediatrics · 2024Article
- Prevalence and Associated Factors for Low Apgar Score in Central Sudan: A Cross-Sectional Study.Sage open pediatricsArticle
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Authors and funding
9 authors at 8 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate trends in low Apgar scores in (near) term singletons using the Dutch Perinatal Registry.
methodsIn a cohort of 1,583,188 singletons liveborn ≥35 weeks of gestation in the period 2010-2019, we studied trends in low 5-min Apgar scores (<7 and <4) using Cochrane Armitage trend tests.
resultsThe proportion of infants with low Apgar scores <7 and <4 increased significantly between 2010-2019 (1.04-1.42% (p < 0.001), 0.17-0.19% (p = 0.009), respectively). Neonatal mortality remained unchanged. Induction of labour, epidural analgesia and planned caesarean section showed an increasing trend. Instrumental vaginal delivery and emergency caesarean section were performed less frequently over time, but these intervention subgroups showed the highest relative increase in infants with low Apgar scores.
conclusionsIn the Netherlands, the risk of a low 5-min Apgar score increased over the last decade. The highest relative increase was observed in subgroups of instrumental vaginal delivery and emergency caesarean section.
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Registered trials
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