Fetal and neonatal mortality of small-for-gestational age infants

1988 ◽  
Vol 147 (6) ◽  
pp. 613-615 ◽  
Author(s):  
A. Tenovuo ◽  
P. Kero ◽  
P. Piekkala ◽  
H. Korvenranta ◽  
R. Erkkola
2004 ◽  
Vol 271 (4) ◽  
pp. 296-301 ◽  
Author(s):  
Offer Erez ◽  
Ilana Shoham-Vardi ◽  
Eyal Sheiner ◽  
Doron Dukler ◽  
Asher Bashiri ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yi Mu ◽  
Mingrong Li ◽  
Jun Zhu ◽  
Yanping Wang ◽  
Aiyun Xing ◽  
...  

Abstract Background To examine the association between the Apgar score and neonatal mortality over gestational age in China and to explore whether this association changed when Apgar scores were combined at 1 and 5 min. Methods Data for all singleton live births collected from 438 hospitals between 2012 and 2016 were used in this study. Poisson regression with a robust variance estimator adjusted for a complete set of confounders was used to describe the strength of the association between the Apgar score and neonatal mortality. Results The relative risks of neonatal death-associated intermediate Apgar score at 5 min peaked at 39–40 weeks of gestation and subsequently decreased if the gestational age increased to 42 weeks or above, in contrast to the low Apgar score. Among both preterm and term new-borns with Apgar scores at 5 min, new-borns that were not small for gestational age had a lower mortality rate than those that were small for gestational age. The association between Apgar score and the neonatal mortality was even stronger when scores at 1 and 5 min were combined. Conclusions Apgar score is not only meaningful for preterm new-borns but also useful for term new-borns, especially term new-borns that are not small for gestational age. Once the baby’s Apgar score worsens, timely intervention is needed. There is still a gap between China and high-income countries in terms of sustained treatment of new-borns with low Apgar scores.


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