Low Apgar scores and the definition of birth asphyxia.
Nonreassuring fetal heart rate patterns, prolonged labor, meconium-stained fluid, a low 1-minute Apgar score, and mild to moderate acidemia have no predictive value for long-term neurologic injury without signs of encephalopathy and seizures. It is important to provide proper resuscitation, support infants, and allow time for evaluation. We have time and the tools to provide fairly predictive information to the families. It is important to use this knowledge wisely in communicating honestly with families, because difficult decisions undoubtedly will arise.
Leuthner
Steven R
SR
Division of Neonatology, Medical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee, WI 53226, USA. leuthner@mcw.edu
Das
Utpala G
UG
D001034:Apgar Score; D001238:Asphyxia Neonatorum / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D001784:Blood Gas Analysis; D002658:Developmental Disabilities / Q000209:etiology / Q000517:prevention & control; D005312:Fetal Blood; D006801:Humans; D007231:Infant, Newborn; D009422:Nervous System Diseases / Q000209:etiology / Q000517:prevention & control; D011237:Predictive Value of Tests