Correlation between acute fetal distress and Apgar, in those born by cesarean section

Abstract

Objective: to determine the correlation between the clinical diagnostic of fetal suffering and the Apgar grade obtained from newborn by cesarean.

Material and methods: a transversal, retrospective and comparative study was done to newborn delivered by cesarean from November 1996 to August 1997. The study included products delivered-fetal by cesarean with or without suffering; products whose mothers who were administered depressors were not included. Mother's age, age of gestation, sex, weight, and Apgar score at the one and five minutes, were investigated. The correlation was determined with a coefficient fi, and χ2 and Fisher was stipulated.

Results: of one hundred and twentysix newborn, 63 had fetal suffering and 63 did not; the age of gestation was of 39.5 ± 1.2 against 39.2 ± 1.3 weeks (p>0.05), and the weight 3256 ± 446 g against 3312 ± 397 g (p>0.05). Of the newborn with fetal suffering, 65% were women against 42.9% of the newborn without suffering (p<0.05). Of the newborn with fetal suffering 8% had a <7 Apgar a minute compared to 2% of the newborn without fetal suffering, there is a correlation of 0.14 (p>0.05); to five minutes 3% of the with fetal suffering had <7 Apgar against 0% from the group without fetal suffering, and a correlation of 0.12 (p>0.05).

Conclusions: the clinical diagnostic of fetal suffering did not have any relation with the Apgar result to a minute or five minutes. Those with fetal suffering the feminine sex was the highest.