Factors related to low Apgar score, 5-year study

Authors

Keywords:

infant mortality, peripartum period, Apgar Score, labor, obstetric, fetal distress.

Abstract

Introduction: The Apgar test is the most used measurement to quickly determine the general health status of the newborn. Its result allows you to identify difficulties that can endanger your life. Objective: To identify the factors related to a low score on the Apgar test.
Methods: Retrospective, field and descriptive research that had as its universe all the medical records of newborns with low Apgar test scores, born at the Hospital Provincial General Docente de Riobamba during the period 2016-2020. The sample was made up of a total of 429 medical records that were reviewed to obtain information on the general characteristics of the mothers, the pregnancy, and the newborns. Pearson's correlation test was used to identify the type of relationship between maternal age, number of prenatal check-ups, and gestational age with a low Apgar score.
Results: Among the main results, 34.20% of pregnant women with less than 3 prenatal check-ups, 25.18% of adolescent mothers and 19.71% of primiparous women stand out. 56.77% of pregnant women presented comorbidities with a predominance of overweight (44.35%). Low birth weight was the most frequent neonatal complication (66.14%).
Conclusions: The decrease in maternal age, the number of prenatal check-ups and the gestational age at the time of delivery are related to low Apgar scores.

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References

1. Acero Viera S, Ticona Rendon M, Huanco Apaza D. Resultados perinatales del recién nacido con Apgar bajo en el Hospital Hipólito Unanue de Tacna, 2002-2016. Rev Peru Ginecol Obstet. 2019 [acceso: 02/03/2023]; 65(1):21-26. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S2304-51322019000100004&lng=es

2. Martínez G. Factores maternos y neonatales relacionados a la asfixia perinatal en los recién nacidos del Servicio de Neonatología del hospital nacional Arzobispo Loayza en el periodo comprendido de 2013 a 2015 [Tesis de grado]. Perú, Lima: Universidad Nacional Mayor de San Marcos; 2016. [acceso: 28/02/2023]. Disponible en: http://cybertesis.unmsm.edu.pe/handle/20.500.12672/4684

3. Vasco Morales S, Herrera Tasiguano A, Acosta Rodríguez ME, Toapanta Pinta P. Factores de riesgo para recién nacidos con Apgar bajo. Rev Latin Perinat 2018 [acceso: 03/03/2023]; 21(3):138-45. Disponible en: https://www.researchgate.net/profile/Santiago-Vasco-Morales/publication/337730697_Factores_de_riesgo_para_recien_nacidos_con_Ap-gar_bajo_Risk_factors_for_low_Apgar_score_newborns/links/5de7449c4585159-aa45f7908/Factores-de-riesgo-para-recien-nacidos-con-Apgar-bajo-Risk-factors-for-low-Apgar-score-newborns.pdf?_sg%5B0%5D=started_experiment_milestone&origin=journalDetail

4. Instituto Nacional de estadística y Censo. Salud Materno Infantil en Ecuador. Ecuador, Quito: Ministerio de Salud Pública; 2022.

5. Machado J. Crece la mortalidad materna en Ecuador, en medio de la pandemia. Primicias, Sección Sociedad; 2021 [acceso: 03/03/2023]. Disponible en: https://www.primicias.ec/noticias/sociedad/mortalidad-materna-ecuador-pandemia-covid/

6. Ministerio de Salud Pública. Análisis situacional de salud Zona 3. Tungurahua, Cotopaxi y Chimborazo. Ecuador, Chimborazo: Ministerio de Salud Pública; 2021.

7. Jacome-Gallegos CS, Parra-Torres SY, Paccha-Tamay CL. Factores que inciden en el embarazo precoz de las adolescentes de Pasaje, Ecuador. Polo del Conocimiento. 2021 [acceso: 02/03/2023]; 6(7):1200-11. Disponible en: https://www.polodelconocimiento.com/ojs/index.php/es/article/view/2916

8. Demera Muentes FM, Lescay Blanco DM, Meza Intriago HA. La prevención del embarazo en adolescentes de la educación general básica en el Ecuador. REFCalE. 2018 [acceso: 05/03/2023]; 6(2): 211-36. Disponible en: https://observatorioturisticobahia.uleam.edu.ec/index.php/refcale/article/view/2714

9. Vinueza-Lescano ME, Bello-Zambrano HI. Embarazo en la adolescencia. Características epidemiológicas. Domino de las Ciencias. 2018 [acceso: 07/03/2023]; 4(1):311-21. Disponible en: http://dominiodelasciencias.com/ojs/index.php/es/article/view/743

10. García Hermida MI, Lucero Arcos GP. Riesgo preconcepcional y embarazo en la adolescencia desde un enfoque epidemiológico y preventivo. Revista Eugenio Espejo. 2019 [acceso: 02/03/2023]; 13(1):88-102. Disponible en: http://scielo.senescyt.gob.ec/scielo.php?script=sci_arttext&pid=S2661-67422019000100088

11. Carrillo Alfonso TM, Fernández Cárdenas EJ, Santamaría MW. Influencia del riesgo preconcepcional en la salud materna. Medicentro Electrónica. 2021 [acceso 04/03/2023]; 25(1):107-12. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30432021000100107&lng=es

12. Solis Cartas U, Cevallos Paredes KA, Castillo Ruiz LE, Santillan Mancero ET. Strengths and weaknesses in the use of exclusive breastfeeding in indigenous mothers of the city of Riobamba in Ecuador. Rev Cub Med Mil. 2019 [acceso: 02/03/2023]; 48(4):e364. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572019000400005&lng=es

13. Valdés González EM, Solis Cartas U, Valdés González JL. Control del sobrepeso y la obesidad en adultos de Chimborazo, Ecuador. Revista Cubana de Medicina General Integral. 2022 [acceso 02/03/2023]; 38(3):113-9. Disponible en: http://scielo.sld.cu/scielo.php?pid=S0864-21252022000300009&script=sci_arttext&tlng=pt

14. Rojas N, Portuondo-Duany Z, Girón-Pérez E. Conocimientos sobre infección vaginal en gestantes. Medimay. 2022 [acceso: 28/02/2023]; 29(2):[aprox. 10 p.]. Disponible en: https://revcmhabana.sld.cu/index.php/rcmh/article/view/1932

15. Valle Proaño GM, Escudero Chávez EV. Prevención y tratamiento de la infección de vías urinarias en gestantes. Riobamba 2021-2022 [Tesis de grado]. Ecuador, Riobamba: Universidad Nacional de Chimborazo; 2022. [acceso: 04/03/2023]. Disponible en: http://dspace.unach.edu.ec/handle/51000/9757

16. Peña Sisto M, Pascual López V, Peña Sisto LA. Enfermedades periodontales en puérperas con partos pretérmino y bajo peso al nacer. Rev Haban Cienc Med. 2022 [acceso: 04/03/2023]; 21(1):e4374. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1729-519X2022000100007&lng=es

17. Cueto Ortecho MF. Factores de riesgo perinatales asociados a Apgar bajo, hospital EsSalud III Chimbote, 2019-2020 [Tesis de grado]. Perú, San Pedro: Universidad San Pedro; 2022 [acceso: 06/03/2023]. Disponible en: http://publicaciones.usanpedro.edu.pe/handle/20.500.129076/20701

18. Ayala Peralta D, Arango-Ochante P, Espinola-Sánchez M, Ayala Moreno D. Factores asociados a morbilidad materna y perinatal en gestantes con edad materna avanzada. Clínica e Investigación en Ginecología y Obstetricia. 2021[acceso: 05/03/2023]; 48(1):21-8. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0210573X20300873

19. Morón Salazar YC. Edad materna avanzada como factor asociado a resultados obstétrico-neonatales adversos en gestantes nulíparas atendidas en el Hospital Carlos Lanfranco la Hoz 2015-2016 [Tesis de grado]. Perú, Lima: Universidad Privada San Juan Bautista; 2019. [acceso: 06/03/2023]. Disponible en: https://repositorio.upsjb.edu.pe/handle/20.500.14308/2048

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Published

2023-07-24

How to Cite

1.
Villavicencio Narváez L del C, Basantes Moscoso DR, Valdés González EM, Alvear Ortiz LF. Factors related to low Apgar score, 5-year study. Rev Cubana Med Milit [Internet]. 2023 Jul. 24 [cited 2025 Apr. 19];52(3):e02302961. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/2961

Issue

Vol. 52 No. 3 (2023): July - september

Section

Research Article

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