J Nurs Acad Soc.  1974 May;4(2):57-66.

Clinical Observation on Apgar Score Changing of the Newborn Infants

• Park HC

Abstract

This study was attempted for clinical investigation regarding with Apgar score changing phase of newborns and their sucking power related the scoe and weight. The data for this study obtained from 545 newborns who were born at Dept, of obstetric Woo Sok Hospital, Korea University from Jan. to Sept., 1973. It is hoped that this study will contribute to nursing care planning of newborns in nursery. The Apgar score was checked in the delivery room at 1 minute after delivery by Doctor and rechecked at 30 minutes and 1 hour after delivery by nurses. The results obtained were as follows: 1. The total newborn numbers at 1 minute after delivery were 545, at 30 minutes were 542 (3 dead) and at 1 hour were 540. The babies were divided into 3 groups by the Apgar score. The frequency of group 1 (score 1 to 4) at each times were 5.0%, 0.9%, 0.4%, group 2 (score 5 to 7) 11.2%, 4.1%, 1.7% and group 3 (score 8 to 10) 83.8%, 95.0%, 97.9%. 2. The group I was found most frequently among the cases of less than 2.500g and group 3 was found among the cases over 2,500g. It was found that there was a tendency of delaying in recovery process of low score among the premature and low birth weight newborns. 3. The type of delivery, breech and other 1 e was found worst and C-Section was the second, however normal spontaneous delivery was found the best. 4. In observation of sucking power of the newborn related its score and weight, good, fair, poor marks were given. But for convenience of statistical analysis, good and fair was collected together and poor alone evaluated. The result of group 1,2 examined statistical by F. E. T shown no relation between newborn weight and sucking power, however group 3, examined by X2 test shown very significant relation between newborn weight and sucking power. 5, The mortality rat3 of newborn while they were in hospital was found 2.6% to 545 of birth and all cases of dead belonged to group 1 at 1 minutes after delivery. 64.3% of the dead was found among the cases less than 2,500g. 6. It was found that in this observation premature and Newborn asphixia had influence to low score at birth. Conclusively, good antenatal care should be emphasized in order to prevent main causes of these and should avoid abnormal delivery as possible.

MeSH Terms

Apgar Score*
Delivery Rooms
Hope
Humans
Infant, Low Birth Weight
Infant, Newborn*
Korea
Mortality
Nurseries
Parturition
Patient Care Planning