Academic literature on the topic 'APGAR'

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Journal articles on the topic "APGAR"

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Shampo, Marc A., and Robert A. Kyle. "Virginia Apgar—the Apgar Score." Mayo Clinic Proceedings 70, no. 7 (July 1995): 680. http://dx.doi.org/10.4065/70.7.680.

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Baskett, Thomas F. "Virginia Apgar and the newborn Apgar Score." Resuscitation 47, no. 3 (December 2000): 215–17. http://dx.doi.org/10.1016/s0300-9572(00)00340-3.

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Tan, SY, and CA Davis. "Virginia Apgar (1909–1974): Apgar score innovator." Singapore Medical Journal 59, no. 7 (July 2018): 395–96. http://dx.doi.org/10.11622/smedj.2018091.

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Calmes, Selma H. "Dr. Virginia Apgar and the Apgar Score." Anesthesia & Analgesia 120, no. 5 (May 2015): 1060–64. http://dx.doi.org/10.1213/ane.0000000000000659.

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Calmes, S. H. "Dr Virginia Apgar and the Apgar Score." Obstetric Anesthesia Digest 36, no. 1 (March 2016): 14–15. http://dx.doi.org/10.1097/01.aoa.0000479487.64967.c1.

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Martin, Gilbert I. "Apgar scores." American Journal of Obstetrics and Gynecology 178, no. 5 (May 1998): 1103. http://dx.doi.org/10.1016/s0002-9378(98)70565-4.

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Brownsberger, Sarah M. "Apgar Score." AJN, American Journal of Nursing 107, no. 10 (October 2007): 73. http://dx.doi.org/10.1097/01.naj.0000292214.49634.dc.

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Hodgins, Cynthia. "Apgar Score." Journal of Obstetric, Gynecologic & Neonatal Nursing 26, no. 1 (January 1997): 15. http://dx.doi.org/10.1111/j.1552-6909.1997.tb01500.x.

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Silverman, F., J. Suidan, J. Wasserman, C. Antoine, and B. K. Young. "The Apgar Score." Obstetric Anesthesia Digest 6, no. 1 (March 1986): 181. http://dx.doi.org/10.1097/00132582-198603000-00008.

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Keenan, William. "The Apgar challenge." Journal of Pediatrics 149, no. 4 (October 2006): 440. http://dx.doi.org/10.1016/j.jpeds.2006.08.023.

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Dissertations / Theses on the topic "APGAR"

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Rüdiger, Mario, Nicole Braun, Jacob Aranda, Marta Aguar, Renate Bergert, Alica Bystricka, Gabriel Dimitriou, et al. "Neonatal assessment in the delivery room – Trial to Evaluate a Specified Type of Apgar (TEST-Apgar)." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2015. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-173501.

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Background: Since an objective description is essential to determine infant’s postnatal condition and efficacy of interventions, two scores were suggested in the past but weren’t tested yet: The Specified-Apgar uses the 5 items of the conventional Apgar score; however describes the condition regardless of gestational age (GA) or resuscitative interventions. The Expanded-Apgar measures interventions needed to achieve this condition. We hypothesized that the combination of both (Combined-Apgar) describes postnatal condition of preterm infants better than either of the scores alone. Methods: Scores were assessed in preterm infants below 32 completed weeks of gestation. Data were prospectively collected in 20 NICU in 12 countries. Prediction of poor outcome (death, severe/moderate BPD, IVH, CPL and ROP) was used as a surrogate parameter to compare the scores. To compare predictive value the AUC for the ROC was calculated. Results: Of 2150 eligible newborns, data on 1855 infants with a mean GA of 286/7± 23/7 weeks were analyzed. At 1 minute, the Combined-Apgar was significantly better in predicting poor outcome than the Specified- or Expanded-Apgar alone. Of infants with a very low score at 5 or 10 minutes 81% or 100% had a poor outcome, respectively. In these infants the relative risk (RR) for perinatal mortality was 24.93 (13.16-47.20) and 31.34 (15.91-61.71), respectively. Conclusion: The Combined-Apgar allows a more appropriate description of infant’s condition under conditions of modern neonatal care. It should be used as a tool for better comparison of group of infants and postnatal interventions.
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DeGinder, Desiree Ihilani. "The effects of yoga during pregnancy on the apgar." Honors in the Major Thesis, University of Central Florida, 2008. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1072.

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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.
Bachelors
Sciences
Psychology
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Reynoso, Quiroz Francisco Javier, and Villasenor Onésimo Rangel. "“CORRELACIÓN CLÍNICA Y BIOQUÍMICA DE LA CALIFICACIÓN DE APGAR AL MINUTO”." Tesis de Licenciatura, Medicina-Quimica, 2013. http://hdl.handle.net/20.500.11799/14320.

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La valoración de Apgar había sido considerada como un reflejo de asfixia perinatal y predictor de secuelas neurológicas, pero en la actualidad el mejor método para evaluar el riesgo fetal de asfixia ha sido a través de la medición del pH de la arteria del cordón umbilical.
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Riccio, Amanda Vallone. "Avaliação dos parâmetros etológicos, laboratoriais e do perfil oxidativo de neonatos muares no primeiro mês de vida: um comparativo com equinos." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/10/10131/tde-22112017-162033/.

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O objetivo do presente trabalho foi avaliar os parâmetros de vitalidade, comportamentais, laboratoriais e perfil oxidativo de neonatos muares, comparando-os com os equinos, durante o primeiro mês de vida. Os neonatos foram acompanhados logo após o nascimento, sendo avaliado o escore Apgar nos momentos 0, 5, 10, 30 e 60 minutos pós-parto, além do comportamento (tempo para se posicionar em decúbito esternal, iniciar reflexo de sucção, levantar, iniciar ingestão de colostro e eliminar mecônio) e a necessidade de realização de enema. Observou-se o tempo de delivramento e peso dos anexos fetais e dos potros. A proporção do peso dos potros em relação aos anexos fetais foi calculada no grupo dos muares. Foram realizados exames hematológicos e bioquímicos. Para a avaliação do perfil oxidativo foi mensurada a peroxidação lipídica utilizando o TBARS e a oxidação de proteína. Como sistema antioxidante foi mensurada a atividade enzimática da glutationa peroxidase e superóxido dismutase, e não enzimática as quantidades séricas de bilirrubinas total, indireta e direta. O escore Apgar ao nascimento, 5, 10 e 30 minutos de vida foi maior nos muares. Os muares iniciaram a ingestão de colostro mais precocemente que os equinos, e demoraram mais para eliminar o mecônio. O tempo para delivramento dos anexos fetais foi menor nas éguas gestantes de muar. Os demais parâmetros comportamentais e os pesos dos potros e anexos foram semelhantes nos dois grupos. Não houve correlação entre os pesos dos neonatos e dos anexos fetais nos muares. Nos muares, CHCM, plaquetas, albumina, cálcio, cloro, ferro e magnésio foram maiores. A contagem dos leucócitos totais, neutrófilos segmentados, linfócitos, assim como a relação neutrófilo:linfócito, fibrinogênio, BT, BD, BI, colesterol e CK foi menor nos muares quando comparado aos equinos. Houve interação entre grupo e tempo na contagem de hemácias, hematócrito, hemoglobina, leucócitos totais, neutrófilos segmentados, glicose, ureia, albumina, triglicérides, colesterol, CK e ferro. No perfil oxidativo não houve interação entre grupo e tempo para nenhuma variável analisada. O TBARS foi menor no grupo dos muares, enquanto que a atividade enzimática da GPx foi maior. Ocorreu uma queda progressiva do TBARS nos neonatos, sendo que a GPx se manteve constante do nascimento até os 7 dias, tendo um aumento significativo aos 30 dias. A oxidação de proteína não teve efeito de tempo e de grupo. A SOD não foi influenciada pelo grupo, permanecendo constante nos tempos analisados, com exceção da 1 hora, com menor atividade em relação às 6 horas, 7 e 30 dias. As concentrações das bilirrubinas foram menores nos muares. Tendo em vista os resultados encontrados, este estudo oferece dados de referência comportamentais, hematológicos, bioquímicos e oxidativos para muares saudáveis no primeiro mês de vida, podendo ser útil para o diagnóstico e tratamento de neonatos comprometidos.
The aim of the present study was to evaluate vitality, behavioral and laboratory parameters and oxidative profile of newborn mules, comparing with horses during the first month of life. The foals were monitored just after delivery and Apgar score was assessed at 0, 5, 10, 30 and 60 minutes postpartum. Foals postpartum behavior were timed (time to get in sternal recumbency, to start suckle reflex, to stand, to ingest colostrum and to eliminate meconium) and the need of enema was evaluated. Time to eliminate placenta and weight were recorded and foals weight. The relationship between placental and foal weight was calculated for the mules group. Laboratory evaluation included hematological and biochemical parameters, while lipid peroxidation was measured using TBARS and protein oxidation. Glutathione peroxidase activity, superoxide dismutase and total, indirect and direct bilirubin were used to evaluate the antioxidant profile. Apgar score at birth, 5, 10 and 30 minutes after birth was higher in mules. Mules started nursing colostrum earlier than horses, however elimination of meconium started later. Mares pregnant with mules eliminated fetal membranes earlier. Foals and placental weight were similar between groups. There was no correlation between placental and foals weight. Mules had higher MCHC, platelets, albumin, calcium, chloride, iron and magnesium, while total leukocytes, segmented neutrophils, lymphocytes, neutrophil:lymphocyte ratio, fibrinogen, BT, BD, BI, cholesterol and CK were lower in mules compared to horses. Interaction was found between group and time for red blood cells, hematocrit, hemoglobin, total leukocytes, segmented neutrophils, glucose, urea, albumin, triglycerides, cholesterol, CK and iron. Oxidative profile results showed no interaction between group and time for the analyzed variables. TBARS was lower in mules, while GPx activity was higher. There was a progressive TBARS decrease over time in the studied neonates, with GPx remaining constant at birth and 7 days, with a significant increase at 30 days. Time and group did not affect protein oxidation. SOD did not have a group effect and its activity was constant between analyzed times, except at 1 hour, when activity was lower than 6 hours, 7 and 30 days. Bilirrubins were lower in mules. Based on the differences found between species, this study offers reference values for behaviour, hematology, biochemistry and oxidative aspects in healthy mule neonates during the first month of life, and it can be useful for diagnosis and treatment of compromised neonates.
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Chong, Siu-yung, and 莊少容. "Evaluation of Apgar score as an intermediate assessment of the risk ofearly mortality." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B30273195.

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Torres, Alarcón Derly Rocío. "Factores de riesgo asociados a score de apgar bajo en el servicio de neonatología del Hospital de Ventanilla de julio a diciembre del 2016." Bachelor's thesis, Universidad Ricardo Palma, 2017. http://cybertesis.urp.edu.pe/handle/urp/958.

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Según la OMS la mortalidad perinatal representa más de la mitad de la mortalidad infantil; en el Perú representa el 52.9%1,2, esta puede disminuir tomando acciones que sean oportunas a nivel primario de salud. OBJETIVO: Determinar los factores de riesgo que se asocian a score de Apagar bajo en el servicio de Neonatología del Hospital de Ventanilla. MÉTODOS: se realizó una investigación analítica, retrospectiva de tipo caso control en 160 recién nacidos en el servicio de neonatología del Hospital de Ventanilla periodo de julio a diciembre del 2016 divididos en 2 grupos:80 recién nacidos con Apgar <7 y 80 con Apgar ≥7.Los datos fueron procesados mediante el paquete estadístico SPSS V 22.0 utilizando para el análisis OR con IC95%, y la prueba chi -cuadrado p<0.05. RESULTADOS: el análisis estadístico encontró que los factores de riesgo fueron el embarazo adolescente (OR=3.6 p<0.003), ITU en gestantes (OR=4.0 p <0.000), Preeclampsia (OR=4.5 p=0.015), cesárea (OR=2.33 p<0.020), prematuridad (OR=4.0 p <0.012), bajo peso al nacer (OR=5.5 p <016), liquido meconial espeso (OR=8.2 p<0.002) circular de cordón (OR= 4.9 p<0.00), control prenatal deficiente (OR= 4.5 p =0.00) CONCLUSIONES: Los factores de riesgo que se asocian a score de Apagar bajo al nacer fueron el embarazo adolescente, la Preeclampsia, ITU en gestante, el tipo de parto “Cesárea”, el líquido meconial espeso, la prematuridad, el bajo peso al nacer, el circular de cordón y la atención prenatal deficiente
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Ribeiro, Georgea Espindola [UNESP]. "Análise da amplitude da resposta das emissões otoacústicas e das latências das ondas do PEATE, como possíveis indicadores de comprometimento das células ciliadas cocleares e nervo auditivo, em lactentes com asfixia." Universidade Estadual Paulista (UNESP), 2015. http://hdl.handle.net/11449/131863.

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Made available in DSpace on 2015-12-10T14:22:17Z (GMT). No. of bitstreams: 0 Previous issue date: 2015-02-27. Added 1 bitstream(s) on 2015-12-10T14:28:21Z : No. of bitstreams: 1 000849397.pdf: 984155 bytes, checksum: 1d6762d74b07b55b7a8a520ae48a08ad (MD5)
Introdução: A integridade do sistema auditivo periférico e central é fundamental para o desenvolvimento intelectual e cognitivo. Assim, a audição é um pré-requisito para a aquisição e desenvolvimento da linguagem. Existe uma série de indicadores de risco para perda auditiva, dentre eles, o índice de apgar baixo e a asfixia perinatal, que é definida como uma injúria sofrida pelo recém-nascido, quando há hipoperfusão tecidual significativa e diminuição da oferta de oxigênio, resultante de diversas etiologias, no período periparto. A triagem auditiva neonatal universal (TANU) tem por finalidade, detectar mais precocemente possível, recém-nascidos com perda auditiva, principalmente os que apresentam indicadores de risco, por meio de procedimentos eletroacústicos e eletrofisiológicos, sendo os mais utilizados as emissões otoacústicas evocadas por estímulo transiente (EOE-t) e o potencial evocado auditivo de tronco encefálico (PEATE). Objetivo: Verificar o efeito do apgar baixo e da asfixia perinatal nas respostas das EOE-t e nas latências do PEATE. Método: Participaram do estudo 181 lactentes nascidos a termo, que foram atendidos no programa de TANU, do Hospital das Clínicas da Faculdade de Medicina de Botucatu, por meio do exame de EOE-t, com resultado passa, em ambas as orelhas, e PEATE, com os valores de latência absoluta e interpicos. Estes foram divididos em 3 grupos sendo: G1 composto por 20 lactentes que tiveram asfixia perinatal, G2 com 111 lactentes que apresentaram apenas apgar baixo ao nascimento e G3 composto por 50 lactentes que tiveram índice de Apgar 1º e 5° minuto≥7. Resultados: As amplitudes das EOE-t nos registros de G3 apresentaram valores mais elevados, quando comparados aos valores de G1 e G2, especialmente na frequência de 4 kHz, para o sexo masculino. Não foram encontradas diferenças nos lactentes do sexo feminino. Também nos lactentes do sexo masculino foi...
Introduction: The integrity of the peripheral and central auditory system is essential to the intellectual and cognitive development. Therefore, hearing is a prerequisite for language acquisition and development. There is a number of risk factors for hearing loss, such as the index of low Apgar score and perinatal asphyxia, which is defined as an injury suffered by the newborn when there is significant tissue hypoperfusion and decreased oxygen supply resulting from various etiologies in the peripartum period. The universal neonatal hearing screening (UNHS) is intended to detect newborns with hearing loss as early as possible, especially those who present risk factors, through electroacoustic and electrophysiological procedures. From these, the most used ones are the transient-evoked otoacoustic emissions (TEOEs) and the evoked auditory brainstem response (EABR). Objective: Check the effect of low apgar score and of perinatal asphyxia in the responses of TEOEs and in the latencies of EABR. Method: 181 infants born at term who were seen in the UNHS program at the hospital of Botucatu Medical School participated in the study. They had the TEOEs exam with the result pass in both ears and EABR with absolute and interpeak latency values. They were divided into 3 groups: G1 with 20 infants who had perinatal asphyxia, G2 with 111 infants who presented only low Apgar score at birth, and G3 with 50 infants who had Apgar index at 1 e 5 minutes≥7. Results: The amplitudes of the TEOEs in the records of G3 had higher values when compared to those of G1 and G2 mainly at the frequency 4 kHz in male infants. No differences were found in the female infants. In the male infants, increased latency of waves I and III bilaterally was observed in group G1. Conclusion: The amplitude response was reduced in the newborns who had asphyxia or low Apgar score at birth, which shows the importance of intrinsic analysis of the TEOEs exam. The ...
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Ribeiro, Georgea Espindola. "Análise da amplitude da resposta das emissões otoacústicas e das latências das ondas do PEATE, como possíveis indicadores de comprometimento das células ciliadas cocleares e nervo auditivo, em lactentes com asfixia /." Botucatu, 2015. http://hdl.handle.net/11449/131863.

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Orientador: Jair Cortez Montovani
Banca: Saskia Maria Wiegerinck Fekete
Banca: Fábio Augusto Winckler Rabelo
Resumo: Introdução: A integridade do sistema auditivo periférico e central é fundamental para o desenvolvimento intelectual e cognitivo. Assim, a audição é um pré-requisito para a aquisição e desenvolvimento da linguagem. Existe uma série de indicadores de risco para perda auditiva, dentre eles, o índice de "apgar baixo" e a asfixia perinatal, que é definida como uma injúria sofrida pelo recém-nascido, quando há hipoperfusão tecidual significativa e diminuição da oferta de oxigênio, resultante de diversas etiologias, no período periparto. A triagem auditiva neonatal universal (TANU) tem por finalidade, detectar mais precocemente possível, recém-nascidos com perda auditiva, principalmente os que apresentam indicadores de risco, por meio de procedimentos eletroacústicos e eletrofisiológicos, sendo os mais utilizados as emissões otoacústicas evocadas por estímulo transiente (EOE-t) e o potencial evocado auditivo de tronco encefálico (PEATE). Objetivo: Verificar o efeito do "apgar baixo" e da asfixia perinatal nas respostas das EOE-t e nas latências do PEATE. Método: Participaram do estudo 181 lactentes nascidos a termo, que foram atendidos no programa de TANU, do Hospital das Clínicas da Faculdade de Medicina de Botucatu, por meio do exame de EOE-t, com resultado "passa", em ambas as orelhas, e PEATE, com os valores de latência absoluta e interpicos. Estes foram divididos em 3 grupos sendo: G1 composto por 20 lactentes que tiveram asfixia perinatal, G2 com 111 lactentes que apresentaram apenas "apgar baixo" ao nascimento e G3 composto por 50 lactentes que tiveram índice de Apgar 1º e 5° minuto≥7. Resultados: As amplitudes das EOE-t nos registros de G3 apresentaram valores mais elevados, quando comparados aos valores de G1 e G2, especialmente na frequência de 4 kHz, para o sexo masculino. Não foram encontradas diferenças nos lactentes do sexo feminino. Também nos lactentes do sexo masculino foi...
Abstract: Introduction: The integrity of the peripheral and central auditory system is essential to the intellectual and cognitive development. Therefore, hearing is a prerequisite for language acquisition and development. There is a number of risk factors for hearing loss, such as the index of "low Apgar score" and perinatal asphyxia, which is defined as an injury suffered by the newborn when there is significant tissue hypoperfusion and decreased oxygen supply resulting from various etiologies in the peripartum period. The universal neonatal hearing screening (UNHS) is intended to detect newborns with hearing loss as early as possible, especially those who present risk factors, through electroacoustic and electrophysiological procedures. From these, the most used ones are the transient-evoked otoacoustic emissions (TEOEs) and the evoked auditory brainstem response (EABR). Objective: Check the effect of "low apgar score" and of perinatal asphyxia in the responses of TEOEs and in the latencies of EABR. Method: 181 infants born at term who were seen in the UNHS program at the hospital of Botucatu Medical School participated in the study. They had the TEOEs exam with the result "pass" in both ears and EABR with absolute and interpeak latency values. They were divided into 3 groups: G1 with 20 infants who had perinatal asphyxia, G2 with 111 infants who presented only "low Apgar score" at birth, and G3 with 50 infants who had Apgar index at 1 e 5 minutes≥7. Results: The amplitudes of the TEOEs in the records of G3 had higher values when compared to those of G1 and G2 mainly at the frequency 4 kHz in male infants. No differences were found in the female infants. In the male infants, increased latency of waves I and III bilaterally was observed in group G1. Conclusion: The amplitude response was reduced in the newborns who had asphyxia or low Apgar score at birth, which shows the importance of intrinsic analysis of the TEOEs exam. The ...
Mestre
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Bustinza, Bravo Maryli. "Resultados del test estresante en relación al score de apgar en gestaciones de 41 semanas a más. Unidad de embarazo patológico del Hospital Nacional Daniel Alcides Carrión. 2014-2015." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2016. https://hdl.handle.net/20.500.12672/4800.

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OBJETIVO: Determinar la relación entre los resultados del test estresante y el Score de Apgar en gestaciones de 41 semanas a más atendidas en la Unidad de Embarazo Patológico del Hospital Nacional Daniel Alcides Carrión durante los años 2014 y 2015. METODOLOGÍA: Estudio de tipo observacional con diseño descriptivo correlacional, retrospectivo y de corte transversal, en el que se tuvo como muestra a 374 gestantes de 41 semanas a más que se han realizado el test estresante y que cumplían con los criterios de selección. En cuanto al análisis de los datos, para el análisis descriptivo de las variables cuantitativas se estimaron medidas de tendencia central (media) y medidas de dispersión (desviación estándar) y para las variables cualitativas (nominal) se estimaron frecuencias absolutas y porcentajes (frecuencias relativas). La relación de los resultados del test estresante y el score de Apgar (análisis inferencial) se realizó a través de la prueba Chi cuadrado (p<0.05, significativo). RESULTADOS: Las gestantes de 41 semanas a más tenían una edad promedio de 26 años, eran convivientes (62%) y con grado de instrucción secundaria (65.2%). Los resultados del test estresante fueron línea de base de 110-160 lpm (93.6%), variabilidad de 6-25 lpm (80.2%), aceleraciones presentes (87.2%), desaceleración variable (11.5%) y contracciones regulares (88.2%), cuya conclusión fue en su mayoría Negativo (95.7%). El 92.2% de los recién nacidos tuvo un score de Apgar al minuto de 7 a 10 y el 99.2% tuvo un Apgar a los 5 minutos de 7 a 10. Hubo relación significativa entre los resultados del test estresante y el Score de Apgar a los cinco minutos (p=0.000). CONCLUSIÓN: Existe relación entre los resultados del test estresante y el Score de Apgar a los cinco minutos en gestaciones de 41 semanas a más atendidas en la Unidad de Embarazo Patológico del Hospital Nacional Daniel Alcides Carrión durante los años 2014 y 2015. PALABRAS CLAVES: Test Estresante, Score de Apgar, Gestación, 41 semanas.
--- OBJECTIVE: Determine the relationship between stressful test results and Apgar Score in gestations of 41 weeks to more attended at the Pathological Pregnancy Unit of the National Hospital Daniel Alcides Carrión during the years 2014 and 2015. METHODOLOGY: Observational study with correlational, retrospective and crosssectional descriptive design, in which as shown was 41 weeks pregnant 374 more who have made the stressful test that met the selection criteria. As for the analysis of data for descriptive analysis of quantitative variables measures of central tendency (mean) and dispersion measures (standard deviation) and qualitative variables (nominal) were estimated absolute frequencies and percentages were estimated (relative frequencies). The relationship of stressful test results and Apgar score (inferential analysis) was performed using chi-square test (p <0.05, significant). RESULTS: 41 weeks pregnant more have an average age of 26 years were cohabiting (62%) and grade secondary education (65.2%). The results of the test were stressful baseline 110-160 bpm (93.6%), variability 6-25 lpm (80.2%), accelerations present (87.2%), variable deceleration (11.5%) and regular contractions (88.2%) whose conclusion was mostly negative (95.7%). 92.2% of newborns had an Apgar score of 7 to 10 minutes and 99.2% had an Apgar score at 5 minutes from 7 to 10. There was significant relationship between stressful test results and Apgar Score five minutes (p = 0.000). CONCLUSIONS: There is a relationship between stressful test results and Apgar Score in five minutes in gestations of 41 weeks to more attended at the Pathological Pregnancy Unit of the National Hospital Daniel Alcides Carrion during the years 2014 and 2015. KEYWORDS: Stressful Test, Apgar Score, pregnancy, 41 weeks.
Tesis
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Silva, Liege Cristina Garcia da. "Parâmetros clínicos, hemogasométricos e radiográficos para avaliação respiratória de neonatos caninos nascidos em eutocia ou cesariana eletiva." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/10/10131/tde-18072008-144422/.

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Estima-se que a mortalidade neonatal canina nas primeiras semanas de vida seja de 30%, em razão de diversas causas, dentre elas falhas de assistência neonatal. Em Medicina Humana, protocolos de assistência cardio-respiratória ao recém-nascido estão bem estabelecidos e são utilizados de rotina. Porém, os cuidados direcionados aos neonatos debilitados em Medicina Veterinária são, em geral, empíricos e passíveis de causar traumas e contusões. Deste modo, objetivou-se comparar o padrão do aparelho respiratório ao nascimento e a evolução durante a primeira hora de vida em neonatos nascidos em eutocia via vaginal ou cesariana eletiva; propor um protocolo de conduta para a avaliação do aparelho respiratório de neonatos nascidos em eutocia ou cesariana, por meio da auscultação cardio-torácica, do escore Apgar, hemogasometria, avaliação radiográfica pulmonar e da determinação do surfactante no líquido amniótico; relacionar o exame clínico geral com a avaliação específica do aparelho respiratório; estabelecer a análise de maior sensibilidade e especificidade na identificação de distúrbios respiratórios neonatais; quantificar os fosfolipídeos lecitina (L) e esfingomielina (E) no líquido amniótico; estabelecer a relação L/E, como indício de maturidade pulmonar. Utilizou-se 41 neonatos divididos em 2 grupos conforme a condição obstétrica: eutocia (1) ou cesariana eletiva (2). Foram avaliados o escore Apgar, temperatura corpórea e exame físico completo aos 0, 5 e 60 minutos pós-natal; hemogasometria venosa aos 0 e 60 minutos do nascimento e padrão radiográfico pulmonar ao nascimento. Houve significativo aumento dos valores de Apgar no decorrer da primeira hora de vida. Entretanto, o grupo 2 apresentou escore inferior ao nascimento e após 5 minutos. A temperatura corpórea neonatal apresentou significativa queda ao longo da primeira hora de vida, para ambos os grupos, com hipotermia após 5 e 60 minutos do nascimento. A auscultação pulmonar indicou irregularidade do padrão respiratório, presença de ruído respiratório de moderado a intenso e episódios de agonia respiratória, com evolução satisfatória ao longo da primeira hora de vida para ambos os grupos. Filhotes nascidos de cesariana apresentaram maior percentual de alterações radiográficas, com moderada a intensa opacificação pulmonar difusa, com pouca ou nenhuma definição da silhueta cardíaca e luz dos brônquios principais. Ao nascimento e após 1 hora, todos os neonatos apresentaram acidemia, sendo esta do tipo mista para o grupo 1 e do tipo respiratória para o grupo 2. Após 60 minutos houve parcial evolução do desequilíbrio ácido-básico em ambos os grupos. Não houve diferença estatística entre a relação L/E dos grupos 1 e 2 com valores de 7,29 (±3,55) e 5,89 (±4,87), respectivamente. Conclui-se que o padrão de análise do aparelho respiratório neonatal variou conforme a condição obstétrica; as variáveis de maior sensibilidade e especificidade para identificação de neonatos com distúrbios respiratórios ao nascimento foram auscultação torácica associada à avaliação hemogasométrica das variáveis pH e pCO2; os fosfolipídeos lecitina e esfingomielina presentes no líquido amniótico foram quantificados e a relação L/E estabelecida e indicou maturidade pulmonar independente da condição obstétrica.
Technical and scientific deficit related to veterinary neonatology is conspicuous. It is known that the canine mortality rate is up to 30% in the first weeks of life. In Human Medicine, neonatal cardio-respiratory assistance is well established and widely used. Thus, the objectives of the present study were to compare the respiratory system pattern at birth and its evolution during the first hour of life in puppies born through eutocia or cesarian section; to standardize neonatal respiratory system assessment under distinct obstetrics conditions; to correlate clinical general variables to the specific respiratory ones; to identify the most sensible and specific variables in order to attain neonatal respiratory diagnosis; to quantify the phospholipids lecithin (L) and sphingomielin (S) in amniotic fluid; to establish the L/S ratio and its correlation with lung maturity. Forty-one canine neonates were allocated into 2 groups according to the whelping condition: group 1 - eutocia and group 2 - elective cesarean section. The following assessments were performed at 0, 5 and 60 minutes after birth: Apgar score and rectal temperature. Venous hemogasometric evaluation was attained after birth and 1 hour later. Lung x-ray was performed between 0 and 5 minutes of life. Group 2 neonates showed lower vitality, with Apgar score significantly inferior at birth and after 5 minutes. Nevertheless, there was full satisfactory recovery at 5 minutes in both groups, with the Apgar score superior to 7. There was a significant reduction in rectal temperature with hypothermia at 5 and 60 minutes of birth in both groups. Respiratory pattern was irregular at lung auscultation, with mild to moderate sounds, but all neonates evolved properly among the first hour of life. Lung x-rays indicated relevant alterations in 17% of the puppies of group 1 and 30% of group 2. Cardiac silhouette and the main caudal bronchi were clearly visualized and the image of the thymus appeared like an enlarged domed volume in cranial mediastin, adjacent to the heart. The radiographic findings ranged from mild to moderate diffuse or restricted opacification of pulmonary parenchyma. Little or no definition of the cardiac silhouette, the main bronchi and the vagueness of the thymus were all findings consistent with pulmonary edema. All puppies presented acidemia at 0 and 60 minutes after birth, with partial recovery of the acid-base disorder in both groups during the first hour of life. L/S ratio was 7,29 (±3,55) for group 1 and 5,89 (±4,87) for group 2, with no statistical difference between them. In conclusion, obstetric condition influences neonatal respiratory pattern evaluation; lung auscultation associated with pH and pCO2 hemogasometric values, which were more sensible and specific to identify respiratory disorders at birth; lecithin and sphingomielin were quantified in the amniotic fluid; L/S ratio was established and indicated lung maturity regardless of the whelping condition.
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Books on the topic "APGAR"

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Apgar, Dorothy E. Descendants of Herbert Apgar and John Peter Apgar. Salem, Mass: Higginson Book Co., 2005.

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Fonseca, Zoel. Ao apagar das luzes. [Vitória, Brazil]: CIDARTS, 1992.

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Kalani, Kantilal L. Harina het apar. Ahmedabad: Gurjar Granth Ratna Karyalay, 1991.

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Athías, Beatriz Vanegas. Crónicas para apagar la oscuridad. Bucaramanga: UIS, Universidad Industrial de Santander, Dirección Cultural, 2011.

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Antes de apagar la luz. Guadalajara [Spain]: Excma. Diputación Provincial, 1992.

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Azad, Alauddin al. Apar Joddhara purano paltan. Dhaka: Ahmad, 1992.

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Vengoechea, Mauricio de. 7 herramientas para apagar una crisis de gobierno. Bogotá D.C., Colombia: ILC.iNK Lemoine Comunicación, 2008.

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7 herramientas para apagar una crisis de gobierno. Bogotá D.C., Colombia: ILC.iNK Lemoine Comunicación, 2008.

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Las muchas aguas no podrán apagar el amor: Antología. San Juan, P.R: Isla Negra Editores, 2001.

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El aire del río ; Hay que apagar el fuego. Buenos Aires: Colihue, 2011.

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Book chapters on the topic "APGAR"

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Doyle, D. John. "Neonatal Apgar Score (APGAR)." In Computer Programs in Clinical and Laboratory Medicine, 117–21. New York, NY: Springer New York, 1989. http://dx.doi.org/10.1007/978-1-4612-3576-7_26.

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Bruder, Laura. "Apgar." In Encyclopedia of Child Behavior and Development, 129. Boston, MA: Springer US, 2011. http://dx.doi.org/10.1007/978-0-387-79061-9_167.

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Aydlett, Lydia. "Apgar Score." In Encyclopedia of Child Behavior and Development, 129–30. Boston, MA: Springer US, 2011. http://dx.doi.org/10.1007/978-0-387-79061-9_168.

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Hyman, Susan. "Apgar Score." In Encyclopedia of Autism Spectrum Disorders, 221–22. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4419-1698-3_17.

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Hyman, Susan. "Apgar Score." In Encyclopedia of Autism Spectrum Disorders, 1. New York, NY: Springer New York, 2018. http://dx.doi.org/10.1007/978-1-4614-6435-8_17-3.

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Hyman, Susan. "Apgar Score." In Encyclopedia of Autism Spectrum Disorders, 286. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-319-91280-6_17.

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Calmes, S. Harrison. "Development of the Apgar Score." In Anaesthesia, 45–48. Berlin, Heidelberg: Springer Berlin Heidelberg, 1985. http://dx.doi.org/10.1007/978-3-642-69636-7_10.

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Frölich, Michael A. "Apgar-Schema und Klassifikation des Neugeborenen." In Geburtshilfliche Anästhesie und Intensivmedizin, 247–48. Vienna: Springer Vienna, 2000. http://dx.doi.org/10.1007/978-3-7091-6317-7_42.

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Sykes, Keith, and John Bunker. "Virginia Apgar and the care of the newborn." In Anaesthesia and the Practice of Medicine: Historical Perspectives, 267–72. London: CRC Press, 2021. http://dx.doi.org/10.1201/9781003229186-27.

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Liu, Xiang-yun, Xi-ying Zhu, Mu-shi Zheng, Zhi-ping Kuo, and Ling-ying Feng. "Development of 129 Chinese Children with Low Apgar Scores." In Early Identification of Children at Risk, 333–36. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4899-0536-9_27.

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Conference papers on the topic "APGAR"

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Bolognani, Claúdia Vicari, Isabela Lemos Ferrer, Melorie Kern Capovilla Sarubo Baptistella, Pedro Piancastelli Moreira, and Eduardo Henrique Costa Moresi. "Indicação de cesárea e Escore de Apgar." In 44° Congresso da SGORJ - XXIII Trocando Ideias. Zeppelini Editorial e Comunicação, 2020. http://dx.doi.org/10.5327/jbg-0368-1416-2020130276.

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Introdução: No Brasil, a taxa de cesárea situa-se em torno de 56%, valor este maior do que os 15% preconizado pela Organização Mundial de Saúde (OMS) como ideal. A OMS estima que cerca de 6,2 milhões de cesáreas sem a justa indicação de salvaguardar o binômio materno-fetal são realizadas por ano. No Brasil, calcula-se que esse valor chegue a 560 mil, o que equivale a R$ 84 milhões. O Índice de Apgar avalia a vitalidade do recém-nascido e seu valor está fortemente associado ao tipo de parto, tendo o escore do 5º minuto menor que 7, associação importante com mortalidade e morbidade neonatal. Objetivo: Avaliação das indicações obstétricas de cesárea por meio do Escore de Apgar em um hospital público do Sistema Único de Saúde, de referência para parto no Distrito Federal. Método: Estudo de corte transversal, incluindo todos os partos no período de janeiro a dezembro de 2019. Os dados foram coletados dos prontuários eletrônicos do sistema Intersystems TrackCareTM. A frequência dos eventos foi realizada no programa SPSS Statistics v.22 com teste χ2 de Pearson para o cálculo do p-valor. Parecer 1.689.117 do Comitê de Ética em Pesquisa da Escola Superior de Ciências da Saúde (CEP/ESCS). As indicações de cesáreas foram categorizadas em síndromes hipertensivas (SH), sofrimento fetal (SF) e cesárea prévia. Foram comparadas as frequências relativas de cada indicação. Resultados: Dos 2.205 partos, 1.084 (49,1%) foram cesáreas. A frequência do Apgar <7 no 5º minuto ocorreu em 0,7% de todos os tipos de parto, e não houve diferença estatisticamente significativa entre os partos normais (0,7%) e cesáreas (0,7%), com p>0,05. As principais causas de indicação de cesárea foram distócia (471 — 43,5%), cesárea prévia (387 — 35,7%), SF (247 — 22,8%), SH (118 — 10,9%) e cesárea por pós-termo (≥41 semanas, 91 — 8,4%). Para essas indicações, Apgar <7 no 5º minuto ocorreu, respectivamente, em 0,21% (1), 0,78% (3), 1,2% (3), 3,39% (3) e 0,0% (0). Conclusão: As altas taxas de cesárea evidenciadas neste estudo e tendo distócia e cesárea prévia como as indicações mais prevalentes, ressaltam a necessidade de melhor avaliação clínica da gestante e para a quebra de paradigma de uma vez cesárea sempre cesárea, se considerarmos que a avaliação do Apgar no 5º min não evidenciou benefícios estatisticamente significantes em relação às vias de parto.
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Ibrahim, Doaa, Monique Frize, and Robin C. Walker. "Risk Factors for Apgar Score using Artificial Neural Networks." In Conference Proceedings. Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, 2006. http://dx.doi.org/10.1109/iembs.2006.259591.

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Ibrahim, Doaa, Monique Frize, and Robin C. Walker. "Risk Factors for Apgar Score using Artificial Neural Networks." In Conference Proceedings. Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, 2006. http://dx.doi.org/10.1109/iembs.2006.4398852.

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SAMPAIO, MARCELA BRAGA, LUIZ VALÉRIO COSTA VASCONCELOS, JOHN KENNEDY TORRES DE ALENCAR, IGOR QUEZADO ARAÚJO DE ANDRADE, LYSIANE MARIA ADEODATO RAMOS, and REJANE MARIA RODRIGUES DE ABREU VIEIRA. "FAMILY DYSFUNCTIONS ASSESSMENT IN SYSTEMIC LUPUS ERYTHEMATOSUS USING FAMILY APGAR QUESTIONNAIRE." In 36º Congresso Brasileiro de Reumatologia. São Paulo: Editora Blucher, 2019. http://dx.doi.org/10.5151/sbr2019-446.

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Kockar Kizilirmak, T., D. A. Stern, S. Guerra, A. L. Wright, and F. D. Martinez. "Low First Minute Apgar Scores Are Associated with Wheezing in Childhood." In American Thoracic Society 2020 International Conference, May 15-20, 2020 - Philadelphia, PA. American Thoracic Society, 2020. http://dx.doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a3697.

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Sahak, Rohilah, Wahidah Mansor, Lee Yoot Khuan, Azlee Zabidi, and Farah Yasmin. "An investigation into infant cry and Apgar score using principle component analysis." In Its Applications (CSPA). IEEE, 2009. http://dx.doi.org/10.1109/cspa.2009.5069218.

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Grüßenberger, G., P. Trautner, S. Enengl, C. Weiss, P. Oppelt, and R. Mayer. "Birth mode in twin-pregnancies – Outcome based on the Apgar-Score 5 minutes after delivery." In Jahrestagung der Österreichischen Gesellschaft für Gynäkologie und Geburtshilfe – OEGGG. Georg Thieme Verlag KG, 2018. http://dx.doi.org/10.1055/s-0038-1648264.

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Gungor, Baris Doruk, Muhammed Kursad Ucar, and Ferda Bozkurt. "Statistical investigation of the effects of fetal heart rate (FHR) and uterine contractions (UC) signals on apgar score." In 2015 23th Signal Processing and Communications Applications Conference (SIU). IEEE, 2015. http://dx.doi.org/10.1109/siu.2015.7129858.

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Moreira, Mário W. L., Joel J. P. C. Rodrigues, Guilherme A. B. Marcondes, Augusto J. Venâncio Neto, and Vasco Furtado. "Predicting Neonatal Condition at Birth through Ensemble Learning Methods in Pregnancy Care." In XVIII Simpósio Brasileiro de Computação Aplicada à Saúde. Sociedade Brasileira de Computação - SBC, 2018. http://dx.doi.org/10.5753/sbcas.2018.3671.

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Prematurity represents the determinant cause of infant mortality. This serious public health problem is directly related to the assistance provided during pregnancy and childbirth. Hence, this paper proposes the use of leading machine learning techniques capable of supporting health experts in pattern recognition in the prediction of high-risk situations for the fetus. The proposed model creates an ensemble of nearest-neighbor classifiers using the random subspace algorithm, reaching an overall accuracy of 0.937 and area under the curve of 0.721, in predicting the Apgar score, and 0.829 and 0.669 in predicting if the newborn will be small for gestational age, respectively. These results show the model effectiveness in reducing severe pregnancy related-problems.
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Akbarzadeh, Saeed, Roozbeh Farhoodi, Tianchan Lyu, Muhammad Awais, Xian Zhao, Saadullah Farooq Abbasi, and Wei Chen. "Evaluation of Apgar Scores and Non-Nutritive Sucking Skills in Infants Using a Novel Sensitized Non-Nutritive Sucking System." In 2020 42nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) in conjunction with the 43rd Annual Conference of the Canadian Medical and Biological Engineering Society. IEEE, 2020. http://dx.doi.org/10.1109/embc44109.2020.9176146.

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Reports on the topic "APGAR"

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Viswanathan, Meera, Jennifer Cook Middleton, Alison Stuebe, Nancy Berkman, Alison N. Goulding, Skyler McLaurin-Jiang, Andrea B. Dotson, et al. Maternal, Fetal, and Child Outcomes of Mental Health Treatments in Women: A Systematic Review of Perinatal Pharmacologic Interventions. Agency for Healthcare Research and Quality (AHRQ), April 2021. http://dx.doi.org/10.23970/ahrqepccer236.

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Background. Untreated maternal mental health disorders can have devastating sequelae for the mother and child. For women who are currently or planning to become pregnant or are breastfeeding, a critical question is whether the benefits of treating psychiatric illness with pharmacologic interventions outweigh the harms for mother and child. Methods. We conducted a systematic review to assess the benefits and harms of pharmacologic interventions compared with placebo, no treatment, or other pharmacologic interventions for pregnant and postpartum women with mental health disorders. We searched four databases and other sources for evidence available from inception through June 5, 2020 and surveilled the literature through March 2, 2021; dually screened the results; and analyzed eligible studies. We included studies of pregnant, postpartum, or reproductive-age women with a new or preexisting diagnosis of a mental health disorder treated with pharmacotherapy; we excluded psychotherapy. Eligible comparators included women with the disorder but no pharmacotherapy or women who discontinued the pharmacotherapy before pregnancy. Results. A total of 164 studies (168 articles) met eligibility criteria. Brexanolone for depression onset in the third trimester or in the postpartum period probably improves depressive symptoms at 30 days (least square mean difference in the Hamilton Rating Scale for Depression, -2.6; p=0.02; N=209) when compared with placebo. Sertraline for postpartum depression may improve response (calculated relative risk [RR], 2.24; 95% confidence interval [CI], 0.95 to 5.24; N=36), remission (calculated RR, 2.51; 95% CI, 0.94 to 6.70; N=36), and depressive symptoms (p-values ranging from 0.01 to 0.05) when compared with placebo. Discontinuing use of mood stabilizers during pregnancy may increase recurrence (adjusted hazard ratio [AHR], 2.2; 95% CI, 1.2 to 4.2; N=89) and reduce time to recurrence of mood disorders (2 vs. 28 weeks, AHR, 12.1; 95% CI, 1.6 to 91; N=26) for bipolar disorder when compared with continued use. Brexanolone for depression onset in the third trimester or in the postpartum period may increase the risk of sedation or somnolence, leading to dose interruption or reduction when compared with placebo (5% vs. 0%). More than 95 percent of studies reporting on harms were observational in design and unable to fully account for confounding. These studies suggested some associations between benzodiazepine exposure before conception and ectopic pregnancy; between specific antidepressants during pregnancy and adverse maternal outcomes such as postpartum hemorrhage, preeclampsia, and spontaneous abortion, and child outcomes such as respiratory issues, low Apgar scores, persistent pulmonary hypertension of the newborn, depression in children, and autism spectrum disorder; between quetiapine or olanzapine and gestational diabetes; and between benzodiazepine and neonatal intensive care admissions. Causality cannot be inferred from these studies. We found insufficient evidence on benefits and harms from comparative effectiveness studies, with one exception: one study suggested a higher risk of overall congenital anomalies (adjusted RR [ARR], 1.85; 95% CI, 1.23 to 2.78; N=2,608) and cardiac anomalies (ARR, 2.25; 95% CI, 1.17 to 4.34; N=2,608) for lithium compared with lamotrigine during first- trimester exposure. Conclusions. Few studies have been conducted in pregnant and postpartum women on the benefits of pharmacotherapy; many studies report on harms but are of low quality. The limited evidence available is consistent with some benefit, and some studies suggested increased adverse events. However, because these studies could not rule out underlying disease severity as the cause of the association, the causal link between the exposure and adverse events is unclear. Patients and clinicians need to make an informed, collaborative decision on treatment choices.
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