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1

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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2

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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3

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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4

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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5

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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6

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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7

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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8

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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9

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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10

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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11

Jobe, Alan H. "Apgar score imprecision." Journal of Pediatrics 149, no. 4 (October 2006): A1. http://dx.doi.org/10.1016/j.jpeds.2006.08.055.

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12

Tiemeier, Henning, and Marie C. McCormick. "The Apgar paradox." European Journal of Epidemiology 34, no. 2 (December 13, 2018): 103–4. http://dx.doi.org/10.1007/s10654-018-0466-9.

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13

Whelan, M. A. "The Apgar Score." PEDIATRICS 118, no. 3 (September 1, 2006): 1313–14. http://dx.doi.org/10.1542/peds.2006-1197.

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14

Rudiger, M., R. R. Wauer, K. Schmidt, and H. Kuster. "The Apgar Score." PEDIATRICS 118, no. 3 (September 1, 2006): 1314–15. http://dx.doi.org/10.1542/peds.2006-1254.

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15

Iyer, R. "The Apgar Score." PEDIATRICS 118, no. 3 (September 1, 2006): 1314. http://dx.doi.org/10.1542/peds.2006-1386.

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16

David, Matthias, and Andreas Ebert. "Berühmte Ärzte. Virginia Apgar (1909–1974) und der Apgar-Score." Geburtshilfe und Frauenheilkunde 74, no. 11 (November 26, 2014): 992–94. http://dx.doi.org/10.1055/s-0034-1383255.

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17

Butterfield, L. Joseph. "Virginia Apgar and the Apgar Score: Kudos and a Correction." JAMA: The Journal of the American Medical Association 277, no. 22 (June 11, 1997): 1762. http://dx.doi.org/10.1001/jama.1997.03540460028025.

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18

Butterfield, L. J. "Virginia Apgar and the Apgar score: kudos and a correction." JAMA: The Journal of the American Medical Association 277, no. 22 (June 11, 1997): 1762. http://dx.doi.org/10.1001/jama.277.22.1762.

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19

Dubik, M. "Apgar Scores Still Useful." AAP Grand Rounds 5, no. 5 (May 1, 2001): 50. http://dx.doi.org/10.1542/gr.5-5-50.

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20

Samra, J. S., D. M. Luesley, J. B. Weaver, G. M. Durbin, T. Mitchell, and M. S. Obhrai. "APGAR SCORE AND AUDIT." Lancet 333, no. 8652 (June 1989): 1444. http://dx.doi.org/10.1016/s0140-6736(89)90143-8.

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21

Holt, K. S., and J. Geefhuysen. "The Apgar Scoring System." Developmental Medicine & Child Neurology 4, no. 3 (November 12, 2008): 343–44. http://dx.doi.org/10.1111/j.1469-8749.1962.tb03183.x.

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22

Crawford, J. Selwyn. "The Apgar Scoring System." Developmental Medicine & Child Neurology 4, no. 4 (November 12, 2008): 441–44. http://dx.doi.org/10.1111/j.1469-8749.1962.tb03204.x.

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23

Butterfield, L. Joseph. "The Apgar Legend Lives." Pediatric Research 45, no. 4, Part 2 of 2 (April 1999): 121A. http://dx.doi.org/10.1203/00006450-199904020-00718.

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24

Frankel, DavidH. "Virginia Apgar (1909-74)." Lancet 344, no. 8932 (November 1994): 1287. http://dx.doi.org/10.1016/s0140-6736(94)90763-3.

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25

Letko, Martina D. "Understanding the Apgar Score." Journal of Obstetric, Gynecologic & Neonatal Nursing 25, no. 4 (May 1996): 299–303. http://dx.doi.org/10.1111/j.1552-6909.1996.tb02575.x.

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26

Bernstein, Joseph, Sara Weintraub, Eric Hume, Mark D. Neuman, Stephen L. Kates, and Jaimo Ahn. "The New APGAR SCORE." Journal of Bone and Joint Surgery 99, no. 14 (July 2017): e77. http://dx.doi.org/10.2106/jbjs.16.01149.

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27

Hampton, Tracy. "Apgar Added to Library." JAMA 296, no. 8 (August 23, 2006): 924. http://dx.doi.org/10.1001/jama.296.8.924-c.

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28

Bennett, H. J. "Apgar scores for dads." BMJ 317, no. 7174 (December 19, 1998): 1712. http://dx.doi.org/10.1136/bmj.317.7174.1712.

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29

Petrikovsky, B. M., L. Diana, and D. A. Baker. "Race and Apgar scores." Anaesthesia 45, no. 11 (November 1990): 988–89. http://dx.doi.org/10.1111/j.1365-2044.1990.tb14649.x.

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30

Yama, A. Z., and G. F. Marx. "Race and Apgar scores." Anaesthesia 46, no. 4 (April 1991): 330–31. http://dx.doi.org/10.1111/j.1365-2044.1991.tb11538.x.

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31

Ludwig, H. "Virginia Apgar (1909–1974)." Der Gynäkologe 40, no. 3 (March 2007): 227–28. http://dx.doi.org/10.1007/s00129-007-1943-5.

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32

ASLAM, ANEEL, FAWAD ALAM, and ADEEL ASLAM. "APGAR SCORE OF NEONATE." Professional Medical Journal 13, no. 02 (June 25, 2006): 175–77. http://dx.doi.org/10.29309/tpmj/2006.13.02.5005.

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A comparative study was conducted in CMH, Malir, CMH, Kharian andWT (Pvt) Ltd. Gynaecology and Obstetrics, Multan from April 2001 to March 2004. The Apgar score of neonate wascompared for thiopentone or propofol in C-section patients. Two groups of patients were made. Group-A was inducedwith thiopentone and group-B was induced with propofol. Each group had 100 patients. In group-A 13 neonatesrequired manipulation and 2 neonates in group-B also required manipulation like mask ventilation or endotrachealintubation and one of drugs like atropine to improve apgar score. 13% neonates in group-A and 1% neonates in group-B required manipulation. This clearly shows the superiority of propofol over thiopentone as an induction agent in Csection.The P value of group-A was 0.13 and for group B was 0.02 and had had a statistically significant difference.
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33

Bovbjerg, Marit L., Mekhala V. Dissanayake, Melissa Cheyney, Jennifer Brown, and Jonathan M. Snowden. "Utility of the 5-Minute Apgar Score as a Research Endpoint." American Journal of Epidemiology 188, no. 9 (May 30, 2019): 1695–704. http://dx.doi.org/10.1093/aje/kwz132.

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Abstract Although Apgar scores are commonly used as proxy outcomes, little evidence exists in support of the most common cutpoints (<7, <4). We used 2 data sets to explore this issue: one contained planned community births from across the United States (n = 52,877; 2012–2016), and the other contained hospital births from California (n = 428,877; 2010). We treated 5-minute Apgars as clinical “tests,” compared against 18 known outcomes; we calculated sensitivity, specificity, positive and negative predictive values, and the area under the receiver operating characteristic curve for each. We used 3 different criteria to determine optimal cutpoints. Results were very consistent across data sets, outcomes, and all subgroups: The cutpoint that maximizes the trade-off between sensitivity and specificity is universally <9. However, extremely low positive predictive values for all outcomes at <9 indicate more misclassification than is acceptable for research. The areas under the receiver operating characteristic curves (which treat Apgars as quasicontinuous) were generally indicative of adequate discrimination between infants destined to experience poor outcomes and those not; comparing median Apgars between groups might be an analytical alternative to dichotomizing. Nonetheless, because Apgar scores are not clearly on any causal pathway of interest, we discourage researchers from using them unless the motivation for doing so is clear.
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34

Cnattingius, Sven, Stefan Johansson, and Neda Razaz. "Rates of metabolic acidosis at birth and Apgar score values at 1, 5, and 10 min in term infants: a Swedish cohort study." Journal of Perinatal Medicine 48, no. 5 (June 25, 2020): 514–15. http://dx.doi.org/10.1515/jpm-2019-0429.

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AbstractBackgroundMetabolic acidosis, measured in arterial umbilical cord blood at birth, is the most accepted definition of birth asphyxia. The aim of the study was to investigate the rates of metabolic acidosis across the entire range of Apgar score values (0–10) at 1, 5, and 10 min in term infants.MethodsIn a population-based Swedish cohort of births between 2008 and 2013, we included 85,076 term (≥37 weeks) non-malformed infants with information from umbilical arterial blood gas analyses and complete information on Apgar scores (0–10) at 1, 5, and 10 min.ResultsRates of metabolic acidosis generally decreased with increasing Apgar score values. For Apgar score at 1 min, this decrease was consistent from Apgar score 0 (35%) to Apgar score 10 (0%). For Apgar scores at 5 and 10 min, the decrease was consistent for Apgar score values from 6 to 10.ConclusionAlthough there is a close association between Apgar score values and rates of metabolic acidosis, Apgar score is not and should not be used as a measure of birth asphyxia.
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35

Hassen, Tahir Ahmed, Catherine Chojenta, Nicholas Egan, and Deborah Loxton. "The Association between the Five-Minute Apgar Score and Neurodevelopmental Outcomes among Children Aged 8−66 Months in Australia." International Journal of Environmental Research and Public Health 18, no. 12 (June 15, 2021): 6450. http://dx.doi.org/10.3390/ijerph18126450.

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This study aimed to evaluate the association of the five-minute Apgar score and neurodevelopmental outcomes in children by taking the entire range of Apgar scores into account. Data from the Australian Longitudinal Study of Women’s Health (ALSWH) and Mothers and their Children’s Health (MatCH) study were linked with Australian state-based Perinatal Data Collections (PDCs) for 809 children aged 8−66 months old. Generalized estimating equations were used to model the association between the five-minute Apgar scores and neurodevelopmental outcomes, using STATA software V.15. Of the 809 children, 614 (75.3%) had a five-minute Apgar score of 9, and 130 (16.1%) had an Apgar score of 10. Approximately 1.9% and 6.2% had Apgar scores of 0−6 and 7−8, respectively. Sixty-nine (8.5%) of children had a neurodevelopmental delay. Children with an Apgar score of 0−6 (AOR = 5.7; 95% CI: 1.2, 27.8) and 7−8 (AOR = 4.1; 95% CI: 1.2, 14.1) had greater odds of gross-motor neurodevelopment delay compared to children with an Apgar score of 10. Further, when continuously modelled, the five-minute Apgar score was inversely associated with neurodevelopmental delay (AOR = 0.75; 95% CI: 0.60, 0.93). Five-minute Apgar score was independently and inversely associated with a neurodevelopmental delay, and the risks were higher even within an Apgar score of 7−8. Hence, the Apgar score may need to be taken into account when evaluating neurodevelopmental outcomes in children.
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36

Rüdiger, M., N. Braun, and H. Küster. "37 A Specified Type of Apgar - Results of the International Test-Apgar Study." Pediatric Research 68 (November 2010): 22. http://dx.doi.org/10.1203/00006450-201011001-00037.

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37

Obsa, Mohammed Suleiman, Getahun Molla Shanka, Misrak Woldayohannes Menchamo, Robera Olana Fite, and Meron Abrar Awol. "Factors Associated with Apgar Score among Newborns Delivered by Cesarean Sections at Gandhi Memorial Hospital, Addis Ababa." Journal of Pregnancy 2020 (January 6, 2020): 1–6. http://dx.doi.org/10.1155/2020/5986269.

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Background. Newborns can be assessed clinically using the Apgar score test to quickly and summarily assess the health of newborn physical condition immediately after delivery and to determine any immediate need for extra medical or emergency care. This study is aimed at assessing factors associated with Apgar score among newborns delivered by cesarean sections and factors associated with Apgar score. Method. Institutional-based cohort study design was conducted. All eligible study participants were included. Training was given for data collectors and supervisors. Regular supervision and follow-up was made. Data was entered into Epi Info version 7 computer software by investigators and was transported to SPSS version 20 computer program for analysis. Bivariate and multivariate analysis was used to identify factors associated with Apgar score. Result. A total 354 newborn babies were included into the study. Majority of baby had low Apgar score at one minute and high Apgar score at five minutes. About 30.2% of newborn baby had Apgar score below seven minutes. On the other hand, about 12.8% of all newborns had low Apgar score at five minutes. It had been found that those neonates who were born when skin incision to delivery time is greater than three minutes were about fourfolds more likely to have low Apgar score than those who were born when skin incision to delivery time is less than three minutes (AOR 3.645) (95% CI (0.116-26.421)). Conclusion. Newborn babies have a low Apgar score at one minute as compared to five minutes. But low Apgar score at five minutes has long-term sequel. Therefore, it is very important to reduce factors associated with low Apgar score at both minutes.
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38

Odintsova, Veronika V., Conor V. Dolan, Catharina E. M. van Beijsterveldt, Eveline L. de Zeeuw, Jenny van Dongen, and Dorret I. Boomsma. "Pre- and Perinatal Characteristics Associated with Apgar Scores in a Review and in a New Study of Dutch Twins." Twin Research and Human Genetics 22, no. 03 (June 2019): 164–76. http://dx.doi.org/10.1017/thg.2019.24.

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AbstractA literature review was carried out to identify pre and perinatal characteristics associated with variation in Apgar scores in population-based studies. The parameters identified in the literature search were included in the classical twin design study to estimate effects of pre and perinatal factors shared and nonshared by twins and to test for a contribution of genetic factors in 1- and 5-min Apgar scores in a large sample of Dutch monozygotic (MZ) and dizygotic (DZ) twins. The sample included MZ and DZ twins (N = 5181 pairs) recruited by the Netherlands Twin Register shortly after birth, with data on prenatal characteristics and Apgar scores at first and/or fifth minutes. The ordinal regression and structural equation modeling were used to analyze the effects of characteristics identified in the literature review and to estimate genetic and nongenetic variance components. The literature review identified 63 papers. Consistent with the review, we observed statistically significant effects of birth order, zygosity and gestational age (GA) for 1- and 5-min Apgar scores of both twins. Apgar scores are higher in first-born versus second-born twins and DZ first-born versus MZ first-born twins. Birth weight had an effect on the 5-min Apgar of the first born. Fetal presentation and mode of delivery had different effects on Apgar scores of first- and second-born twins. Parental characteristics and chorionicity did not have significant main effects on Apgar scores. The MZ twins’ Apgar correlations equaled the DZ Apgar correlations. Our analyses suggest that individual differences in 1- and 5-min Apgar scores are attributable to shared and nonshared pre and perinatal factors, but not to genotypic factors of the newborns. The main predictors of Apgar scores are birth order, zygosity, GA, birth weight, mode of delivery and fetal presentation.
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39

Anggraeni, Novia, Asriani Asriani, and Rauly Rahmadani. "Hubungan antara Durasi Ketuban Pecah Dini dengan APGAR Skor Neonatus." UMI Medical Journal 5, no. 2 (December 30, 2020): 1–7. http://dx.doi.org/10.33096/umj.v5i2.117.

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Latar belakang: Ketuban Pecah Dini (KPD) merupakan kondisi dimana pecahnya selaput ketuban sebelumadanya tanda persalinan. Durasi KPD menjadi salah satu faktor yang dapat mempengaruhi kondisi bayi baru lahir,semakin lama perlangsungan KPD maka akan menyebabkan hipoksia pada janin yang nantinya dapat dinilaimenggunakan APGAR skor. Penelitian ini bertujuan untuk mengetahui apakah terdapat hubungan antara durasiketuban pecah dini dengan APGAR skor neonatus.Metode: Penelitian ini bersifat observasioal analitik dengan design penelitian Cross-sectional. Populasi penelitianini ialah seluruh ibu yang didiagnosis KPD berdasarkan data rekam medik RSUD Syekh Yusuf Gowa periodeJanuari–Desember 2018. Teknik pengambilan sampel menggunakan purposive sampling yang memiliki beberapakriteria dan yang memenuhi sebagai sampel sebanyak 112 ibu dengan KPD.Hasil: Durasi KPD <12 jam didapatkan skor APGAR sedang 12 kasus (10,71%) dan skor APGAR normalsebanyak 64 kasus (57,14%), sedangkan KPD dengan durasi >12 jam didapatkan skor APGAR berat 2 kasus(1,79%), skor APGAR sedang 24 kasus (21,43%) dan skor APGAR normal 36 kasus (32,14%). Analisis bivariatmenggunakan uji Chi-Square diperoleh nilai p=0,000 (p < 0,05).Kesimpulan: Terdapat hubungan antara durasi ketuban pecah dini dengan APGAR skor neonatus.
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40

Farina, Antonio, Luisa Di Luzio, and Nicola Rizzo. "In defense of Apgar scores." American Journal of Obstetrics and Gynecology 180, no. 1 (January 1999): 254. http://dx.doi.org/10.1016/s0002-9378(11)70011-4.

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41

Thorngren-Jerneck, Kristina, and Andreas Herbst. "Low 5-Minute Apgar Score." Obstetrics & Gynecology 98, no. 1 (July 2001): 65–70. http://dx.doi.org/10.1097/00006250-200107000-00012.

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42

Skolnick, Andrew A. "Apgar Quartet Plays Perinatologist's Instruments." JAMA: The Journal of the American Medical Association 276, no. 24 (December 25, 1996): 1939. http://dx.doi.org/10.1001/jama.1996.03540240017009.

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43

Skolnick, A. A. "Apgar quartet plays perinatologist's instruments." JAMA: The Journal of the American Medical Association 276, no. 24 (December 25, 1996): 1939–40. http://dx.doi.org/10.1001/jama.276.24.1939.

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44

Phalen, Ann Gibbons, Sharon Kirkby, and Kevin Dysart. "The 5-Minute Apgar Score." Journal of Perinatal & Neonatal Nursing 26, no. 2 (2012): 166–71. http://dx.doi.org/10.1097/jpn.0b013e31825277e9.

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45

Roberson, Kortnee Y. "APGAR tool for asthma management." Evidence-Based Practice 23, no. 5 (May 2020): 4–5. http://dx.doi.org/10.1097/ebp.0000000000000616.

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46

Stevenson, D. K. "Phil Sunshine: Apgar award recipient." Journal of Perinatology 31, S1 (March 30, 2011): S2—S5. http://dx.doi.org/10.1038/jp.2010.171.

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47

Franchi-Pinto, Carla, Glória Maria Duccini Dal Colletto, Henrique Krieger, and Bernardo Beiguelman. "Genetic effect on apgar score." Genetics and Molecular Biology 22, no. 1 (March 1999): 13–16. http://dx.doi.org/10.1590/s1415-47571999000100003.

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Intraclass correlation coefficients for one- and five-min Apgar scores of 604 twin pairs born at a southeastern Brazilian hospital were calculated, after adjusting these scores for gestational age and sex. The data support a genetic hypothesis only for 1-min Apgar score, probably because it is less affected by the environment than 4 min later, after the newborns have been under the care of a neonatology team. First-born twins exhibited, on average, better clinical conditions than second-born twins. The former showed a significantly lower proportion of Apgar scores under seven than second-born twins, both at 1 min (17.5% vs. 29.8%) and at 5 min (7.2% vs. 11.9%). The proportion of children born with "good" Apgar scores was significantly smaller among twins than among 1,522 singletons born at the same hospital. Among the latter, 1- and 5-min Apgar scores under seven were exhibited by 9.2% and 3.4% newborns, respectively.
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48

Hoppen, Thomas. "Der Apgar-Score — eine Erfolgsgeschichte." pädiatrie: Kinder- und Jugendmedizin hautnah 28, no. 3 (June 2016): 17. http://dx.doi.org/10.1007/s15014-016-0697-8.

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49

Hoppen, Thomas. "Apgar-Score für Frühgeborene ungeeignet." pädiatrie: Kinder- und Jugendmedizin hautnah 28, no. 3 (June 2016): 17. http://dx.doi.org/10.1007/s15014-016-0698-7.

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50

Jain, Lucky, and D. Vidyasagar. "The value of Apgar scores." Indian Journal of Pediatrics 54, no. 5 (September 1987): 679–84. http://dx.doi.org/10.1007/bf02751277.

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