Virginia Apgar (1909-1974). | Semantic Scholar (2024)

Virginia Apgar created a scoring system using five easily assessable measurements, including heart rate and breathing rate, to evaluate whether or not infants would benefit from medical attention immediately after birth, leading to a decrease in infant mortality rates in the mid-twentieth century and into the twenty-first century.

US and British movements advanced obstetric anesthesia from the early 1900s to the present, with British women formed the National Birthday Trust Fund to decrease mortality, and make modern pain relief during childbirth available.

The incidence of asphyxia in term and near-term infants is higher than that reported in developed countries and Apgar score at 10 minutes and need for adrenaline remain important factors in predicting poor outcome in infants with asphyxia.

A retrospective investigation of pregnant women undergoing screening for Gestational diabetes mellitus at Vejle County Hospital, Denmark found that pre-screening did not identify GDM and the screening to predict adverse clinical outcome was not effective.

Leitbilder derMedizin unsererTage sind: genaue Daten, Werte, Zahlen, Scoring von der Geburt bis zum Tod, der Autor des einleitenden Zitats dürfte im Zusammenhang mit der Neonatologie and dem Apgar-Scoring nur Wenigen bekannt sein.

The Apgar Score is useful in assessing the condition of the infant at birth but should not be used as evidence that neurologic damage was caused by hypoxia that results in neurological injury or from inappropriate intrapartum treatment.

It appears that while both birth‐weight and Apgar scores at one and five minutes have predictabilityvalue regarding neurological abnormality at one year, this predictability value increases considerably when birth‐ Weight and five‐minute scores are combined.

The role of oxygen in the physiological recovery of the fetus and the therapy of fetal anoxia is examined from the dual aspect of some recent newer knowledge and a critical appraisal of the results of current research.

The score was found to be a measure of the relative handicaps suffered by infants born prematurely, delivered spontaneously at term, delivered by cesarean section, or subjected to other obstetrical and anesthetic hazards.

General anesthesia was compared with regional anesthesia as to its effects on mother and fetus in 2,856 vagin*l deliveries at term, and infants born with the mother undergeneral anesthesia, specifically cycopropane, were more depressed than those born withThe mother under regional anesthesia.

Almost one third of this 492-page book is devoted to a presentation of heredity, reproduction, and intrauterine development that provides just the right balance of complexity and wonderment to help the lay reader understand the potential causes of birth defects.

No significant correlation was found between levels of blood oxygen content measured in the first 3 hours after birth and intelligence as gauged by Stanford-Binet testing in early childhood, and an incidental finding is the meager value of the Gesell developmental rating of adaptive behavior in predicting the Cardinal intelligence quotient as measured at approximately 5 years of age.

Transmission of mepivacaine hydrochloride (Carbocaine) across the placenta was studied in 56 healthy women at term who received epidural analgesia during labor and delivery; Twelve infants were depressed at birth; in 5, blood levels of the drug were significantly higher than those found in vigorous babies.

Routine gastric catheterization and aspiration are valuable diagnostic procedures for patients with hydramnios in which special emphasis should be placed on lesions in which there is urgent need for correction of respiratory obstruction, early surgery, or both.

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