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KMID : 0438219730100010461
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Korea University Medical Journal
1973 Volume.10 No. 1 p.461 ~ p.467
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The Statistical Study of the Apgar Score in Toxemic Baby
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Abstract
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The toxemia of pregnancy is still the most important problem in obstetrical field. The statistical analysis of the Apgar score of the babies in toxemia of pregnancy of 305 cases among 4717 deliveries was made.
The results obtained were as follows;
1. The incidence of toxemia of pregnancy was 6.5%.
2. The incidence of toxemic delivery in primipara was 55.7% and 44.3% in multipara.
3. The-eclamptic delivery was 188 (61.6%), eclamptic 39 (12.8%), chronic hypertensive vascular disease 31 (10%), chronic hypertension superimposed with toxemia 28 (9.3%), and 19 (6.3%) of unclassified cases.
4. The Apgar score in the toxemic baby has revealed neonatal depression in 29.2%, while the non-toxemic has 15.8%.
5. The spontaneous vertex vaginal deliveries of the toxemia were 183 (60.0%), vacuum extraction 49 (16.1%), Cesarean section 28 (9.1%), twin delivery 12 (3.9%), breech delivery 20 (6.6%) and miscellaneous 13 (4.3%) cases. In the toxemic group, the obstetrical interventions were required 16.9% more than in the non-toxemics.
6. The distribution of the neonatal depression was more prevalent; in the order, named eclampsia, chronic hypertension super-imposed with toxemia, severe pre-eclampsia, chronic hypertension, and mild pre-eclampsia. Namely, in eclampsia and chronic hypertension superimposed with toxemia, the neonatal depression was most conspicuous.
7. In the low birth weight baby, there were 17.7% of neonatal depression in the toxemic delivery as compared with 4.5% in the non-toxemic cases, while, in normal birth weight group, 11.5% showed neonatal depression in the toxemic babies and 11.3% in the non-toxemics.
8. There were 20.0% of the neonatal depression in the group A (only hypotensives and diuretics are used)., 26.6% in the group B (the sedatives are used in combination with the group A). 58.6% in the group C (the anti-convulsants are used with the group B).
9. The perinatal mortality of the the toxemic babies was 10.1%, as compared with 5.4% in the nontoxemic babies.
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