A critical appraisal of tools for delivery room assessment of the newborn infant.
Journal
Pediatric research
ISSN: 1530-0447
Titre abrégé: Pediatr Res
Pays: United States
ID NLM: 0100714
Informations de publication
Date de publication:
30 Dec 2021
30 Dec 2021
Historique:
received:
20
08
2021
accepted:
19
11
2021
pubmed:
1
1
2022
medline:
1
1
2022
entrez:
31
12
2021
Statut:
aheadofprint
Résumé
Assessment of an infant's condition in the delivery room represents a prerequisite to adequately initiate medical support. In her seminal paper, Virginia Apgar described five parameters to be used for such an assessment. However, since that time maternal and neonatal care has changed; interventions were improved and infants are even more premature. Nevertheless, the Apgar score is assigned to infants worldwide but there are concerns about low interobserver reliability, especially in preterm infants. Also, resuscitative interventions may preclude the interpretation of the score, which is of concern when used as an outcome parameter in delivery room intervention studies. Within the context of these changes, we performed a critical appraisal on how to assess postnatal condition of the newborn including the clinical parameters of the Apgar score, as well as selected additional parameters and a proposed new scoring system. The development of a new scoring system that guide clinicians in assessing infants and help to decide how to support postnatal adaptation is discussed. IMPACT: This critical paper discusses the reliability of the Apgar score, as well as additional parameters, in order to improve assessment of a newborn's postnatal condition. A revised neonatal scoring system should account for infant maturity and the interventions administered. Delivery room assessment should be directed toward determining how much medical support is needed and how the infant responds to these interventions.
Identifiants
pubmed: 34969993
doi: 10.1038/s41390-021-01896-7
pii: 10.1038/s41390-021-01896-7
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Investigateurs
Anne Lee Solevåg
(AL)
Inmaculada Lara-Cantón
(I)
Shiraz Badurdeen
(S)
Janneke Dekker
(J)
Peter Davis
(P)
Calum Roberts
(C)
Arjan Te Pas
(A)
Máximo Vento
(M)
Marieke den Boer
(M)
Heidi Meredith Herrick
(HM)
Mario Rüdiger
(M)
Maxi Kaufmann
(M)
Heidi Aichner
(H)
Samir Gupta
(S)
Willem deBoode
(W)
Charles Christoph Roehr
(CC)
Britt Nakstad
(B)
Stuart Hooper
(S)
Natalie Batey
(N)
Caroline Henry
(C)
Shalabh Garg
(S)
Michael Wagner
(M)
Michel Valstar
(M)
Thomas Smith
(T)
Don Sharkey
(D)
Informations de copyright
© 2021. The Author(s), under exclusive licence to the International Pediatric Research Foundation, Inc.
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