بررسی رابطه بین عدد آپگار با گازهای خون شریانی ساعت اول تولد

Background: Although، the high efficacy of Apgar score to find the neonates who have respiratory distress، a low number of Apgar score couldn’t determine asphyxia definitely، and other factors could reduce it، too. Methods: This case control study was carried out in Mirza Koochak Khan hospital. Arterial blood gas in the first hour and Apgar score in minute 5 were evaluated in subjects (half of them had an Apgar score below 7 and the rest were 7 or over). Furthermore، the kind of delivery، gravidity، gender and gestational age were investigated. Results: All of neonates were divided into two groups based on Apgar score (below 7 or over). Each group consisting of 100 newborns. We found a significant association between Apgar score and ABG in the first hour of life (pH and BE being the most important factors of ABG). In this study a positive effect was shown in male gender، the Cesarean delivery and gestational age over 37w on the association between Apgar score and ABG. conclusion: According to an association between Apgar score and ABG، ABG is recommended as a routine procedure in neonates with a low Apgar