Increasing trends in a low 5-min Apgar score among (near) term singletons: a Dutch nationwide cohort study (2024)

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Data availability References Acknowledgements Author information Authors and Affiliations Consortia N3 Benchmarking group Contributions Corresponding author Ethics declarations Competing interests Ethical approval Additional information Supplementary information Supplementary files Rights and permissions About this article Cite this article References

Data availability

The data that support the findings of this study are available from Perined but restrictions apply to the availability of these data, which were used under license for the current study, and so are not publicly available. Data are, however, available from the authors upon reasonable request and with permission of Perined.

References

  1. WHO Guidelines Approved by the Guidelines Review Committee. Guidelines on Basic Newborn Resuscitation. Geneva: World Health Organization Copyright © 2012, World Health Organization; 2012.

    Google Scholar

  2. Lawn JE, Cousens S, Zupan J. 4 million neonatal deaths: when? Where? Why? Lancet. 2005;365:891–900.

    Article PubMed Google Scholar

  3. Evers AC, Brouwers HA, Nikkels PG, Boon J, Vane-L A, Groenendaal F, et al. Substandard care in delivery-related asphyxia among term infants: prospective cohort study. Acta Obstet Gynecol Scand. 2013;92:85–93.

    Article PubMed Google Scholar

  4. Pappas A, Korzeniewski SJ. Long-term cognitive outcomes of birth asphyxia and the contribution of identified perinatal asphyxia to cerebral palsy. Clin Perinatol. 2016;43:559–72.

    Article PubMed Google Scholar

  5. Thornberg E, Thiringer K, Odeback A, Milsom I. Birth asphyxia: incidence, clinical course and outcome in a Swedish population. Acta Paediatr. 1995;84:927–32.

    Article CAS PubMed Google Scholar

  6. Apgar V. A proposal for a new method of evaluation of the newborn infant. Curr Res Anesth Analg. 1953;32:260–7.

    Article CAS PubMed Google Scholar

  7. Committee Opinion No. 644. The Apgar score. Obstet Gynecol. 2015;126:e52–5.

    Article Google Scholar

  8. Hogan L, Ingemarsson I, Thorngren-Jerneck K, Herbst A. How often is a low 5-min Apgar score in term newborns due to asphyxia? Eur J Obstet Gynecol Reprod Biol. 2007;130:169–75.

    Article PubMed Google Scholar

  9. Persson M, Razaz N, Tedroff K, Joseph KS, Cnattingius S. Five and 10 min Apgar scores and risks of cerebral palsy and epilepsy: population based cohort study in Sweden. Bmj. 2018;360:k207.

    Article PubMed PubMed Central Google Scholar

  10. Ehrenstein V, Pedersen L, Grijota M, Nielsen GL, Rothman KJ, Sørensen HT. Association of Apgar score at five minutes with long-term neurologic disability and cognitive function in a prevalence study of Danish conscripts. BMC Pregnancy Childbirth. 2009;9:14.

    Article PubMed PubMed Central Google Scholar

  11. Lie KK, Grøholt EK, Eskild A. Association of cerebral palsy with Apgar score in low and normal birthweight infants: population based cohort study. Bmj. 2010;341:c4990.

    Article PubMed PubMed Central Google Scholar

  12. Ehrenstein V, Sørensen HT, Pedersen L, Larsen H, Holsteen V, Rothman KJ. Apgar score and hospitalization for epilepsy in childhood: a registry-based cohort study. BMC Public Health. 2006;6:23.

    Article PubMed PubMed Central Google Scholar

  13. Ensing S, Abu-Hanna A, Schaaf JM, Mol BW, Ravelli AC. Trends in birth asphyxia, obstetric interventions and perinatal mortality among term singletons: a nationwide cohort study. J Matern Fetal Neonatal Med. 2015;28:632–7.

    Article PubMed Google Scholar

  14. Ravelli ACJ, Eskes M, de Groot CJM, Abu-Hanna A, van der Post JAM. Intrapartum epidural analgesia and low Apgar score among singleton infants born at term: a propensity score matched study. Acta Obstet Gynecol Scand. 2020;99:1155–62.

    Article CAS PubMed Google Scholar

  15. Immink MM, Koole S, Bekker MN, Groenendaal F, Kemmeren JM, de Melker HE, et al. Background incidence rates of adverse pregnancy outcomes in the Netherlands: Data of 2006–2018. Eur J Obstet Gynecol Reprod Biol. 2021;256:274–80.

    Article PubMed Google Scholar

  16. Méray N, Reitsma JB, Ravelli AC, Bonsel GJ. Probabilistic record linkage is a valid and transparent tool to combine databases without a patient identification number. J Clin Epidemiol. 2007;60:883–91.

    Article PubMed Google Scholar

  17. Been JV, Burgos Ochoa L, Bertens LCM, Schoenmakers S, Steegers EAP, Reiss IKM. Impact of COVID-19 mitigation measures on the incidence of preterm birth: a national quasi-experimental study. Lancet Public Health. 2020;5:e604–11.

    Article PubMed PubMed Central Google Scholar

  18. Ravelli ACJ, Eskes M, van der Post JAM, Abu-Hanna A, de Groot CJM. Decreasing trend in preterm birth and perinatal mortality, do disparities also decline? BMC Public Health. 2020;20:783.

    Article PubMed PubMed Central Google Scholar

    See Also
    ApgarScore-v1.1(2022NL) - ZorginformatiebouwstenenHypoxic-ischemic encephalopathy and the Apgar scoring... : Journal of Clinical Sciences

  19. Hoftiezer L, Hof MHP, Dijs-Elsinga J, Hogeveen M, Hukkelhoven C, van Lingen RA. From population reference to national standard: new and improved birthweight charts. Am J Obstet Gynecol. 2019;220:383.e1–e17.

    Article PubMed Google Scholar

  20. Verhoeven CJM, Boer J, Kok M, Nieuwenhuijze M, de Jonge A, Peters LL. More home births during the COVID-19 pandemic in the Netherlands. Birth. 2022;49:792–804.

    Article PubMed Google Scholar

  21. Razaz N, Cnattingius S, Persson M, Tedroff K, Lisonkova S, Joseph KS. One-minute and five-minute Apgar scores and child developmental health at 5 years of age: a population-based cohort study in British Columbia, Canada. BMJ Open. 2019;9:e027655.

    Article PubMed PubMed Central Google Scholar

  22. Odd DE, Rasmussen F, Gunnell D, Lewis G, Whitelaw A. A cohort study of low Apgar scores and cognitive outcomes. Arch Dis Child Fetal Neonatal Ed. 2008;93:F115–20.

    Article CAS PubMed Google Scholar

  23. Iliodromiti S, Mackay DF, Smith GC, Pell JP, Nelson SM. Apgar score and the risk of cause-specific infant mortality: a population-based cohort study. Lancet. 2014;384:1749–55.

    Article PubMed Google Scholar

  24. Siddiqui A, Cuttini M, Wood R, Velebil P, Delnord M, Zile I, et al. Can the Apgar score be used for international comparisons of newborn health? Paediatr Perinat Epidemiol. 2017;31:338–45.

    Article PubMed Google Scholar

  25. EUROPEAN PERINATAL HEALTH REPORT: Core indicators of the health and care of pregnant women and babies in Europe from 2015 to 2019. [Available from: https://www.europeristat.com/images/Euro-Peristat_Fact_sheets_2022_for_upload.pdf.

  26. O’Donnell CP, Kamlin CO, Davis PG, Carlin JB, Morley CJ. Interobserver variability of the 5-minute Apgar score. J Pediatr. 2006;149:486–9.

    Article PubMed Google Scholar

  27. Bashambu MT, Whitehead H, Hibbs AM, Martin RJ, Bhola M. Evaluation of interobserver agreement of apgar scoring in preterm infants. Pediatrics. 2012;130:e982–7.

    Article PubMed Google Scholar

  28. Selvaratnam RJ, Wallace EM, Davis PG, Rolnik DL, Fahey M, Davey MA. The 5-minute Apgar score and childhood school outcomes. Acta Paediatr. 2022;111:1878–84.

    Article PubMed Google Scholar

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Acknowledgements

The authors thank all Dutch midwives, obstetricians, neonatologists and other perinatal healthcare providers for the registration of perinatal information.

Author information

Authors and Affiliations

  1. Department of Neonatology, Emma Children’s Hospital, Amsterdam University Medical Centers, Amsterdam, the Netherlands

    C. E. Tacke,W. Onland&F. A. M. van den Dungen

  2. Amsterdam Reproduction & Development Research Institute, Amsterdam, the Netherlands

    C. E. Tacke,W. Onland&F. A. M. van den Dungen

  3. Department of Obstetrics and Gynaecology, Amsterdam University Medical Centers, Amsterdam, the Netherlands

    P. C. A. M. Bakker&A. C. J. Ravelli

  4. Department of Neonatology, Wilhelmina Children’s Hospital, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands

    F. Groenendaal

  5. Perined, Utrecht, the Netherlands

    A. N. Rosman,L. Broeders,S. Koole&G. de Winter

  6. Division of Neonatology, Department of Neonatal and Paediatric Intensive Care, Erasmus MC Sophia Children’s Hospital, University Medical Centre Rotterdam, Rotterdam, the Netherlands

    J. V. Been&R. F. Kornelisse

  7. Department of Obstetrics and Gynaecology, Erasmus MC Sophia Children’s Hospital, University Medical Centre Rotterdam, Rotterdam, the Netherlands

    J. V. Been

  8. Department of Medical Informatics, Amsterdam University Medical Centers, Amsterdam, the Netherlands

    A. C. J. Ravelli

  9. Department of Neonatology, Amalia Children’s Hospital, Radboud University Medical Center, Nijmegen, the Netherlands

    T. A. J. Antonius

  10. Division of Neonatology, department of pediatrics, Beatrix Children’s Hospital, University Medical Centre Groningen, Groningen, the Netherlands

    P. H. Dijk

  11. Department Neonatology, Maxima Medical Center, Veldhoven, the Netherlands

    K. P. Dijkman

  12. Department of Neonatal Intensive Care Unit, Isala Women and Children’s Hospital, Isala Hospital, Zwolle, the Netherlands

    F. A. B. A. Schuerman

  13. Department of Neonatology, Maastricht University Medical Center, Maastricht, the Netherlands

    E. van Westering-Kroon

  14. Division of Neonatology, Leiden University Medical Center, Leiden, the Netherlands

    R. S. G. M. Witlox

Authors

  1. C. E. Tacke

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  2. W. Onland

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  3. P. C. A. M. Bakker

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  4. F. Groenendaal

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  5. A. N. Rosman

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  6. L. Broeders

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  7. J. V. Been

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  8. A. C. J. Ravelli

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Consortia

N3 Benchmarking group

  • T. A. J. Antonius
  • ,P. H. Dijk
  • ,K. P. Dijkman
  • ,F. A. M. van den Dungen
  • ,F. Groenendaal
  • ,S. Koole
  • ,R. F. Kornelisse
  • ,W. Onland
  • ,F. A. B. A. Schuerman
  • ,C. E. Tacke
  • ,E. van Westering-Kroon
  • ,R. S. G. M. Witlox
  • &G. de Winter

Contributions

CT contributed to the design of the study, wrote initial draft of the manuscript, reviewed and revised the manuscript and approved the final manuscript as submitted. AR contributed to the design of the study, performed the analysis, reviewed and revised the manuscript and approved the final manuscript as submitted. WO, PB, FG, AR, LB, and JB contributed to the design of the study, reviewed and revised the manuscript and approved the final manuscript as submitted. All members of the N3 benchmarking groupcontributed to the data collection and approved the final manuscript as submitted.

Corresponding author

Correspondence to C. E. Tacke.

Ethics declarations

Competing interests

The authors declare no competing interests.

Ethical approval

The committee for research and ethics of Perined approved the study protocol (Perined approval 21.13). The registry contains anonymous data and takes the European privacy policy into account. Medical ethical approval and individual informed consent for participation were not necessary.

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Increasing trends in a low 5-min Apgar score among (near) term singletons: a Dutch nationwide cohort study (1)

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Tacke, C.E., Onland, W., Bakker, P.C.A.M. et al. Increasing trends in a low 5-min Apgar score among (near) term singletons: a Dutch nationwide cohort study. J Perinatol 44, 217–223 (2024). https://doi.org/10.1038/s41372-023-01786-2

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  • DOI: https://doi.org/10.1038/s41372-023-01786-2

Increasing trends in a low 5-min Apgar score among (near) term singletons: a Dutch nationwide cohort study (2024)

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