A Clinical Statistics of Apgar Scoring System of Newborn

This clinical observation was made on 6206 newborn delivered at Ewha Womans University Hospital in 1973~1977 to figure out any relations between Apgar score and problems such as maternal age, birth weight, labor duration, gestational period, SPRM, delivery type, meconium were stained baby, mortality. The reults were summarized as followings: 1) Percentage distribution of Apgar score for 6206 newborns was 2.7% for score 0~3, 7.9% for score 4~6, 89.4% for score 7~10. 2) There was a trend to lower score in the newborns in the less or more than the full term of gestation. (38~42wks) 3) There was declining to lower score in the newborns of prolonged labor. (24hr) 4) There was no significant difference between maternal age and Apgar score. 5) There was a trend to lower scores in the newborns of meconium staning, prolonged membrane rupture, not received antenatal care. 6) Apgar score was greatly influenced by the modes of the deliveries : orderly lowered : spontaneous vertex & vaccum delivery, c-section, and breech delivery. 7) Death rate within 3 days of hospitalization after birth was 1.5% of all new born.

A case of Purpura Fulminans

We experienced with a death by the reason of sudden development of purpura fulminans during the illness of measles in 28 months old boy, inspite of the treatment with heparin. We report with autopsy and literatual reviews.