Correlation between apgar score and acid-basestatus of the newborn

ABSTRACT

In a trial to determine the correlation between Apgar score and umbilical blood sampling, 30 newborns delivered at Tanta University Hospital were subjected to umbilical arterial pH and blood gases determination as soon as possible after delivery. At the same time, Apgar score was determined for every baby at one and five minutes. This study revealed poor correlation between Apgar state at one minute and the acid-base status of the newborn where only 16.67% of babies with Apgar score 7 had acidemia [pH 7.2], whereas 8.33% of babies with score 7 had acidemia. Therefore, umbilical cord blood sampling seems to be a more promising method for evaluation of the newborn and for its management immediately after birth