A weighted risk index for antenatal prediction of perinatal outcome
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J. L. Gomez
Abstract
Objective: The hypothesis is that a risk score derived from the risk index (RI) is correlated with perinatal outcomes.
Study design: The RI is a weighted numerical score based on gestational risk factors applied to 782 gravidas antepartum. Management was independent of the score. Birth weight, Apgar scores, and cesarean birth were correlated with risk score.
Results: The break point score in this non-Gaussian cohort was 6. Using 6, 80. 2% were low and 19.8% high risk. Birth weight < 2500 gm was inversely correlated (p < .001) and occurred in 13% of the high risk (36) and 4.9% of the low risk (< 6) group, relative risk (RR) 2.7. C-section correlated (p < .001), and occurred in 51% of the high and 23% of the low risk group, RR 2.4. risk score inversely correlated with 5 minute Apgar (RR 4.7 p < .002) but not the 1 minute Apgar score.
Conclusion: The RI identified gravidas at risk for low birth weight, low 5 minute Apgar score, and cesarean birth.
Copyright © 2002 by Walter de Gruyter GmbH & Co. KG
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Articles in the same Issue
- Vitamin A supplementation ameliorates butyric acid-induced intestinal mucosal injury in newborn rats
- Effect of amino acids on glucose tolerance and hyperkalemia in very low birth weight infants
- Steroidogenesis patterns in common trisomies
- A weighted risk index for antenatal prediction of perinatal outcome
- Acute side effects of surfactant treatment
- Neonatal sepsis of nosocomial origin: an epidemiological study from the "Grupo de Hospitales Castrillo"
- Ischemic reperfusion brain injury in fetal transgenic mice with elevated levels of copper-zinc superoxide dismutase
- Neonatal hyperbilirubinemia and Gilbert's syndrome
- Prenatal diagnosis and postnatal outcome of cardiac rhabdomyomas
- HPA-1 carrier status and thrombocytopenia in preterm infants with a birth weight below 1500 grams
- Sacrococcygeal teratoma. Outcome and management. An analysis of 17 cases
- Treatment of severe cholestasis in neonatal Dubin-Johnson syndrome with ursodeoxycholic acid
- Urinary bladder perforation in a very low birth weight infant. A case report
- Book review
- Congress Calendar
