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

Objective: To investigate trends in low Apgar scores in (near) term singletons using the Dutch Perinatal Registry. Methods: In a cohort of 1,583,188 singletons liveborn ≥35 weeks of gestation in the period 2010–2019, we studied trends in low 5-min Apgar scores (<7 and <4) using Cochrane Armitage trend tests. Results: The proportion of infants with low Apgar scores <7 and <4 increased significantly between 2010–2019 (1.04–1.42% (p < 0.001), 0.17–0.19% (p = 0.009), respectively). Neonatal mortality remained unchanged. Induction of labour, epidural analgesia and planned caesarean s... Mehr ...