Table 1.
Number of low-Apgar cases and CESDI classification
|
Oct 1994
|
Oct-Nov 1995
|
Dec 1995-Sept 1996
|
Aug-Dec 1997
|
Jan-July 1998
|
Aug 1998-Jan 1999
|
|
|---|---|---|---|---|---|---|
| Baseline | Audit 1 | Audit 2 | Audit 3 | Audit 4 | Audit 5 | |
| No. of deliveries | 451 | 852 | 4220 | 1981 | 2467 | 2494 |
| Low Apgar scores at 1 min | 19 (4.2%) | 29 (3%) | 189 (4.5%) | 101 (5%) | 69 (3%) | 80 (3%) |
| Low Apgar scores at 5 min | 9 (1.9%) | 11 (1.29%) | 81 (2%) | 43 (2%) | 35 (1%) | 46 (2%) |
| No. of cases | 19 (4%) | 31 (4%) | 204 (5%) | 108 (5.5%) | 82 (3%) | 96 (4%) |
| 37-42 wk gestation | 17 (89.5%) | 20 (64.5%) | 131 (64%) | 71 (66%) | 47 (57%) | 61 (63.5%) |
| <37 wk gestation | 2 (10.5%) | 11 (35%) | 73 (36%) | 37 (34%) | 35 (43%) | 35 (36.5%) |
| Grade III | 10 (53%) | 4 (13%) | 11 (5.5%) | 10 (9%) | 7 (8.5%) | 5 (5.25%) |
| Grade II | 4 (21%) | 3 (10%) | 43 (21%) | 19 (18%) | 19 (23%) | 4 (4%) |
| Grade I | 1 (4%) | 4 (13%) | 39 (19%) | 29 (27%) | 11 (13.5%) | 9 (9.5%) |
| Grade 0 | 4 (21%) | 20 (64%) | 111 (54.5%) | 50 (46%) | 45 (55%) | 78 (81.25%) |
| Cord pH measured | 10 (53%) | 17 (55%) | 119 (58%) | 65 (60%) | 57 (69.5%) | 70 (73%) |
| pH < 7.20 | 2 (20%) | 7 (41%) | 43 (36%) | 22 (34%) | 14 (25%) | 25 (26%) |
| Term babies with low Apgar scores admitted to neonatal unit (% total deliveries) | 8 (1.77%) | 6 (0.7%) | 30 (0.7%) | 23 (1.17%) | 12 (0.48%) | 15 (0.6%) |
| CESDI=Confidential Enquiries into Stillbirths and Deaths in Infancy. | ||||||