Anesthesia & Clinical Research
Open Access

Humberto S Machado

Publications

• Research Article
  Is Epidural Analgesia a Predictor of Low Newborn Apgar? A Hospital-Based Observational Study
  Author(s): Alexandra Saraiva, Sónia Duarte, Filipa Lagarto, Helena Figueira, Catarina S Nunes, Paulo Lemos and Humberto S Machado Alexandra Saraiva, Sónia Duarte, Filipa Lagarto, Helena Figueira, Catarina S Nunes, Paulo Lemos and Humberto S Machado
  
  A painful labor induces adverse maternal effects and increases fetal stress, yet evidence of lack of adverse effect of epidural anesthesia to the newborn Apgar score has been inconsistent. The aim of this study was to investigate maternal, newborn and anesthetic factors associated with a low Apgar score, in particular the effect of modality and timing of epidural analgesia, since this may allow for an appropriate neonatal care planning. We retrospectively analyzed the labor process of 1850 out of 2006 parturients/participants/deliveries at Centro Hospitalar do Porto in 2014. Our primary outcome was newborn Apgar score at fifth minute post-partum. Statistical significance was set as a p value inferior to 0.05. Seventy-one newborns (3.8%) had Apgar score below 7 and 1779 (96.2%) above or equal to 7 at fifth minute. None of the variables identified.. View More»
  DOI: 10.4172/2155-6148.1000565

  Abstract PDF

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