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Evaluation on the Apgar scale



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Evaluation on the Apgar scale


1-3 points - severe asphyxia
4-6 points - moderate asphyxia
7-10 points - indicates the absence of asphyxia

Clinic of moderate to severe asphyxia:


His condition is moderate
Ташки таъсуротларга реакцияси суст
Spontaneous movements
Physiological reflexes are impaired
Skin color cyanotic ("blue asphyxia")
On cardiac auscultation, tachycardia, heart sounds are suffocated
on auscultation of the lungs, faint, wet wheezing is heard

Clinic of severe asphyxia:


The condition is serious or very serious
Low or no muscle tone, spontaneous movements, reaction to external impressions
Physiological reflexes are not summoned in the 1st hour
Skin color blue-white or oozing ("white asphyxia")
Heart sounds muffled, systolic murmur can be heard
Mechanical complications occur when or during labor

Hypoxic shock clinic


Condition is very serious, stuporoz
Brain tumor
Skin color is whitish, flaky
The “white spot” symptom is 3s and more
A / B low or very low
There is no independent breathing
No muscle tone, spontaneous movements, no reaction to external impressions
Eyes closed, reaction to light very slow or absent
Heart sounds muffled, heard only in the epigastric region, rough systolic murmur, dilated heart
Disorders of blood clotting
Evaluation of less than 7 points on the 1st and 5th minute on the Apgar scale
Disorders of vital organs (CNS, respiratory, cardiovascular, urinary and gastrointestinal systems)
Acidosis in the umbilical cord blood (pH <7.2)
Neurological disorders
Diagnostic criteria

Diagnostics

    • Anamnestic data (risk factors leading to perinatal hypoxia)
    • Antenatal monitoring of the fetus (fetal distress)
    • Scores below 7 on the Apgar table
    • Neurological disorders
    • Laboratory tests

Diagnostics

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