Could first-trimester bleeding affect a newborn's Apgar score?
Introduction Vaginal bleeding is a common complication during pregnancy and may contribute to adverse pregnancy outcomes. This study aimed to evaluate the effect of first trimester bleeding on newborns Apgar scores. Methods A retrospective study was conducted on pregnant women who delivered at Shahid Sadoughi hospital…
2025 577 reads 0 citations
Original Articles
Could first-trimester bleeding affect a newborn's Apgar score?
IntroductionVaginal bleeding is a common complication during pregnancy and may contribute to adverse pregnancy outcomes. This study aimed to evaluate the effect of first trimester bleeding on newborns Apgar scores.
MethodsA retrospective study was conducted on pregnant women who delivered at Shahid Sadoughi hospital in Yazd, Iran, between 2022 and 2023. Only singleton, nulliparous, non-diabetic women were included. Participants were divided into two groups: the exposure group (Bleeding Group) and control Group (Non-Bleeding Group), based on archived records. Apgar scores recorded at the first and fifth minutes after birth in newborns file were compared between groups.
ResultsA total of 992 women were included, with 218 in the exposure and 774 in the control groups. The incidence of a first-minute Apgar score <7 was significantly higher in the bleeding group compared to controls (22.5% vs. 6.2%, p = 0.02). However, there was no significant difference in five-minute Apgar scores between groups.
ConclusionThis study demonstrated a positive association between first-trimester vaginal bleeding and a low first-minute Apgar score in newborns.
Keywords First trimester Vaginal bleeding First minute Apgar 5-minute Apgar All subjects
Barw Medical Journal. 2025;3(5):3–6