The Effects of Birth Weight on Newborn Apgar Score with Other Potential Medical and Child Risk Factors, Brussels Cohort Study

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DOI: 10.21522/TIJPH.2013.05.04.Art017

Authors : Jerry-Jonas mbasha


The new born weight is one of the major indicator providing information of the nine months’ intrauterine life and may predict the survival rate of new born. In fact, birthweight is one of the most accessible and most misunderstood variables in epidemiology. A baby’s weight at birth is strongly associated with mortality risk during the first year and, to a lesser degree, with developmental problems in childhood and the risk of various diseases in adulthood. Epidemiological analyses often regard birthweight as on the causal pathway to these health outcomes. Under this assumption of causality, birthweight is used to explain variations in infant mortality and later morbidity, and is also used as an intermediate health endpoint in itself.


[1].     Altman M, Sandström A, Petersson G, Frisell T, Cnattingius S, Stephansson O. Prolonged second stage of labor is associated with low Apgar score. Eur J Epidemiol. Springer Netherlands; 2015;30 (11):1209–15.

[2].     Graham S, Pulver LRJ, Wang YA, Kelly PM, Laws PJ, Grayson N, et al. The urban-remote divide for Indigenous perinatal outcomes. Med J Aust. 2007; 186 (10):509–12.

[3].     Hemming K, Hutton JL, Glinianaia S V, Jarvis SN, Platt MJ. Differences between European birthweight standards: impact on classification of “small for gestational age”. Dev Med Child Neurol. 2006; 48(11):906–12.

[4].     ISSN 2347-954X (Print) © Scholars Academic and Scientific Publisher (An International Publisher for Academic and Scientific Resources) Maternal Obstetric and Morbidity Factors in Re ... 2016; (May).

[5].     J Pharm et al. Maternal Socio-demographic factors and anthropometric characteristics related to infant birth weight. 2013; 29(13):788–97.

[6].     Lie KK, Grøholt E-K, Eskild A. Association of cerebral palsy with Apgar score in low and normal birthweight infants: population based cohort study. BMJ. 2010; 341(oct06_6):c4990.

[7].     Levine EM, Ghai V, Barton JJ, Strom CM. Mode of delivery and risk od respiratory diseases in newborns. Obstet Gynecol. 2001; 97(6):1025–6.

[8].     Malin G, Morris R, Ahmad S, Riley R, Khan K. PP.03 Does the Apgar Score Matter? Investigating the Relationship Between a Low Score and Adverse Outcomes from Birth to Childhood. Arch Dis Child - Fetal Neonatal Ed. 2013; 98(Suppl 1):A83–A83.

[9].     Michalczuk M, Urban B, Chrzanowska-Grenda B, Ozi?? b?? o-Kupczyk M, Bakunowiczazarczyk A. An influence of birth weight, gestational age, and apgar score on pattern visual evoked potentials in children with history of prematurity. Neural Plast. 2015; 2015.

[10].  Montgomery KS. Apgar Scores: Examining the Long-term Significance. J Perinat Educ an ASPO/Lamaze Publ. 2000; 9(3):5–9.

[11].  Mori R, Shiraishi J, Negishi H, Fujimura M. Predictive value of Apgar score in infants with very low birth weight. Acta Paediatr Int J Paediatr. 2008; 97(6):720–3.

[12].  Negrini R, Assef LC, F DSC, E AJ. Delivery modes and the neonatal outcomes of low birth-weight neonates in a Brazilian reference health center Neonatální výsledky u novorozenců nízké porodní hmotnosti v brazilském referenčním centru polikliniky. 2016; 366–71.

[13].  Paper C. Hristova I., Zlatkov G., Slancheva B., Vakrilova L., Dimitrova V. Mode of delivery, condition at birth and mortality rate of very low birth weight neonates. Mode of delivery, condi... 2016; (May).

[14].  Salustiano EMA, Campos JADB, Ibidi SM, Ruano R, Zugaib M. Low Apgar scores at 5 minutes in a low risk population: maternal and obstetrical factors and postnatal outcome. Rev Assoc Med Bras. 2012; 58(5):587–93.

[15].  Straube S, Voigt M, Jorch G, Hallier E, Briese V, Borchardt U. Investigation of the association of Apgar score with maternal socio-economic and biological factors: An analysis of German perinatal statistics. Arch Gynecol Obstet. 2010; 282(2):135–41.

[16].  The INTERGROWTH-21 st Project. WwwThelancetCom. 2014; 384:857–68.

[17].  Vos B, Senterre C, Lagasse R, Levêque A. Newborn hearing screening programme in Belgium: a consensus recommendation on risk factors. BMC Pediatr. BMC Pediatrics; 2015; 15(1):160.

[18].  Villar J, Cheikh Ismail L, Victora CG, Ohuma EO, Bertino E, Altman DG, et al. International standards for newborn weight, length, and head circumference by gestational age and sex: the Newborn Cross-Sectional Study of WHO recommendations on interventions to improve preterm birth outcomes. 2015;

[19].  Wilcox AJ. On the importance--and the unimportance--of birthweight. Int J Epidemiol. 2001; 30(6):1233–41.