First Stage Active Multipara With Apgar Score

 Abstract views: 87


  • Siti Choirul Dwi Astuti Poltekkes Kemenkes Gorontalo
  • Rabia Zakaria



Asphyxia, Multipara, Newborn baby


The APGAR score is a simple method used to assess the general condition of the baby immediately after birth. This assessment is necessary to determine asphyxia in newborns. The APGAR score is influenced by many factors, one of which is the duration of labor. For the longest time it takes for labor to be in the first stage. Maternal parity also determines the duration of the first stage. Monitoring of mothers in labor begins during the active phase of the first stage. The purpose of this study in general was to determine the effect of the first stage of the active multipara phase on the APGAR score. This research method is an observational posttest only control group design with a cross-sectional approach and uses a purposive sampling technique to determine 60 samples. Data analysis using ANOVA test. The results of this study showed a linear relationship between the first stage of the active phase and the APGAR score indicated by the p-value of 0.0001. In conclusion, the shorter the duration of the first stage of the active phase of multiparous APGAR mothers, the score will increase.


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Abdallah, A. Y., Joho, A. A., & Yahaya, J. J. (2021). Influence of maternal lifestyle behaviors on birth weight and Apgar score. International Journal of Africa Nursing Sciences, 15, 100334.

Abukari, A. S., Awuni, N., Yakubu, I., Mohammed, S., Yakubu, A., & Yakubu, S. (2021). Factors associated with low fifth minute Apgar score in term and preterm singleton live births in a Ghanaian hospital. Journal of Neonatal Nursing, 27(6), 476–482.

Alhafez, L., & Berghella, V. (2020). Evidence-based labor management: first stage of labor (part 3). American Journal of Obstetrics and Gynecology MFM, 2(4), 100185.

Aoki, Y., Ide, K., Nakajima, F., Kawasaki, Y., Fujita, Y., Morimoto, E., & Yokoyama, J. (2019). Esophagectomy Surgical Apgar Score May Not Be Associated With Postoperative Morbidity. Seminars in Thoracic and Cardiovascular Surgery, 31(3), 574–580.

Barreto, J. V. P., Pertile, S. F. N., Rego, F. C. de A., Patelli, T. H. C., Nascimento, S. T., Lorenzetti, E., & da Cunha Filho, L. F. C. (2021). Prediction of vitality and survival of newborn lambs using a modified Apgar score. Applied Animal Behaviour Science, 238(February).

Borden, S. B., Maerz, B. J., & Bacon, D. R. (2020). The Rock of Gibraltar: The Value of Mentorship in the Early Years (Dr. Virginia Apgar and Dr. Ralph Waters). Journal of Anesthesia History, 6(2), 49–53.

Churakov, M., Silvera, A. M., Gussmann, M., & Nielsen, P. P. (2021). Parity and days in milk affect cubicle occupancy in dairy cows. Applied Animal Behaviour Science, 244(May), 105494.

Eun, S., Lee, J. M., Yi, D. Y., Lee, N. M., Kim, H., Yun, S. W., Lim, I. S., Choi, E. S., & Chae, S. A. (2016). Assessment of the association between Apgar scores and seizures in infants less than 1 year old. Seizure, 37, 48–54.

Flora, T., Smallman, M., & Kutzler, M. (2020). Developing a modified Apgar scoring system for newborn lambs. Theriogenology, 157, 321–326.

Häggsgård, C., Nilsson, C., Teleman, P., Rubertsson, C., & Edqvist, M. (2021). Women’s experiences of the second stage of labour. Women and Birth, February.

Kahrs, B. H., & Eggebø, T. M. (2021). Intrapartum ultrasound in women with prolonged first stage of labor. American Journal of Obstetrics and Gynecology MFM, 3(6), 100427.

Kim, E. T., Lillie, M., Gallis, J., Hembling, J., McEwan, E., Opiyo, T., Acayo, P., & Baumgartner, J. N. (2021). Correlates of early stimulation activities among mothers of children under age two in Siaya County, Kenya: Maternal mental health and other maternal, child, and household factors. Social Science and Medicine, 287(May 2020), 114369.

Li, G. H., Zhao, L., Lu, Y., Wang, W., Ma, T., Zhang, Y. X., & Zhang, H. (2021). Development and validation of a risk score for predicting postoperative delirium after major abdominal surgery by incorporating preoperative risk factors and surgical Apgar score. Journal of Clinical Anesthesia, 75(February), 110408.

López-Fernández, G., Gómez-Benito, J., & Barrios, M. (2022). The psychometric properties of the parenting scale for Spanish mothers with children aged between 2 and 7 years. Journal of Pediatric Nursing, 62, 60–68.

Murphy, L., Gray, K., Gerkin, R., & Garfield, R. (2021). 1021 Use of electromyography to determine quantitative effects of oxytocin during the 1st stage of labor. American Journal of Obstetrics and Gynecology, 224(2), S632.

Padilla-Leal, K. E., Flores-Guerrero, J. E., & Medina-Franco, H. (2021). Surgical Apgar score as a complication predictor in gastrointestinal oncologic surgery. Revista de Gastroenterología de México (English Edition), 86(3), 259–264.

Rimsza, R., Stout, M. J., Kelly, J., Carter, E. B., Cahill, A. G., & Raghuraman, N. (2021). 670 Neonatal outcomes after cesarean for non-reassuring fetal status in the first stage of labor. American Journal of Obstetrics and Gynecology, 224(2), S421.

Sirenden, H., Sunarno, I., Arsyad, M. A., & Idris, I. (2020). Birth weight, Apgar score, and fetal complications in mothers with severe preeclampsia. Enfermeria Clinica, 30, 533–536.

Sun, Y. F., Chang, Q., Wu, Q. J., Gao, S. Y., Zang, S. T., Liu, Y. S., & Zhao, Y. H. (2021). Association between maternal antenatal depression and neonatal Apgar score: A systematic review and meta-analysis of prospective cohort studies. Journal of Affective Disorders, 278, 264–275.

Swartz, J. J., Rowe, C., Morse, J. E., Bryant, A. G., & Stuart, G. S. (2020). Women’s knowledge of their state’s abortion regulations. A national survey. Contraception, 102(5), 318–326.

Wei, H., Baktash, M. B., Zhang, R., wang, X., Zhang, M., Jiang, S., Xia, Y., Zhao, X., & Hu, W. (2021). Associations of maternal exposure to fine particulate matter constituents during pregnancy with Apgar score and duration of labor: A retrospective study in Guangzhou, China, 2012–2017. Chemosphere, 273(xxxx), 128442.

Wei Kee Tan, V., Lim, A. J. Y., McCrickerd, K., & Forde, C. G. (2022). Sensory profiles and mothers’ expectations and beliefs about age appropriate snacks for infants and toddlers in Singapore. Food Quality and Preference, 97(November 2021).

Williams, M., Sleator, R. D., Murphy, C. P., McCarthy, J., & Berry, D. P. (2022). Exploiting genetic variability in the trajectory of lactation yield and somatic cell score with each progressing parity. Journal of Dairy Science.

Zewude, S. B., Ajebe, T. M., Gessesse, S. S., & Wassie, T. H. (2021). Proportion and predictive factors of low apgar score at five minute among singleton term neonates delivered in Debre Tabor specialized hospital, northwest Ethiopia: A cross-sectional study. International Journal of Africa Nursing Sciences, 15, 100322.




How to Cite

Siti Choirul Dwi Astuti, & Rabia Zakaria. (2022). First Stage Active Multipara With Apgar Score. Embrio : Jurnal Kebidanan, 14(1), 30–37.