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The Apgar Score helped decrease the infant mortality rate

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Re: The Apgar Score helped decrease the infant mortality rate

#32
post #11
post #3

Having recently had a child, I learned about APGAR and marveled how the emotional "is my baby ok" was put into a super easy process. The chart from the article can be followed by absolutely anyone and babies can be sent to specialists as needed - or not. As the article mentions, it may not get everything 100% right, but it's useful enough - and more importantly easy enough - to save a lot of lives. I can highly recom…

It was great to hear him being 8/10 and soon up to 9/10. So comforting and removing all that unnecessary fear. Days and hours right before that moment were so exhausting that simple number was easy to process.

My father-in-law is a doctor and he jokingly told me when my daughter was born, that only the babies of doctors who work in the hospital get 10/10

Re: The Apgar Score helped decrease the infant mortality rate

#33
post #3

Having recently had a child, I learned about APGAR and marveled how the emotional "is my baby ok" was put into a super easy process. The chart from the article can be followed by absolutely anyone and babies can be sent to specialists as needed - or not. As the article mentions, it may not get everything 100% right, but it's useful enough - and more importantly easy enough - to save a lot of lives. I can highly recom…

The ABC's are helpful for just about any emergent medical situation. From first responders to paramedics, we are hammered to remember and implement the ABC's. You can do a lot with very basic knowledge.

Correcting problems with the systems associated with the ABC's is more knowledge and experienced based. A good basic first aid and CPR class will get you a lot of that knowledge. From there, staying calm and calling 911 is vital if you are US based.

A - Airway / B - Breathing / C - Circulation

Re: The Apgar Score helped decrease the infant mortality rate

#35
post #3

Having recently had a child, I learned about APGAR and marveled how the emotional "is my baby ok" was put into a super easy process. The chart from the article can be followed by absolutely anyone and babies can be sent to specialists as needed - or not. As the article mentions, it may not get everything 100% right, but it's useful enough - and more importantly easy enough - to save a lot of lives. I can highly recom…

After my daughter was born, my parents showed me the booklet containing the results of the routine examinations I had as a child (where I come from, this booklet has been standardized for decades, so it can be compared pretty easily). Interestingly, we both had the exact same Apgar scores 6 / 10 / 10 (scores are measured 1, 5 and 10 minutes after birth).

For the emotional "is my baby ok" aspect, before you are even interested in the Apgar scores, you automatically and instinctively do a quick "is everything there" check, even if you know that to be the case because of the ultrasound examinations.

Re: The Apgar Score helped decrease the infant mortality rate

#36
post #6
post #3

Having recently had a child, I learned about APGAR and marveled how the emotional "is my baby ok" was put into a super easy process. The chart from the article can be followed by absolutely anyone and babies can be sent to specialists as needed - or not. As the article mentions, it may not get everything 100% right, but it's useful enough - and more importantly easy enough - to save a lot of lives. I can highly recom…

> I can highly recommend anyone to read about the process of medical emergency triage in general Any recommendations? I had a search about but didn't find anything much beyond basic explanations of the term.

If you're in the US, a recommendation is to look up your local CERT[0] organization - they usually have free or low cost classes and other learning opportunities. Triage is an important part, as is preparing for disasters that are relevant for your community. Going further, a basic first aid and/or CPR class is good to get hands-on.

[0] https://www.ready.gov/cert

Re: The Apgar Score helped decrease the infant mortality rate

#37
post #27

Earlier quoted context omitted.

No, it sounds like you picked out a quote to make an edgy comment as you left out the very next sentence. >Of course, it wasn’t that anyone wanted these babies to die, but doctors simply believed that they were too sick to survive. i.e., they didn't want to prolong suffering.

I consider the idea of doctors deciding who lives and who dies to be applied eugenics. "First, do no harm." Maybe that's not how the situation really looked on the ground, but that's what the author of the piece presents to us, and it wouldn't be strange for that time, either.

That is a really dumb statement. Did I miss where the article said they were making this decision based on the genetics of the baby?

Re: The Apgar Score helped decrease the infant mortality rate

#38
> "blue all over" = 0

> "blue at the extremities, body pink" = 1

> "no cyanosis" = 2

I wonder if they have updated guidance and training for scoring non-white babies. Brown and black babies probably don't turn blue in the same way white babies turn blue. In fact, a brown baby that's off color may appear to be a "healthy looking" - to the untrained eye - pink when in fact they should appear brown when healthy. I'd be curious to see mortality rate deviations for non-white babies vs. white babies (especially in non-metro areas that are more homogenous).

Re: The Apgar Score helped decrease the infant mortality rate

#39
post #38

> "blue all over" = 0 > "blue at the extremities, body pink" = 1 > "no cyanosis" = 2 I wonder if they have updated guidance and training for scoring non-white babies. Brown and black babies probably don't turn blue in the same way white babies turn blue. In fact, a brown baby that's off color may appear to be a "healthy looking" - to the untrained eye - pink when in fact they should appear brown when healthy. I'd be…

> One of the most important symptoms of low blood oxygen concentrations in the newborn (hypoxia) is a change in skin colour, known as cyanosis. This is where the skin has a bluish hue. In dark skinned babies, this can be more difficult to see. For this reason, always inspect the mucous membranes (inside the mouth and the tongue) to determine if cyanosis is present. If you discover the mucous membranes are blue, this is known as central cyanosis.

https://www.futurelearn.com/info/courses/neonatal-assessment...

Re: The Apgar Score helped decrease the infant mortality rate

#40
post #27

Earlier quoted context omitted.

I consider the idea of doctors deciding who lives and who dies to be applied eugenics. "First, do no harm." Maybe that's not how the situation really looked on the ground, but that's what the author of the piece presents to us, and it wouldn't be strange for that time, either.

That is a really dumb statement. Did I miss where the article said they were making this decision based on the genetics of the baby?

This is not me trying to be edgy or snippy. During an era when eugenics was the predominant belief of the professional class in America, when they openly promoted "mercy killings" of certain classes of people, withheld treatment of deadly diseases from citizens on the basis of race, and sterilized thousands without their consent, and with all of this being so well-documented, no, I don't need the author to spell out the word "eugenics" for me to see it when it's written all over their actions.

https://en.wikipedia.org/wiki/Eugenics_in_the_United_States

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