[Cardiotocographic examination, pH values in the umbilical artery and the Apgar score in the diagnosis and prognosis in fetal and neonatal hypoxia].

The authors examined 91 neonates with one or several anamnestic signs of intra-partum hypoxia (cardiotocographic record, pH in blood of umbilical artery, Apgar score) and 65 neonates with a normal delivery. When evaluating signs of hypoxia, a very low correlation between the methods used was found. Neurological investigation of all children revealed significant differences in the incidence of neurological abnormalities between groups of hypoxic neonates (whatever method used) and the group of neonates without a history of hypoxia intra partum, but only in the second month. In the other age periods, when the children were subjected to neurological examination (6, 12 months), no differences were found in the frequency of neurological abnormalities between the group of "hypoxic" and normal children.