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Study protocolApgar scoring consists of five physical sign: heart rate,respiratory effort, reflex irritability, muscle tone andcolor. Labor was considered prolonged when it exceed12 hours in primigravida or 8 hours in multipara [10].Fetal distress was diagnosed when fetal heart rate wasrecorded at less than 100/mm or more than 160 min orwhen it was irregular. Prolonged rupture was labeledwhen rupture of membranes was more than 18 hoursbefore the birth of baby. Temperature of more than 99 Fwas considered as febrile. Anemia in antenatal periodwas defined as documented evidence of hemoglobinmeasurement of less than 11 gms/100 milliliter at anytime prior to or after admission as emergency referrals.Premature rupture of membranes is defined as a conditionin which rupture of the membrane of the amnioticsac and chorion occur more than one hour before theonset of labor. Information regarding diabetes, acidosis,striol level, surfactant test and ultrasound guided abnormalitieswere extracted from medical records.Intrapartum: Event occurs during labor and delivery.Antepartum: Event occurring before childbirth, withreference to the mother.Maternal characteristic were obtained during interviewof mothers, using pre-structured Performa.ConsentBefore entry into the study, subjects were informedabout the aims, methods and anticipated benefits. Subjectswill be informed that their participation is voluntary. Theywill be informed that choosing not to participate will notaffect their care. After giving sufficient information writtenconsent was obtained and confidentiality of data wasmaintained.
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