Apgar Score

RETROSPECTIVE COHORT STUDY OF THE APGAR SCORE AT ONE
MINUTE OF INFANT BORN ON PREECLAMPTIC WOMEN IN CIPTO

MANGUNKUSUMO HOSPITAL
Adly Nanda Al Fattah, Sulaeman Andrianto Susilo, Karina Niken Pratiwi
Department of Obstetrics & Gynecology, Faculty of Medicine Universitas Indonesia
Cipto Mangunkusumo Hospital, Jakarta Indonesia
Abstract
Background
Preeclampsia is one of the common condition of unknown etiology
which increase the risk of maternal and perinatal morbidity and
mortality. Preeclampsia has great implication on adverse neonatal
outcome. Apgar score at 1 minute is one of the indicators of
physiologyc maturity of the infant. Therefore, we aim to see the
correlation of Apgar score at 1 minute in preeclamptic women.
Methods
Data were collected during January to December 2013 with all
preeclamptic women with singleton live pregnancies who delivered
their babies in Cipto Mangunkusumo Hospital. The primary outcome
was Apgar score at 1 minute. Age of gestation, maternal age, IUGR,
ecclampsia, anemia, low birth weight, MAP, early or late, parity,
leucocyte, thrombocyte, ANC, and severity of preeclampsia,
were
the variable studied. Binary logistic was used as multivariate
analysis to see the correlation between independent factors and
apgar score as the outcome.
Result
Out of 450 preeclamptic women, 446 of them met the inclusion
criteria. Low Apgar score was found in ..%(N/NN) of neonates. IUGR
(Adjusted OR .., 95%CI ..-...), Age of gestation (Adjusted OR.. , 95%CI
..-..), dan lain lain were independent risk factors for having infant
with low apgar score at 1 minute.
Conclusion
Background
Preeclampsia is one of the common conditions of unknown etiology
which increase the risk of maternal and perinatal morbidity and
mortality. The exact etiology of preeclampsia remains unknown,
factors that are currently more accepted include abnormal
trophoblast invasion of uterine blood vessels, increased vasopressor
response and vasospasm, immunological intolerance to the fetus
and genetic abnormlities.1 Preeclampsia affects 3 5% of
pregnancies, it is an important factor in fetal growth retardation as it
is commonly associated with placental insufficiency. 2 Preeclampsia
has great implication on adverse neonatal outcome. 3 The various
complication seen are low Apgar score, IUGR, low birth weight, and
increased need for admission to Neonatal Intensive Care Unit
(NICU).4
The Apgar score, devised in 1952 by Dr. Virginia Apgar, is a quick
method of assessing the clinical status of the newborn infant. 5 The
Apgar score comprises five components : heart rate, respiratory
effort, muscle tone, reflex irritability, and color, each of which is
given a score of 0,1, 0r 2. 6 It is important to recognize that
elements of the apgar score are partially dependent on the

physiologic maturity of the infant. 7
Some studies found that preeclamptic women tend to have infant
with low apgar score than healthy women. Proteinuria and increased
blood pressure in preeclampsia are associated with a lower fetal
birth weight and a lower apgar score and an increased risk of
adverse perinatal outcome.8 Gawde et al found that in severe cases
of preeclampsia, the apgar score at 1 minute is 2- fold worse than in
mild preeclampsia.9
Preeclampsia is frequently seen in Indonesia population. This study
was conducted to correlate preeclampsia with to see the
apgar score as the fetal outcome.
1.
2.
3.
4.
5.
6.
7.
8.
Usia Grup Ibu

Klasifikasi Usia Kehamilan
Anemia
ANC Teratur
IUGR
Eklampsia
Klasifikasi MAP
Low Birth Weight
IUGR
Ecclampsia
Low Birth Weight
MAP
Early or Late
Leucocyte
Thrombocyte
Severity
Week of Gestation
Result
Table 1.
All numeric variables were presented in median (range).
GA,gestational age;BP,blood pressure;ANC,antenatal care; IUGR, intrauterine griwth restriction; SGA, small-forgestational-age
Variables
Maternal age (yr)
Parity
Variables
SGA (n=86)
Weeks of
GA (weeks)
Systolic BP (mmHg)
Maternal
Age (year) 30 (16-42)
Diastolic
BP (mmHg)
Parity count (x109/L ) 1 (0-5)
Thrombocyte
36 (25-41)
Type ofWeeks
Case of GA at
1745 (500Bookedbirth
case, n(%)
Birtweight
2800)
Non-Booked
Case,(gram)
n(%)
th
ANC 5 min Apgar Score 9 (00-10)
Systolic
160 (110-24)
> 3 visits,
n(%) Blood
Pressure
105 (100 3 visit(s),
n(%)
140)
Mode ofDiastolic
DeliveryBlood
217x109/L
VaginalPressure
Delvery, n(%)
Thrombocyte
Count
Caesaran
Delivery, n(%)
10 (11.6%)
IUGR Previous CD
Yes
76 (88.4%)
Yes, n(%)
No, n(%)No
Infants Sex
Eclampsia
Male
38(44.2%)
Yes, n(%)
48(55.8%)
No, n(%)Female
AnemiaIUGR
(Hb < 11 g/dl)
Yes
27 (31.4%)
Yes, n(%)
59 (68.6%)
No, n(%)No
PretermEclampsia
Delivery
Yes
10 (11.6%)
Yes, n(%)
76 (88.4%)
No, n(%)No
SGA Anemia
Yes
8 (9.9%)
Yes, n(%)
No
73 (90.1%)
Non, n(%)
MAP
<135 mmHg
67 (77.9%)
>=135 mmHg
19 (22.1%)
Thrombocyte
>151x109/L
67 (77.9%)
9
<151x10 /L
19 (22.1%)
Preterm
Yes
34 (39.5%)
No
52 (60.5%)
Parity
Nulliparous
43 (50.0%)
Multiparous
43 (50.0%)
No.
N= 446
31 (15-47)
Table
2.
1 (0-6)
Non-SGA
OR (95%CI)
37 (25-42) P
(n=360)
160 (90-270)
31 (15-47)
100 (100-170)0.143*
1 (0-6)
0.013*a
248
28 (25-42)
0.007*a
2850429
(720(96.2%) <0.001
4935)
*a
15 (3.4%)
9 (1-10)
<0.001
a
160 (90-270)
361 (80.9%) *
100(60-270)
85 (19.1%) 0.392*
256x109/L
0.275*
a
152 (34%) 0.001* 1.031 (0.49
43 (11.9%)
2.1)
294 (65.9%)
317 (88.1 %)
0.935*
*
29 (6.5%)
417 (93.5%)
196 (54.4%)
0.087*
31 (7%)
164 (45.6%)
414 (92.8%) *
2 (0.6%)
58 (13%)
358 (99.4%)
367 (82.3%) 0.000*
*a
21 (5.8%)
178 (39.9%)
338 (94.2%)
268 (60.1%)
0.059*
50 (14.5%)
86 (19.3%) *
294 (85.5%)
360 (80.7%)
68 (18.9%)
292 (81.1%)
22 (6.1%)
338 (93.9%)
1.510 (0.94
2.42)
1.450 (1.261.67)
1.06 (0.98
1.15)
0.272*
*
1.55 (0.703.41)
0.500*
*
1.21 (0.69
2.16)
0.000*
*a
4.35 (2.23
8.49)
0.000*
*a
2.84 (1.75
4.61)
0.060**
0.636( 0.40
1.02)
126 (35.0%)
234 (65%)
140 (38.9%)
220 (61.1%)
*Mann Whitney Test,**Chi-Square, ap<0.05
Table 3. Logistic regression analysis for birth asphyxia prediction model

Step
5
Variables
IUGR
B
4.304
9
Thrombocyte count <151x10
Variable
IUGR /L
Preterm
yes
Case 1
Case 2
Case 3 Constant
Case 4
Case 5
Case 6
Case 7
Case 8
v
v
v
v
1.175
no 0.698
v
v
v -2.270
v
S.E.
Wald
P
0.75
32.619 0.000
4
0.39
0.03
Preterm 8.685
9
5.526
0.019
yes
no
0.29
v
v 7
0.21 116.628 v 0.000
v 0
V
v
v
v
Hosmer & Lemeshow test p= 0.848

95% C.I.
OR
Lower
Upper
73.96
16.88 323.889
2
9
3.237
1.482
7.069Thrombocyte
y
2.009
1.123
3.595
<151500
>=151500
0.103
v
v
v
v
v
v
v
v
-2.27
-1.572
-1.095
- 0.397
2.034
2.732
3.209
3.907
Probability
9.37%
17.20%
25.07%
40.20%
88.43%
93.89%
96.12%
98.03%
Discussion
Conclusion
A useful model to predict SGA among preeclamptic deliveries was developed. Thrombocytopenia could be used as one of predictors of SGA, after controlling the
preterm and IUGR. A careful attention to the standard laboratory result, such as thrombocyte count during perinatal period could possibly affect the outcome in
preeclamptic deliveries.
Background
Preeclampsia is one of the common conditions of unknown etiology which increase the risk of maternal and perinatal morbidity
and mortality. The exact etiology of preeclampsia remains unknown, factors that are currently more accepted include abnormal
trophoblast invasion of uterine blood vessels, increased vasopressor response and vasospasm, immunological intolerance to the
fetus and genetic abnormlities.1 Preeclampsia affects 3 5% of pregnancies, it is an important factor in fetal growth retardation as
it is commonly associated with placental insufficiency. 2 Preeclampsia has great implication on adverse neonatal outcome. 3 The
various complication seen are low Apgar score, IUGR, low birth weight, and increased need for admission to Neonatal Intensive
Care Unit (NICU).4
The Apgar score, devised in 1952 by Dr. Virginia Apgar, is a quick method of assessing the clinical status of the newborn infant. 5
The Apgar score comprises five components : heart rate, respiratory effort, muscle tone, reflex irritability, and color, each of which
is given a score of 0,1, 0r 2. 6 It is important to recognize that elements of the apgar score are partially dependent on the
physiologic maturity of the infant. 7
Some studies found that preeclamptic women tend to have infant with low apgar score than healthy women. Proteinuria and
increased blood pressure in preeclampsia are associated with a lower fetal birth weight and a lower apgar score and an increased
risk of adverse perinatal outcome.8 Gawde et al found that in severe cases of preeclampsia, the apgar score at 1 minute is 2- fold
worse than in mild preeclampsia.9
Preeclampsia is frequently seen in Indonesia population. This study was conducted to correlate preeclampsia with to see the
apgar score as the fetal outcome.
References
1.
Doddamani GB, Doddamani UG. Perinatal Outcome in Pre-Eclampsia: A Prospective Study. 2014;:13.
2.
Kishwara S, Tanira S, Omar E, Wazed F, Ara S. Effects of Preeclampsia on Perinatal Outcome- A Study Done in the Specialized
Urban Hospital Set Up in Bangladesh. 2012;:14.
3.
Ayaz A, Muhammad T, Hussain SA, Habib S. NEONATAL OUTCOME IN PRE-ECLAMPTIC PATIENTS. 2010;:13.
4.
Gawde A, Bhosale UT. A Study of Maternal and Perinatal Outcome inPreeclampsia. 2014;:14.
5.
Montgomery KS. Apgar Scores: Examining the Long-term Significance. 2005;:15.
6.
ACOG. The Apgar Score. 2010;:14.
7.
Use and abuse of the Apgar Score. 2004;:13.
8.
Krilova Y. Chances of Adverse Neonatal Outcome in High-Risk and Low-Risk Obstetrical Patients. 2008;:112.
9.
Casey. 021501 The Continuing Value of the Apgar Score for the. 2001;:15.
GET
FILE='/Users/saraswatigondotesna/Desktop/Magang dr Adly NA/SGA STudy/singleton live PEB
2013.sav'.
DATASET NAME DataSet1 WINDOW=FRONT.
GET
FILE='/Users/saraswatigondotesna/Desktop/DATA BARU BANGET.sav'.
GET
FILE='/Users/saraswatigondotesna/Desktop/DATA PIT 2013.sav'.
DATASET ACTIVATE DataSet1.
DATASET CLOSE DataSet2.
RECODE ASmnt1 (Lowest thru 6=0) (7 thru Highest=1) INTO ApgarNew.
VARIABLE LABELS ApgarNew 'ApgarNew'.
EXECUTE.
RECODE Umur (Lowest thru 34=0) (35 thru Highest=1) INTO UsiaGrupIbu.
VARIABLE LABELS UsiaGrupIbu 'UsiaGrupIbu'.
EXECUTE.
CROSSTABS
/TABLES=UsiaGrupIbu IUGR Eklampsia Anemia LBW klasifikasiMAP Earlyorlate KlasifikasiParitas
KlasifikasiLeuko klasifikasitrombosit ANCteratur BY ApgarNew
/FORMAT=AVALUE TABLES
/STATISTICS=CHISQ RISK
/CELLS=COUNT ROW COLUMN TOTAL
/COUNT ROUND CELL.
Crosstabs
Notes
Output Created
Comments
09-JAN-2015 01:06:06
Data
Input
Active Dataset
Filter
Weight
Split File
N of Rows in Working Data
File
/
Users/saraswatigondotesna/
Desktop/Magang dr Adly
NA/SGA STudy/singleton
live PEB 2013.sav
DataSet1
<none>
<none>
<none>
446
Definition of Missing
Missing Value Handling
Cases Used
Syntax
Resources
Processor Time
Elapsed Time
Dimensions Requested
User-defined missing values

are treated as missing.
Statistics for each table are
based on all the cases with
valid data in the specified
range(s) for all variables in
each table.
CROSSTABS
/TABLES=UsiaGrupIbu
IUGR Eklampsia Anemia
LBW klasifikasiMAP
Earlyorlate KlasifikasiParitas
KlasifikasiLeuko
klasifikasitrombosit
ANCteratur BY ApgarNew
/FORMAT=AVALUE
TABLES
/STATISTICS=CHISQ
RISK
/CELLS=COUNT ROW
COLUMN TOTAL
/COUNT ROUND CELL.
00:00:00.08
00:00:00.00
2
Cells Available
131072
[DataSet1] /Users/saraswatigondotesna/Desktop/Magang dr Adly NA/SGA STudy/singleton live PEB

2013.sav
UsiaGrupIbu * ApgarNew
IUGR * ApgarNew
Eklampsia * ApgarNew
Anemia (Hb < 11 g/dl) *
ApgarNew
LBW * ApgarNew
klasifikasi MAP * ApgarNew
Earlyorlate * ApgarNew
KlasifikasiParitas *
ApgarNew
KlasifikasiLeuko *
ApgarNew
Case Processing Summary

Cases
Valid
Missing
N
Percent
N
Percent
445
99.8%
1
0.2%
446
100.0%
0
0.0%
445
99.8%
1
0.2%
Total
N
Percent
446
100.0%
446
100.0%
446
100.0%
425
95.3%
21
4.7%
446
100.0%
446
446
446
100.0%
100.0%
100.0%
0
0
0
0.0%
0.0%
0.0%
446
446
446
100.0%
100.0%
100.0%
446
100.0%
0.0%
446
100.0%
446
100.0%
0.0%
446
100.0%
klasifikasitrombosit *
ApgarNew
ANC teratur * ApgarNew
446
100.0%
0.0%
446
100.0%
446
100.0%
0.0%
446
100.0%
UsiaGrupIbu * ApgarNew
Crosstab
<35
UsiaGrupIbu
>=35
Count
% within UsiaGrupIbu
% within ApgarNew
% of Total
Count
% within ApgarNew
% of Total
ApgarNew
Low Apgar
Normal Apgar
Score
Score
59
229
20.5%
79.5%
68.6%
63.8%
13.3%
51.5%
27
130
17.2%
82.8%
31.4%
36.2%
6.1%
29.2%
Total
288
100.0%
64.7%
64.7%
157
100.0%
35.3%
35.3%
Total
Count
% within ApgarNew
% of Total
Value
86
19.3%
100.0%
19.3%
Chi-Square Tests
df
Asymp. Sig. (2sided)
1
.401
1
.475
1
.398
359
80.7%
100.0%
80.7%
Exact Sig. (2sided)
Pearson Chi-Square
.705a
Continuity Correctionb
.510
Likelihood Ratio
.715
Fisher's Exact Test
.452
Linear-by-Linear
.703
1
.402
Association
N of Valid Cases
445
a. 0 cells (.0%) have expected count less than 5. The minimum expected count is 30.34.
b. Computed only for a 2x2 table
Risk Estimate
Value
95% Confidence Interval
Lower
Upper
445
100.0%
100.0%
100.0%
Exact Sig. (1sided)
.239
Odds Ratio for

UsiaGrupIbu (<35 / >=35)
For cohort ApgarNew =
Low Apgar Score
Normal Apgar Score
N of Valid Cases
1.240
.750
2.053
1.191
.789
1.798
.960
.876
1.053
445
IUGR * ApgarNew
Crosstab
IUGR
ya
Count
% within IUGR
% within ApgarNew
% of Total
ApgarNew
Low Apgar
Normal Apgar
Score
Score
12
17
41.4%
58.6%
14.0%
4.7%
2.7%
3.8%
Total
29
100.0%
6.5%
6.5%
tidak
Total
Count
% within IUGR
% within ApgarNew
% of Total
Count
% within IUGR
% within ApgarNew
% of Total
Value
74
17.7%
86.0%
16.6%
86
19.3%
100.0%
19.3%
343
82.3%
95.3%
76.9%
360
80.7%
100.0%
80.7%
Chi-Square Tests
df
1
.002
1
.004
1
.004
417
100.0%
93.5%
93.5%
446
100.0%
100.0%
100.0%
Exact Sig. (2sided)
Pearson Chi-Square
9.730a
8.271
Likelihood Ratio
8.097
Fisher's Exact Test
.005
Linear-by-Linear
9.708
1
.002
Association
N of Valid Cases
446
Exact Sig. (1sided)
.004
Risk Estimate
Value
Lower
Upper
Odds Ratio for IUGR (ya /
tidak)
Low Apgar Score
Normal Apgar Score
N of Valid Cases
3.272
1.499
7.141
2.332
1.443
3.768
.713
.523
.971
446
Eklampsia * ApgarNew
Crosstab
ApgarNew
Low Apgar
Normal Apgar
Score
Score
Total
1
Eklampsia
2
Total
Count
% within Eklampsia
% within ApgarNew
% of Total
Count
% within Eklampsia
% within ApgarNew
% of Total
Count
% within Eklampsia
% within ApgarNew
% of Total
Value
Pearson Chi-Square
Likelihood Ratio
Fisher's Exact Test
Linear-by-Linear
Association
5.580a
4.522
4.823
11
35.5%
12.8%
2.5%
75
18.1%
87.2%
16.9%
86
19.3%
100.0%
19.3%
20
64.5%
5.6%
4.5%
339
81.9%
94.4%
76.2%
359
80.7%
100.0%
80.7%
Chi-Square Tests
df
1
.018
1
.033
1
.028
31
100.0%
7.0%
7.0%
414
100.0%
93.0%
93.0%
445
100.0%
100.0%
100.0%
Exact Sig. (2sided)
.031
5.567
.018
Exact Sig. (1sided)
.022
N of Valid Cases
445
Risk Estimate
Value
Lower
Upper
Odds Ratio for Eklampsia
(1 / 2)
Low Apgar Score
Normal Apgar Score
N of Valid Cases
2.486
1.143
5.407
1.959
1.168
3.285
.788
.604
1.027
445
Anemia (Hb < 11 g/dl) * ApgarNew
Crosstab
ya
Anemia (Hb < 11 g/dl)
tidak
Total
Count
% within Anemia (Hb < 11
g/dl)
% within ApgarNew
% of Total
Count
g/dl)
% within ApgarNew
% of Total
Count
g/dl)
% within ApgarNew
% of Total
Chi-Square Tests
ApgarNew
Low Apgar
Normal Apgar
Score
Score
11
47
Total
58
19.0%
81.0%
100.0%
13.4%
2.6%
71
13.7%
11.1%
296
13.6%
13.6%
367
19.3%
80.7%
100.0%
86.6%
16.7%
82
86.3%
69.6%
343
86.4%
86.4%
425
19.3%
80.7%
100.0%
100.0%
19.3%
100.0%
80.7%
100.0%
100.0%
Value
df

1
.946
1
1.000
1
.945
Exact Sig. (2sided)
Pearson Chi-Square
.005a
.000
Likelihood Ratio
.005
Fisher's Exact Test
1.000
Linear-by-Linear
.005
1
.946
Association
N of Valid Cases
425
Risk Estimate
Value
Lower
Upper
Odds Ratio for Anemia (Hb
.976
.482
1.976
< 11 g/dl) (ya / tidak)
.980
.554
1.736
Low Apgar Score
1.005
.879
1.149
Normal Apgar Score
N of Valid Cases
425
Exact Sig. (1sided)
.555
LBW * ApgarNew
Crosstab
Normo birtweight
LBW
LBW
Total
Count
% within LBW
% within ApgarNew
% of Total
Count
% within LBW
% within ApgarNew
% of Total
Count
% within LBW
% within ApgarNew
% of Total
ApgarNew
Low Apgar
Normal Apgar
Score
Score
15
259
5.5%
94.5%
17.4%
71.9%
3.4%
58.1%
71
101
41.3%
58.7%
82.6%
28.1%
15.9%
22.6%
86
360
19.3%
80.7%
100.0%
100.0%
19.3%
80.7%
Total
274
100.0%
61.4%
61.4%
172
100.0%
38.6%
38.6%
446
100.0%
100.0%
100.0%
Value
Chi-Square Tests
df
1
.000
1
.000
1
.000
Exact Sig. (2sided)
Pearson Chi-Square
87.034a
84.749
Likelihood Ratio
87.843
Fisher's Exact Test
.000
Linear-by-Linear
86.839
1
.000
Association
N of Valid Cases
446
Risk Estimate
Value
Lower
Upper
Odds Ratio for LBW
(Normo birtweight / LBW)
Low Apgar Score
.082
.045
.151
.133
.079
.224
Exact Sig. (1sided)
.000

Normal Apgar Score
N of Valid Cases
1.610
1.416
1.830
446
klasifikasi MAP * ApgarNew
Crosstab
<135
klasifikasi MAP
>=135
Count
% within klasifikasi MAP
% within ApgarNew
% of Total
Count
% within ApgarNew
% of Total
ApgarNew
Low Apgar
Normal Apgar
Score
Score
59
300
16.4%
83.6%
68.6%
83.3%
13.2%
67.3%
27
60
31.0%
69.0%
31.4%
16.7%
6.1%
13.5%
Total
359
100.0%
80.5%
80.5%
87
100.0%
19.5%
19.5%
Total
Count
% within ApgarNew
% of Total
Value
86
19.3%
100.0%
19.3%
Chi-Square Tests
df
1
.002
1
.003
1
.003
360
80.7%
100.0%
80.7%
Exact Sig. (2sided)
Pearson Chi-Square
9.591a
8.676
Likelihood Ratio
8.764
Fisher's Exact Test
.004
Linear-by-Linear
9.569
1
.002
Association
N of Valid Cases
446
Risk Estimate
Value
Lower
Upper
446
100.0%
100.0%
100.0%
Exact Sig. (1sided)
.002
Odds Ratio for klasifikasi

MAP (<135 / >=135)
Low Apgar Score
Normal Apgar Score
N of Valid Cases
.437
.256
.745
.530
.358
.783
1.212
1.045
1.405
446
Earlyorlate * ApgarNew
Crosstab
Earlyorlate
late
Count
% within Earlyorlate
% within ApgarNew
% of Total
ApgarNew
Low Apgar
Normal Apgar
Score
Score
31
316
8.9%
91.1%
36.0%
87.8%
7.0%
70.9%
Total
347
100.0%
77.8%
77.8%
early
Total
Count
% within ApgarNew
% of Total
Count
% within ApgarNew
% of Total
55
55.6%
64.0%
12.3%
86
19.3%
100.0%
19.3%
Chi-Square Tests
Value
df
a
107.567
1
.000
104.592
1
.000
92.428
1
.000
44
44.4%
12.2%
9.9%
360
80.7%
100.0%
80.7%
99
100.0%
22.2%
22.2%
446
100.0%
100.0%
100.0%
Exact Sig. (2sided)
Pearson Chi-Square
Likelihood Ratio
Fisher's Exact Test
.000
Linear-by-Linear
107.325
1
.000
Association
N of Valid Cases
446
Exact Sig. (1sided)
.000
Risk Estimate
Value
Lower
Upper
Odds Ratio for Earlyorlate
(late / early)
Low Apgar Score
Normal Apgar Score
N of Valid Cases
.078
.046
.135
.161
.110
.235
2.049
1.640
2.560
446
KlasifikasiParitas * ApgarNew
Crosstab
ApgarNew
Low Apgar
Normal Apgar
Score
Score
Total
Count
% within KlasifikasiParitas
% within ApgarNew
% of Total
Count
% within ApgarNew
% of Total
Count
% within ApgarNew
% of Total
Primi Gravida
KlasifikasiParitas
Multi Gravida
Total
Value
Pearson Chi-Square
Likelihood Ratio
Fisher's Exact Test
Linear-by-Linear
Association
.099a
.037
.099
34
18.6%
39.5%
7.6%
52
19.8%
60.5%
11.7%
86
19.3%
100.0%
19.3%
Chi-Square Tests
df
1
.753
1
.848
1
.753
Exact Sig. (2sided)
.808
.098
.754
149
81.4%
41.4%
33.4%
211
80.2%
58.6%
47.3%
360
80.7%
100.0%
80.7%
Exact Sig. (1sided)
.426
183
100.0%
41.0%
41.0%
263
100.0%
59.0%
59.0%
446
100.0%
100.0%
100.0%
N of Valid Cases
446
Risk Estimate
Value
Lower
Upper
Odds Ratio for
KlasifikasiParitas (Primi
Gravida / Multi Gravida)
Low Apgar Score
Normal Apgar Score
N of Valid Cases
.926
.573
1.497
.940
.637
1.386
1.015
.926
1.112
446
KlasifikasiLeuko * ApgarNew
Crosstab
<13050
KlasifikasiLeuko
>=13050
Total
Count
% within KlasifikasiLeuko
% within ApgarNew
% of Total
Count
% within ApgarNew
% of Total
Count
% within ApgarNew
% of Total
Value
Pearson Chi-Square
14.670a
ApgarNew
Low Apgar
Normal Apgar
Score
Score
24
183
11.6%
88.4%
27.9%
50.8%
5.4%
41.0%
62
177
25.9%
74.1%
72.1%
49.2%
13.9%
39.7%
86
360
19.3%
80.7%
100.0%
100.0%
19.3%
80.7%
Chi-Square Tests
df
1
.000
Exact Sig. (2sided)
Total
207
100.0%
46.4%
46.4%
239
100.0%
53.6%
53.6%
446
100.0%
100.0%
100.0%
Exact Sig. (1sided)
13.763
1
.000
Likelihood Ratio
15.187
1
.000
Fisher's Exact Test
.000
Linear-by-Linear
14.637
1
.000
Association
N of Valid Cases
446
Risk Estimate
Value
Lower
Upper
Odds Ratio for
KlasifikasiLeuko (<13050 /
>=13050)
Low Apgar Score
Normal Apgar Score
N of Valid Cases
.374
.224
.626
.447
.290
.689
1.194
1.091
1.306
446
.000
klasifikasitrombosit * ApgarNew
Crosstab
>173500
<173500
Total
Count
% within
% within ApgarNew
% of Total
Count
% within
% within ApgarNew
% of Total
Count
% within
% within ApgarNew
% of Total
ApgarNew
Low Apgar
Normal Apgar
Score
Score
59
321
Total
380
15.5%
84.5%
100.0%
68.6%
13.2%
27
89.2%
72.0%
39
85.2%
85.2%
66
40.9%
59.1%
100.0%
31.4%
6.1%
86
10.8%
8.7%
360
14.8%
14.8%
446
19.3%
80.7%
100.0%
100.0%
19.3%
100.0%
80.7%
100.0%
100.0%
Value
Chi-Square Tests
df
1
.000
1
.000
1
.000
Exact Sig. (2sided)
Pearson Chi-Square
23.278a
21.675
Likelihood Ratio
19.925
Fisher's Exact Test
.000
Linear-by-Linear
23.225
1
.000
Association
N of Valid Cases
446
Risk Estimate
Value
Lower
Upper
Odds Ratio for
(>173500 / <173500)
Low Apgar Score
.265
.151
.467
.380
.261
.551
Exact Sig. (1sided)
.000

Normal Apgar Score
N of Valid Cases
1.430
1.164
1.755
446
ANC teratur * ApgarNew
Crosstab
ya (>3x)
ANC teratur
tidak (1-3x)
Count
% within ANC teratur
% within ApgarNew
% of Total
Count
% within ApgarNew
% of Total
ApgarNew
Low Apgar
Normal Apgar
Score
Score
68
293
18.8%
81.2%
79.1%
81.4%
15.2%
65.7%
18
67
21.2%
78.8%
20.9%
18.6%
4.0%
15.0%
Total
361
100.0%
80.9%
80.9%
85
100.0%
19.1%
19.1%
Total
Count
% within ApgarNew
% of Total
Value
86
19.3%
100.0%
19.3%
Chi-Square Tests
df
1
.623
1
.734
1
.626
360
80.7%
100.0%
80.7%
Exact Sig. (2sided)
Pearson Chi-Square
.242a
.115
Likelihood Ratio
.238
Fisher's Exact Test
.647
Linear-by-Linear
.241
1
.623
Association
N of Valid Cases
446
Risk Estimate
Value
Lower
Upper
446
100.0%
100.0%
100.0%
Exact Sig. (1sided)
.361
Odds Ratio for ANC teratur

(ya (>3x) / tidak (1-3x))
Low Apgar Score
Normal Apgar Score
N of Valid Cases
.864
.482
1.548
.890
.560
1.413
1.030
.912
1.162
446
CROSSTABS
/TABLES=Severity BY ApgarNew
/COUNT ROUND CELL.
Crosstabs
Notes
Output Created
Comments
09-JAN-2015 01:14:56
Data
Input
Active Dataset
Filter
Weight
Split File
File

Cases Used
/
live PEB 2013.sav
DataSet1
<none>
<none>
<none>
446
each table.
Syntax
Resources
Processor Time
Elapsed Time
Cells Available
CROSSTABS
/TABLES=Severity BY
ApgarNew
/FORMAT=AVALUE
TABLES
/STATISTICS=CHISQ
RISK
/CELLS=COUNT ROW
COLUMN TOTAL
/COUNT ROUND CELL.
00:00:00.01
00:00:00.00
2
131072

2013.sav

Cases
Valid
Missing
Total
N
Severity * ApgarNew
446
Percent
100.0%
N
0
Percent
0.0%
N
446
Percent
100.0%
Severity * ApgarNew Crosstabulation
Severity
Superimposed
Preeclampsia
Mild Preeclampsia
Severe Preeclampsia
HELLP Syndrome
Count
% within Severity
% within ApgarNew
% of Total
Count
% within Severity
% within ApgarNew
% of Total
Count
% within Severity
% within ApgarNew
% of Total
Count
% within Severity
ApgarNew
Low Apgar
Normal Apgar
Score
Score
6
9
40.0%
60.0%
7.0%
2.5%
1.3%
2.0%
4
44
8.3%
91.7%
4.7%
12.2%
0.9%
9.9%
54
291
15.7%
84.3%
62.8%
80.8%
12.1%
65.2%
22
16
57.9%
42.1%
Total
15
100.0%
3.4%
3.4%
48
100.0%
10.8%
10.8%
345
100.0%
77.4%
77.4%
38
100.0%
% within ApgarNew
% of Total
Count
% within Severity
% within ApgarNew
% of Total
Total
Chi-Square Tests
Value
df

3
.000
3
.000
Pearson Chi-Square
47.155a
Likelihood Ratio
38.526
Linear-by-Linear
8.465
1
.004
Association
N of Valid Cases
446
a. 1 cells (12.5%) have expected count less than 5. The minimum
expected count is 2.89.
Risk Estimate
Value
25.6%
4.9%
86
19.3%
100.0%
19.3%
4.4%
3.6%
360
80.7%
100.0%
80.7%
8.5%
8.5%
446
100.0%
100.0%
100.0%
Odds Ratio for Severity

(Superimposed
a
Preeclampsia / Mild
Preeclampsia)
a. Risk Estimate statistics cannot be
computed. They are only computed for
a 2*2 table without empty cells.
RECODE minggukehamilan (Lowest thru 37=0) (38 thru 41=1) (42 thru Highest=2) INTO UsiaGestasi.
VARIABLE LABELS UsiaGestasi 'UsiaGestasi'.
EXECUTE.
CROSSTABS
/TABLES=UsiaGestasi BY ApgarNew
/COUNT ROUND CELL.
Crosstabs
Notes
Output Created
Comments
09-JAN-2015 01:29:35
Data
Input
Active Dataset
Filter
Weight
Split File
File

Cases Used
/
live PEB 2013.sav
DataSet1
<none>
<none>
<none>
446
each table.
Syntax
Resources
Processor Time
Elapsed Time
Cells Available
CROSSTABS
/TABLES=UsiaGestasi BY
ApgarNew
/FORMAT=AVALUE
TABLES
/STATISTICS=CHISQ
RISK
/CELLS=COUNT ROW
COLUMN TOTAL
/COUNT ROUND CELL.
00:00:00.02
00:00:00.00
2
131072

2013.sav

Cases
Valid
Missing
Total
N
UsiaGestasi * ApgarNew
Preterm
UsiaGestasi
Term
Postterm
Total
446
Percent
100.0%
N
0
Percent
0.0%
N
446
UsiaGestasi * ApgarNew Crosstabulation

ApgarNew
Low Apgar
Normal Apgar
Score
Score
Count
74
151
% within UsiaGestasi
32.9%
67.1%
% within ApgarNew
86.0%
41.9%
% of Total
16.6%
33.9%
Count
12
207
5.5%
94.5%
% within ApgarNew
14.0%
57.5%
% of Total
2.7%
46.4%
Count
0
2
0.0%
100.0%
% within ApgarNew
0.0%
0.6%
% of Total
0.0%
0.4%
Count
86
360
19.3%
80.7%
Percent
100.0%
Total
225
100.0%
50.4%
50.4%
219
100.0%
49.1%
49.1%
2
100.0%
0.4%
0.4%
446
100.0%
% within ApgarNew
% of Total
Chi-Square Tests
Value
df
100.0%
19.3%

2
.000
2
.000
Pearson Chi-Square
54.049a
Likelihood Ratio
59.287
Linear-by-Linear
53.338
1
.000
Association
N of Valid Cases
446
a. 2 cells (33.3%) have expected count less than 5. The minimum
expected count is .39.
Risk Estimate
Value
Odds Ratio for UsiaGestasi a
(Preterm / Term)
a. Risk Estimate statistics cannot be
computed. They are only computed for
a 2*2 table without empty cells.
100.0%
80.7%
100.0%
100.0%
LOGISTIC REGRESSION VARIABLES ApgarNew

/METHOD=ENTER IUGR Eklampsia LBW klasifikasiMAP Earlyorlate KlasifikasiLeukoNew
KlasifikasiTromboNew Severity UsiaGestasi
/SAVE=PRED
/PRINT=GOODFIT CI(95)
/CRITERIA=PIN(0.05) POUT(0.10) ITERATE(20) CUT(0.5).
Logistic Regression
Notes
Output Created
Comments
09-JAN-2015 01:40:22
Data
Input
Active Dataset
Filter
Weight
Split File
File
/
live PEB 2013.sav
DataSet1
<none>
<none>
<none>
446
are treated as missing
Resources
Processor Time
Elapsed Time
LOGISTIC REGRESSION
VARIABLES ApgarNew
/METHOD=ENTER IUGR
Eklampsia LBW
klasifikasiMAP Earlyorlate
KlasifikasiLeukoNew
KlasifikasiTromboNew
Severity UsiaGestasi
/SAVE=PRED
/CRITERIA=PIN(0.05)
POUT(0.10) ITERATE(20)
CUT(0.5).
00:00:00.03
00:00:00.00
Variables Created or
Modified
PRE_24
Predicted probability
Syntax

2013.sav
Unweighted Casesa
N
Percent
Included in Analysis
445
99.8
Selected Cases Missing Cases
1
.2
Total
446
100.0
Unselected Cases
0
.0
Total
446
100.0
a. If weight is in effect, see classification table for the total
number of cases.
Dependent Variable Encoding

Original Value
Internal Value
Low Apgar Score
0
Normal Apgar Score
1
Block 0: Beginning Block
Classification Tablea,b
Observed
Low Apgar Score

Step 0
Normal Apgar Score
Overall Percentage
a. Constant is included in the model.
b. The cut value is .500
ApgarNew
Step 0
Step 0
Constant
Variables
Predicted
ApgarNew
Low Apgar
Normal Apgar
Score
Score
0
86
0
359
Variables in the Equation

B
S.E.
Wald
1.429
.120
141.671
Variables not in the Equation

Score
IUGR
9.677
Eklampsia
5.580
LBW
86.666
klasifikasiMAP
9.509
df
Sig.
.000
df
1
1
1
1
Percentage
Correct
.0
100.0
80.7
Exp(B)
4.174
Sig.
.002
.018
.000
.002
Earlyorlate
KlasifikasiLeukoNew
Severity
UsiaGestasi
Overall Statistics
107.195
14.840
32.672
8.302
53.150
136.022
Block 1: Method = Enter
Step 1
Omnibus Tests of Model Coefficients

Chi-square
df
Sig.
Step
130.180
9
.000
Block
130.180
9
.000
Model
130.180
9
.000
Model Summary
1
1
1
1
1
9
.000
.000
.000
.004
.000
.000
Step
-2 Log
Cox & Snell R
Nagelkerke R
likelihood
Square
Square
a
1
306.733
.254
.406
a. Estimation terminated at iteration number 6 because
parameter estimates changed by less than .001.
Step
1
Step 1
Hosmer and Lemeshow Test

Chi-square
df
Sig.
5.548
8
.698
1
2
3
4
5
6
7
Contingency Table for Hosmer and Lemeshow Test

ApgarNew = Low Apgar Score ApgarNew = Normal Apgar Score
Observed
Expected
Observed
Expected
29
30.790
16
14.210
26
23.701
23
25.299
14
13.044
31
31.956
5
5.983
42
41.017
1
1.618
17
16.382
5
5.297
76
75.703
3
2.897
51
51.103
Total
45
49
45
47
18
81
54
8
9
10
1
0
2
.660
1.336
.673
16
58
29
16.340
56.664
30.327
17
58
31
Classification Tablea
Observed
Low Apgar Score

Step 1
Normal Apgar Score
Overall Percentage
a. The cut value is .500
ApgarNew
B
Step 1a
IUGR
Eklampsia
LBW
.392
.284
-.961
Predicted
ApgarNew
Low Apgar
Normal Apgar
Score
Score
43
43
27
332
Percentage
Correct
50.0
92.5
84.3

S.E.
Wald
df
.488
.497
.498
.643
.328
3.727
Sig.
1
1
1
.422
.567
.054
Exp(B)
1.479
1.329
.383
95% C.I.for EXP(B)

Lower
Upper
.568
3.852
.502
3.518
.144
1.015
klasifikasiMAP
.059
.349
.029
1
.865
1.061
.535
2.103
Earlyorlate
-1.518
.379
16.082
1
.000
.219
.104
.460
KlasifikasiLeukoNew
1.088
.316
11.850
1
.001
2.967
1.597
5.512
.866
.443
3.826
1
.050
2.378
.998
5.667
Severity
-.021
.247
.007
1
.934
.980
.603
1.591
UsiaGestasi
.639
.487
1.721
1
.190
1.895
.729
4.927
Constant
-.137
1.691
.007
1
.936
.872
a. Variable(s) entered on step 1: IUGR, Eklampsia, LBW, klasifikasiMAP, Earlyorlate, KlasifikasiLeukoNew, KlasifikasiTromboNew,
Severity, UsiaGestasi.
GET
FILE='/Users/saraswatigondotesna/Desktop/Magang dr Adly NA/SGA STudy/singleton live PEB
2013.sav'.
ROC Leuko BY ApgarNew (0)
/PLOT=CURVE
/CRITERIA=CUTOFF(INCLUDE) TESTPOS(LARGE) DISTRIBUTION(FREE) CI(95)
/MISSING=EXCLUDE.
ROC Curve
Notes
Output Created
Comments
09-JAN-2015 23:32:06
Data
Input
Active Dataset
Filter
Weight
Split File
File

Cases Used
/
live PEB 2013.sav
DataSet1
<none>
<none>
<none>
446
Statistics are based on all
cases with valid data for all
variables in the analysis.
ROC Leuko BY ApgarNew

(0)
/PLOT=CURVE
Syntax
Resources
Processor Time
Elapsed Time
/CRITERIA=CUTOFF(INCL
UDE) TESTPOS(LARGE)
DISTRIBUTION(FREE)
CI(95)
/MISSING=EXCLUDE.
00:00:00.96
00:00:01.00

2013.sav

ApgarNew
Valid N
(listwise)
a
Positive
86
Negative
360
Larger values of the test result

variable(s) indicate stronger
evidence for a positive actual
state.
a. The positive actual state is
Low Apgar Score.
Area Under the

Curve
Test Result
Variable(s):
Leuko
Area
.660
The test result
variable(s):
Leuko has at
least one tie
between the
positive actual
state group and
the negative
actual state
group. Statistics
may be biased.
ROC Leuko BY ApgarNew (0)

/PLOT=CURVE(REFERENCE)
/PRINT=SE COORDINATES
/CRITERIA=CUTOFF(INCLUDE) TESTPOS(LARGE) DISTRIBUTION(FREE) CI(95)
/MISSING=EXCLUDE.
ROC Curve
Notes
Output Created
Comments
Input
09-JAN-2015 23:32:23
Data
Active Dataset
Filter
Weight
Split File
/
live PEB 2013.sav
DataSet1
<none>
<none>
<none>

File
Cases Used

Statistics are based on all
cases with valid data for all
variables in the analysis.
ROC Leuko BY ApgarNew
(0)
/PLOT=CURVE(REFEREN
CE)
/PRINT=SE
COORDINATES
Syntax
Resources
446
Processor Time
Elapsed Time
/CRITERIA=CUTOFF(INCL
UDE) TESTPOS(LARGE)
DISTRIBUTION(FREE)
CI(95)
/MISSING=EXCLUDE.
00:00:00.17
00:00:00.00
2013.sav

ApgarNew
Valid N
(listwise)
a
Positive
86
Negative
360
Larger values of the test result
variable(s) indicate stronger
evidence for a positive actual
state.
a. The positive actual state is
Low Apgar Score.
Area Under the Curve

Test Result Variable(s): Leuko
Area
Std. Errora Asymptotic Sig.b
Asymptotic 95% Confidence
Interval
Lower Bound
Upper Bound
.660
.031
.000
.599
.722
The test result variable(s): Leuko has at least one tie between the positive
actual state group and the negative actual state group. Statistics may be
biased.
a. Under the nonparametric assumption
b. Null hypothesis: true area = 0.5
Coordinates of the Curve

Test Result Variable(s): Leuko
Positive if
Sensitivity
1 - Specificity
Greater Than or
Equal Toa
3869.00
1.000
1.000
4695.00
1.000
.997
5765.00
1.000
.994
6305.00
6780.00
6980.00
7035.00
7140.00
7215.00
7225.00
7250.00
7280.00
7330.00
7390.00
7415.00
7440.00
7465.00
7480.00
7495.00
7525.00
7555.00
7565.00
7585.00
7615.00
7640.00
7655.00
7685.00
7720.00
1.000
1.000
1.000
.988
.988
.988
.988
.988
.988
.988
.988
.988
.988
.988
.988
.988
.988
.988
.988
.988
.988
.988
.988
.988
.988
.992
.989
.986
.986
.983
.981
.975
.964
.961
.958
.956
.953
.950
.947
.942
.936
.931
.925
.922
.919
.914
.911
.908
.903
.900
7765.00
7820.00
7870.00
7915.00
7955.00
7995.00
8035.00
8080.00
8150.00
8320.00
8450.00
8465.00
8495.00
8580.00
8735.00
8850.00
8895.00
8930.00
8950.00
8975.00
9010.00
9095.00
9215.00
9290.00
9355.00
.977
.977
.977
.977
.977
.977
.977
.977
.977
.977
.977
.977
.977
.965
.965
.965
.953
.953
.953
.953
.953
.953
.953
.953
.942
.897
.894
.892
.889
.886
.883
.881
.878
.875
.872
.869
.867
.864
.864
.861
.856
.856
.853
.850
.847
.844
.842
.839
.836
.836
9445.00
9495.00
9535.00
9610.00
9675.00
9740.00
9790.00
9815.00
9860.00
9945.00
10025.00
10125.00
10210.00
10260.00
10350.00
10450.00
10550.00
10650.00
10750.00
10850.00
10950.00
11050.00
11150.00
11250.00
11350.00
.942
.942
.942
.942
.942
.942
.942
.942
.942
.942
.942
.942
.942
.930
.930
.919
.907
.884
.884
.849
.849
.849
.849
.837
.837
.833
.828
.822
.817
.814
.811
.808
.803
.800
.797
.792
.789
.772
.772
.764
.756
.733
.719
.708
.697
.686
.678
.667
.658
.653
11450.00
11550.00
11650.00
11750.00
11850.00
11950.00
12050.00
12150.00
12250.00
12400.00
12550.00
12650.00
12750.00
12850.00
12950.00
13050.00
13150.00
13250.00
13350.00
13450.00
13550.00
13650.00
13750.00
13850.00
13950.00
.837
.837
.837
.837
.814
.814
.802
.802
.802
.791
.779
.767
.744
.733
.733
.721
.709
.698
.674
.674
.674
.674
.663
.628
.616
.647
.636
.631
.619
.611
.603
.583
.569
.567
.547
.533
.517
.506
.503
.500
.492
.483
.481
.475
.464
.453
.442
.433
.422
.414
14050.00
14150.00
14250.00
14350.00
14450.00
14550.00
14650.00
14750.00
14850.00
14950.00
15050.00
15150.00
15250.00
15350.00
15450.00
15550.00
15650.00
15750.00
15850.00
15950.00
16050.00
16150.00
16250.00
16350.00
16450.00
.616
.616
.605
.605
.605
.605
.593
.593
.581
.570
.570
.558
.558
.558
.558
.547
.535
.523
.512
.512
.512
.500
.488
.465
.465
.406
.397
.394
.389
.383
.367
.361
.356
.356
.347
.336
.325
.317
.314
.303
.300
.289
.289
.289
.283
.269
.264
.258
.256
.253
16550.00
16650.00
16800.00
16950.00
17050.00
17150.00
17250.00
17350.00
17450.00
17600.00
17750.00
17850.00
17950.00
18050.00
18150.00
18250.00
18350.00
18450.00
18550.00
18650.00
18750.00
18850.00
18950.00
19050.00
19150.00
.465
.465
.442
.430
.430
.419
.395
.372
.360
.360
.360
.349
.337
.326
.314
.314
.314
.314
.302
.302
.291
.279
.279
.267
.267
.250
.244
.244
.236
.225
.214
.208
.206
.206
.200
.197
.194
.192
.186
.178
.172
.164
.161
.158
.156
.156
.153
.150
.144
.136
19300.00
19450.00
19550.00
19650.00
19800.00
19950.00
20050.00
20250.00
20450.00
20550.00
20650.00
20800.00
21050.00
21300.00
21450.00
21550.00
21650.00
21750.00
21850.00
21950.00
22050.00
22250.00
22450.00
22600.00
22750.00
.267
.244
.233
.221
.221
.221
.209
.209
.209
.198
.186
.186
.186
.174
.174
.174
.174
.163
.151
.151
.151
.151
.151
.151
.151
.128
.128
.128
.125
.119
.117
.114
.111
.106
.103
.103
.100
.097
.097
.092
.083
.078
.078
.075
.072
.069
.067
.064
.061
.058
23150.00
23600.00
23750.00
23850.00
23950.00
24050.00
24200.00
24350.00
24500.00
24800.00
25050.00
25250.00
25600.00
25900.00
26250.00
26550.00
26700.00
27000.00
27250.00
27450.00
27800.00
28150.00
28750.00
29950.00
30730.00
.151
.140
.140
.140
.140
.140
.140
.140
.140
.140
.140
.128
.116
.105
.093
.093
.081
.070
.047
.047
.035
.035
.035
.035
.035
.056
.056
.053
.050
.044
.042
.039
.036
.033
.031
.028
.028
.028
.028
.028
.025
.025
.019
.017
.014
.014
.011
.008
.006
.003
30880.00
.023
.003
31400.00
.012
.003
31900.00
.000
.003
32001.00
.000
.000
The test result variable(s): Leuko has at least
one tie between the positive actual state group
and the negative actual state group.
a. The smallest cutoff value is the minimum
observed test value minus 1, and the largest
cutoff value is the maximum observed test
value plus 1. All the other cutoff values are the
averages of two consecutive ordered observed
test values.
RECODE Leuko (Lowest thru 12649=0) (12650 thru Highest=1) INTO LeukoApgar.
VARIABLE LABELS LeukoApgar 'LeukoApgar'.
EXECUTE.
CROSSTABS
/TABLES=LeukoApgar BY ApgarNew
/COUNT ROUND CELL.
Crosstabs
Notes
Output Created
Comments
09-JAN-2015 23:38:48
Data
Input
Active Dataset
Filter
Weight
Split File
File
/
live PEB 2013.sav
DataSet1
<none>
<none>
<none>
446
Cases Used
Syntax
Resources
Processor Time
Elapsed Time
Cells Available

each table.
CROSSTABS
/TABLES=LeukoApgar BY
ApgarNew
/FORMAT=AVALUE
TABLES
/STATISTICS=CHISQ
RISK
/CELLS=COUNT ROW
COLUMN TOTAL
/COUNT ROUND CELL.
00:00:00.01
00:00:00.00
2
131072

2013.sav
LeukoApgar * ApgarNew
<12650
LeukoApgar
>=12650
Total

Cases
Valid
Missing
N
Percent
N
Percent
446
100.0%
0
0.0%
Total
N
Percent
446
100.0%
LeukoApgar * ApgarNew Crosstabulation

ApgarNew
Low Apgar
Normal Apgar
Score
Score
Count
20
174
% within LeukoApgar
10.3%
89.7%
% within ApgarNew
23.3%
48.3%
% of Total
4.5%
39.0%
Count
66
186
% within LeukoApgar
26.2%
73.8%
% within ApgarNew
76.7%
51.7%
% of Total
14.8%
41.7%
Count
86
360
% within LeukoApgar
19.3%
80.7%
Total
194
100.0%
43.5%
43.5%
252
100.0%
56.5%
56.5%
446
100.0%
% within ApgarNew
% of Total
Value
100.0%
19.3%
Chi-Square Tests
df
1
.000
1
.000
1
.000
100.0%
80.7%
Exact Sig. (2sided)
Pearson Chi-Square
17.762a
16.757
Likelihood Ratio
18.773
Fisher's Exact Test
.000
Linear-by-Linear
17.723
1
.000
Association
N of Valid Cases
446
a. 0 cells (0.0%) have expected count less than 5. The minimum expected count is 37.41.
Risk Estimate
Value
Lower
Upper
Odds Ratio for LeukoApgar
.324
.189
.557
(<12650 / >=12650)
100.0%
100.0%
Exact Sig. (1sided)
.000

Low Apgar Score
Normal Apgar Score
N of Valid Cases
.394
.248
.626
1.215
1.113
1.327
446
LOGISTIC REGRESSION VARIABLES ApgarNew

/METHOD=ENTER IUGR klasifikasiMAP Earlyorlate LeukoApgar LBW klasifikasitrombosit Severity
UsiaGestasi Eklampsia
/CONTRAST (IUGR)=Indicator
/CONTRAST (klasifikasiMAP)=Indicator
/CONTRAST (Earlyorlate)=Indicator
/CONTRAST (LeukoApgar)=Indicator
/CONTRAST (LBW)=Indicator
/CONTRAST (klasifikasitrombosit)=Indicator
/CONTRAST (Severity)=Indicator
/CONTRAST (UsiaGestasi)=Indicator
/CONTRAST (Eklampsia)=Indicator
/SAVE=PRED
/CLASSPLOT
/CRITERIA=PIN(0.05) POUT(0.10) ITERATE(20) CUT(0.5).
Logistic Regression
Notes
Output Created
Comments
09-JAN-2015 23:42:50
Data
Input
Active Dataset
Filter
Weight
Split File
File
/
live PEB 2013.sav
DataSet1
<none>
<none>
<none>
446
are treated as missing
Syntax
LOGISTIC REGRESSION
VARIABLES ApgarNew
/METHOD=ENTER IUGR
klasifikasiMAP Earlyorlate
LeukoApgar LBW
klasifikasitrombosit Severity
UsiaGestasi Eklampsia
/CONTRAST
(IUGR)=Indicator
/CONTRAST
(klasifikasiMAP)=Indicator
/CONTRAST
(Earlyorlate)=Indicator
/CONTRAST
(LeukoApgar)=Indicator
/CONTRAST
(LBW)=Indicator
/CONTRAST
(klasifikasitrombosit)=Indicat
or
/CONTRAST
(Severity)=Indicator
/CONTRAST
(UsiaGestasi)=Indicator
/CONTRAST
(Eklampsia)=Indicator
Resources
Processor Time
Elapsed Time
Variables Created or
Modified
PRE_25
00:00:00.04
00:00:00.00
Predicted probability

2013.sav

Unweighted Casesa
N
Percent
Included in Analysis
445
99.8
Selected Cases Missing Cases
1
.2
Total
446
100.0
Unselected Cases
0
.0
Total
446
100.0
a. If weight is in effect, see classification table for the total
number of cases.
Dependent Variable Encoding
Original Value
Low Apgar Score
Normal Apgar Score
Internal Value
0
1
Categorical Variables Codings

Frequency
Severity
UsiaGestasi
Eklampsia
klasifikasi MAP
Earlyorlate
LeukoApgar
Superimposed
Preeclampsia
Mild Preeclampsia
Severe Preeclampsia
HELLP Syndrome
Preterm
Term
Postterm
1
2
<135
>=135
late
early
<12650
>=12650
Parameter coding
(1)
(2)
(3)
15
1.000
.000
.000
47
345
38
225
218
2
31
414
358
87
346
99
194
251
.000
.000
.000
1.000
.000
.000
1.000
.000
1.000
.000
1.000
.000
1.000
.000
1.000
.000
.000
.000
1.000
.000
.000
1.000
.000
LBW
IUGR
Normo birtweight
LBW
>173500
<173500
ya
tidak
273
172
379
66
29
416
1.000
.000
1.000
.000
1.000
.000
Block 0: Beginning Block
Classification Tablea,b
Observed
Low Apgar Score

Step 0
Normal Apgar Score
Overall Percentage
a. Constant is included in the model.
ApgarNew
Predicted
ApgarNew
Low Apgar
Normal Apgar
Score
Score
0
86
0
359
Percentage
Correct
.0
100.0
80.7
b. The cut value is .500
Step 0
Step 0
Constant
Variables

B
S.E.
Wald
1.429
.120
141.671
Variables not in the Equation

Score
IUGR(1)
9.677
klasifikasiMAP(1)
9.509
Earlyorlate(1)
107.195
LeukoApgar(1)
17.935
LBW(1)
86.666
klasifikasitrombosit(1)
23.154
Severity
46.881
Severity(1)
4.256
Severity(2)
3.942
Severity(3)
13.289
UsiaGestasi
53.737
UsiaGestasi(1)
53.698
df
Sig.
.000
df
1
1
1
1
1
1
3
1
1
1
2
1
Sig.
.002
.002
.000
.000
.000
.000
.000
.039
.047
.000
.000
.000
Exp(B)
4.174
UsiaGestasi(2)
Eklampsia(1)
Overall Statistics
52.362
5.580
139.994
Block 1: Method = Enter
Step 1
Step
1
Omnibus Tests of Model Coefficients

Chi-square
df
Sig.
Step
134.253
12
.000
Block
134.253
12
.000
Model
134.253
12
.000
Model Summary
-2 Log
Cox & Snell R
likelihood
Square
a
302.659
.260
Nagelkerke R
Square
.416
1
1
12
.000
.018
.000
a. Estimation terminated at iteration number 20 because

maximum iterations has been reached. Final solution
cannot be found.
Step
1
Step 1
Hosmer and Lemeshow Test

Chi-square
df
Sig.
7.522
8
.482
1
2
3
4
5
6
7
8
9
Contingency Table for Hosmer and Lemeshow Test

ApgarNew = Low Apgar Score ApgarNew = Normal Apgar Score
Observed
Expected
Observed
Expected
25
26.928
12
10.072
25
24.373
20
20.627
17
14.936
33
35.064
8
6.478
36
37.522
1
3.246
36
33.754
4
5.113
74
72.887
4
2.636
49
50.364
2
.790
22
23.210
0
1.098
53
51.902
Total
37
45
50
44
37
78
53
24
53
10
.402
24
23.598
24
Classification Tablea
Observed
Predicted
ApgarNew
Low Apgar Score
Normal Apgar Score
ep 1
ApgarNew
Low Apgar Score
46
40
Normal Apgar Score
27
332
Overall Percentage
B
S.E.
Wald
df
Sig.
Exp(B)
The cut value is .500
Percentage Correct
53.5
92.5
84.9
95% C.I.for EXP(B)
Lower
Upper
.244
1.670
.442
1.796
2.147
9.757
1.738
6.324
.858
6.371
.762
3.769
IUGR(1)
-.449
.491
.838
1
.360
.638
klasifikasiMAP(1)
-.115
.358
.104
1
.747
.891
Earlyorlate(1)
1.521
.386
15.509
1
.000
4.577
LeukoApgar(1)
1.198
.330
13.229
1
.000
3.315
LBW(1)
.849
.511
2.759
1
.097
2.338
klasifikasitrombosit(1)
.527
.408
1.673
1
.196
1.695
Severity
1.763
3
.623
Step 1a
Severity(1)
-.033
.810
.002
1
.968
.968
.198
4.737
Severity(2)
.674
.755
.796
1
.372
1.961
.447
8.612
Step
Severity(3)
.528
.467
1.277
1
.259
1.695
.679
4.234 number: 1
UsiaGestasi
1.666
2
.435
UsiaGestasi(1)
-18.801
28276.546
.000
1
.999
.000
.000
.
UsiaGestasi(2)
-18.162
28276.546
.000
1
.999
.000
.000
.
Eklampsia(1)
-.238
.500
.228
1
.633
.788
.296
2.097
Constant
17.508
28276.546
.000
1
1.000
40160743.578
a. Variable(s) entered on step 1: IUGR, klasifikasiMAP, Earlyorlate, LeukoApgar, LBW, klasifikasitrombosit, Severity, UsiaGestasi, Eklampsia.
Observed Groups and Predicted Probabilities

N
N
N
F
N
R
N
E
N
N
Q
N
N
U
N
N
E
N NN
N
N NN
C
NN NN
Y
80 +
+
I
I
I
I
I
I
60 +
+
I
I
I
I
I
I
40 +
+
I
I
I
I
I
NN NN
I
20 +
N N NN NNN +
I
N N
N
N N NN NNN I
I
L L
N
N
NN NNNN NNN I
I
L N
L L
N
L L N
L
N
L L N
L NN N
NN LN NNLLNLNN I
Predicted ---------+---------+---------+---------+---------+---------+---------+--------+---------+---------Prob:
0
.1
.2
.3
.4
.5
.6
.7
.8
.9
1
Group:
LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN
NNNNNN
Predicted Probability is of Membership for Normal Apgar Score
The Cut Value is .50
Symbols: L - Low Apgar Score
N - Normal Apgar Score
Each Symbol Represents 5 Cases.

Apgar Score

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Apgar Score

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RETROSPECTIVE COHORT STUDY OF THE APGAR SCORE AT ONE

MINUTE OF INFANT BORN ON PREECLAMPTIC WOMEN IN CIPTO

elements of the apgar score are partially dependent on the

Usia Grup Ibu

*Mann Whitney Test,**Chi-Square, ap<0.05

Table 3. Logistic regression analysis for birth asphyxia prediction model

Hosmer & Lemeshow test p= 0.848

Montgomery KS. Apgar Scores: Examining the Long-term Significance. 2005;:15.

ACOG. The Apgar Score. 2010;:14.

Use and abuse of the Apgar Score. 2004;:13.

User-defined missing values

[DataSet1] /Users/saraswatigondotesna/Desktop/Magang dr Adly NA/SGA STudy/singleton live PEB

Case Processing Summary

Exact Sig. (2sided)

Exact Sig. (1sided)

Odds Ratio for

Exact Sig. (2sided)

Exact Sig. (1sided)

Exact Sig. (2sided)

Exact Sig. (1sided)

Anemia (Hb < 11 g/dl) * ApgarNew

Anemia (Hb < 11 g/dl)

Asymp. Sig. (2sided)

Exact Sig. (2sided)

Exact Sig. (1sided)

Exact Sig. (2sided)

Exact Sig. (1sided)

For cohort ApgarNew =

klasifikasi MAP * ApgarNew

Exact Sig. (2sided)

Exact Sig. (1sided)

Odds Ratio for klasifikasi

Exact Sig. (2sided)

Exact Sig. (1sided)

Exact Sig. (2sided)

Exact Sig. (1sided)

Exact Sig. (2sided)

Exact Sig. (1sided)

Exact Sig. (2sided)

Exact Sig. (1sided)

For cohort ApgarNew =

ANC teratur * ApgarNew

Exact Sig. (2sided)

Exact Sig. (1sided)

Odds Ratio for ANC teratur

Missing Value Handling

[DataSet1] /Users/saraswatigondotesna/Desktop/Magang dr Adly NA/SGA STudy/singleton live PEB

Case Processing Summary

Severity * ApgarNew Crosstabulation

Asymp. Sig. (2sided)

Odds Ratio for Severity

Missing Value Handling

[DataSet1] /Users/saraswatigondotesna/Desktop/Magang dr Adly NA/SGA STudy/singleton live PEB

Case Processing Summary

UsiaGestasi * ApgarNew Crosstabulation

Asymp. Sig. (2sided)

LOGISTIC REGRESSION VARIABLES ApgarNew

Missing Value Handling

[DataSet1] /Users/saraswatigondotesna/Desktop/Magang dr Adly NA/SGA STudy/singleton live PEB

Case Processing Summary

Dependent Variable Encoding

Block 0: Beginning Block

Low Apgar Score

Variables in the Equation