Oxygen, the most essential and urgent ongoing need
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Apgar

>>Oxygen
an urgent ongoing need

Transition
fetal to postnatal circulation

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Contact: Eileen Nicole Simon
eileen4brainresearch@yahoo.com
>
The Apgar score devised over 50 years ago reflected the perceived need to remove
the newborn from the "sterile field" for repair of the episiotomy, manage delivery of
the placenta, and to give the infant to neonatal specialists, often for resuscitation.
>
The Apgar score is all about how well a newborn establishes respiration, and the
ominous outcome if failure to breathe persists.
>
Oxygen is the most essential, and urgent, ongoing need of all organisms dependent
upon aerobic metabolism.
>
Oxygen delivery throughout gestation is provided by the placenta, and the umbilical
cord is the unborn child's life-line to the placenta.  Erasmus Darwin wrote in 1801:
"The placenta is an organ for the purpose of
giving due oxygenation to the blood of the
fetus; which is more necessary, or at least
more frequently necessary, than even the
supply of food."
Erasmus Darwin (1801) Zoonomia; or, The Laws of Organic Life,
Section XXXVIII online at:
http://www.blackmask.com/thatway/books180c/zoon.pdf
pdf
http://www.blackmask.com/thatway/books180c/zoondex.htm
html
These may display in a background window
Erasmus Darwin 1731-1802
Problems with the placenta or umbilical cord before birth are of great concern.
Placental respiration continues after birth, unless the umbilical cord is cut.
Nevertheless, by the time Virginia Apgar developed her scoring system
for evaluation of the newborn, clamping the cord within the first minute
or two after birth was coming into vogue.
Posted: February 27, 2006
(a work in progress)
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