{'fraction_non_alphanumeric': 0.02511415525114155, 'fraction_numerical': 0.0182648401826484, 'mean_word_length': 5.675126903553299, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
NEWBORN ASSESSMENT USING VIRGINIA APGAR METHODOLOGY AND ITS MODIFICATIONS

Neonatal clinical status assessment at birth has always been crucial for neonatologists, anesthesiologists-resuscitators, pediatricians, obstetricians and gynecologists. The technique proposed by Virginia Apgar in 1952 is now recognized worldwide. However, a number of shortcomings have been identified in the application of the technique. Scientists and practitioners around the world are continually searching for an alternative tool to overcome the limitations of the Apgar score. The modified score and additional score proposed by E. Saling (1968), expanded (proposed by the American Academy of Pediatrics, 2006), specified and combined Apgar score, proposed by M. Rüdiger (2010, 2012), as well as an alternative method of assessment of the condition of a child immediately after birth – the Neonatal Resuscitation and Adaptation Score (NRAS, 2015) are the most famous transformations of the Apgar score described in the literature. They have their advantages, but further research is needed to confirm their feasibility in clinical practice. The main challenges for researchers are to personalize, objectify the approach to newborn’s health status assessment and to increase diagnostic efficacy and predictive value of the technique.