Research Article Factors Associated with Apgar Score among Newborns Delivered by Cesarean Sections at Gandhi Memorial Hospital, Addis Ababa Mohammed Suleiman Obsa , 1 Getahun Molla Shanka, 2 Misrak Woldayohannes Menchamo, 3 Robera Olana Fite , 4 and Meron Abrar Awol 3 1 Department of Anesthesia, Wolaita Sodo University, Wolaita, Ethiopia 2 School of Medicine, Wolaita Sodo University, Wolaita, Ethiopia 3 Addis Ababa University School of Anesthesia, Addis Ababa, Ethiopia 4 Department of Nursing, Wolaita Sodo University, Wolaita, Ethiopia Correspondence should be addressed to Mohammed Suleiman Obsa; msuleiman43@gmail.com Received 24 September 2019; Revised 11 November 2019; Accepted 26 November 2019; Published 6 January 2020 Academic Editor: Marco Scioscia Copyright © 2020 Mohammed Suleiman Obsa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background. Newborns can be assessed clinically using the Apgar score test to quickly and summarily assess the health of newborn physical condition immediately after delivery and to determine any immediate need for extra medical or emergency care. This study is aimed at assessing factors associated with Apgar score among newborns delivered by cesarean sections and factors associated with Apgar score. Method. Institutional-based cohort study design was conducted. All eligible study participants were included. Training was given for data collectors and supervisors. Regular supervision and follow-up was made. Data was entered into Epi Info version 7 computer software by investigators and was transported to SPSS version 20 computer program for analysis. Bivariate and multivariate analysis was used to identify factors associated with Apgar score. Result. A total 354 newborn babies were included into the study. Majority of baby had low Apgar score at one minute and high Apgar score at five minutes. About 30.2% of newborn baby had Apgar score below seven minutes. On the other hand, about 12.8% of all newborns had low Apgar score at five minutes. It had been found that those neonates who were born when skin incision to delivery time is greater than three minutes were about fourfolds more likely to have low Apgar score than those who were born when skin incision to delivery time is less than three minutes (AOR 3.645) (95% CI (0.116-26.421)). Conclusion. Newborn babies have a low Apgar score at one minute as compared to five minutes. But low Apgar score at five minutes has long-term sequel. Therefore, it is very important to reduce factors associated with low Apgar score at both minutes. 1. Introduction Newborns delivered by cesarian section (CS) can be assessed clinically using the Apgar score which was devised in 1952 by Dr. Virginia Apgar to evaluate the health of newborn and assess the effects of obstetric anesthesia on newborns at birth [1]. The test is simple and repeatable method to quickly and summarily assess the health of newborn physical condition immediately after delivery and to determine any immediate need for extra emergency care [2, 3]. Five factors are used to evaluate the baby’s condition and each factor is scored on a scale of 0 to 2, with 2 being the best score for each: the scoring system is an accepted tool for assessing the vitality of newborn infants. The score is based on measures of heart rate, respiratory effort, skin color, mus- cle tone, and reflex irritability [4]. Scores obtainable are between 0 and 10, with 10 is the highest possible score. A total score of 7-10 is considered “normal,” and a lower Apgar score indicates depressed vitality [5]. However, several possible causes of low Apgar Hindawi Journal of Pregnancy Volume 2020, Article ID 5986269, 6 pages https://doi.org/10.1155/2020/5986269