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 Received: 12 Jan , 2014 Accepted: 16 Mar , 2014  Abstract   Background & Aims: Although, the high efficacy of Apgar score to find the neonates who have respiratory distress, a low number of Apgar score couldn’t determine asphyxia definitely, and other factors could reduce it, too. For this reason, we tried to determine the relationship between Apgar score, PH& Base Excess in the first hour of birth in neonates.   Material &Methods: In a prospective cross-sectional study we completed the questionnaires from 200 newborns regardless of birth method (i.e. NVD versus Caesarean section) considering mother’s records and neonate’s conditions. Apgar score at birth carried out and immediately after the delivery of the fetus, umbilical cord arterial blood sample was aspirated and sent to the hospital laboratory to determine PH& Base Excesses. Finally we used SPSS20 software for data analysis.   Results: This study showed that between first minute and 5th minute Apgar scores, and Arterial blood gas there is a significant co-relationship. (p

Keywords: Apgar score, Arterial blood gas, Umbilical cord, Acid base deficiency

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