关键词: Adverse neonatal outcomes Apgar score NICU admission antenatal risk factors low birth weight neonatal death preterm birth stillbirth

来  源:   DOI:10.4103/ijcm.ijcm_493_22   PDF(Pubmed)

Abstract:
UNASSIGNED: The incidence of neonatal mortality has declined over the past few decades, but it remains a major concern. Identifying risk factors associated with adverse outcomes may help prevent and manage neonatal morbidity and mortality. The study aimed to explore the associated antenatal risk factors among pregnant women delivering in a tertiary care hospital in South India with adverse neonatal outcomes.
UNASSIGNED: This was a hospital-based, matched case-control study among pregnant women belonging to Puducherry and admitted for delivery. Cases were pregnant women who gave birth to adverse neonatal outcomes, while controls were pregnant women who gave birth to alive and healthy babies. Data was collected from various sources, primarily from medical records, and triangulated.
UNASSIGNED: Adverse neonatal outcomes were ten times more if pregnant women had placental complications and seven times more for intrauterine growth restriction noted during pregnancy. Pregnant women referred from peripheral care centers had 1.6 times more risk of adverse neonatal outcomes. Prior hospital admission during the present pregnancy had a protective effect in the final adjusted analysis.
UNASSIGNED: Risk factors should be routinely monitored in all health centers. Women with high-risk pregnancies should be identified earlier, and appropriate care should be provided.
摘要:
新生儿死亡率在过去几十年中有所下降,但这仍然是一个主要问题。确定与不良结局相关的危险因素可能有助于预防和管理新生儿发病率和死亡率。该研究旨在探讨在印度南部三级保健医院分娩的孕妇中与新生儿结局不良的产前危险因素。
这是一家医院,在属于Puducherry并入院分娩的孕妇中进行匹配的病例对照研究。病例为孕妇,分娩时出现不良新生儿结局,而对照组是孕妇,她们生下了活着和健康的婴儿。数据是从各种来源收集的,主要来自医疗记录,和三角测量。
如果孕妇有胎盘并发症,则新生儿的不良结局增加10倍,妊娠期间胎儿宫内生长受限则增加7倍。从周边护理中心转诊的孕妇发生不良新生儿结局的风险是其1.6倍。在最终的调整分析中,本妊娠期间先前入院具有保护作用。
应在所有卫生中心常规监测危险因素。高危妊娠妇女应及早发现,并应提供适当的护理。
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