影响产科教学医院新生儿早期死亡的母婴特征

A. Dhahir, S. Alalaf
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引用次数: 1

摘要

背景和目的:新生儿早期死亡率低反映了任何国家的医疗保健进展。在一项基于医院的研究中,我们旨在确定早期新生儿死亡的患病率以及相关的孕产妇和新生儿因素。方法:本审计研究于2020年1月1日至2020年12月31日对伊拉克库尔德斯坦地区埃尔比勒市一家妇产教学医院的产房和新生儿重症监护室的所有新生儿进行。胎儿和母体因素被确定,并与新生儿早期死亡相关。结果:新生儿早期死亡率为6.7%。所有类型的早产(极早产、极早产和中度早产)均与新生儿早期死亡显著相关(比值比[ORs]=45.1、6.2和2.1)。初产妇和大经产妇早期新生儿死亡的风险更高(ORs分别为8.4和13.0)。肥胖妇女有更高的新生儿早期死亡风险(OR=3.3)。当产前护理就诊次数少于四次时,新生儿早期死亡的风险显著较高(OR=8.1)。剖宫产与高风险相关(OR=3.8)。关于出生后第一分钟和第五分钟的Apgar评分,重度抑郁患者的新生儿早期死亡明显高于对照组。结论:高产次、产前护理不足、肥胖和分娩方式是导致新生儿早期死亡的因素。早期产前护理有助于快速识别和管理新生儿早期死亡的风险因素。关键词:新生儿早期死亡;对等出生体重低;母体特征;超重
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Maternal and neonatal characteristics that influence early neonatal deaths in a maternity teaching hospital
Background and objective: Low early neonatal death reflects health care progress in any country. We aimed to determine the prevalence of early neonatal deaths and the associated maternal and neonatal factors in a hospital-based study. Methods: This audit study was conducted on all newborns in the labor ward and neonatal intensive care unit of a maternity teaching hospital in Erbil city, Kurdistan Region, Iraq, from January 1, 2020, to December 31, 2020. Fetal and maternal factors were determined and correlated with early neonatal deaths. Results: The early neonatal death rate was 6.7%. All categories of preterm deliveries (extreme, very, and moderate preterm) were significantly associated with early neonatal deaths (odds ratios [ORs] = 45.1, 6.2, and 2.1, respectively). The primiparous and grand multiparous women had a higher risk of early neonatal deaths (ORs = 8.4 and 13.0, respectively). Obese women had a higher risk of early neonatal deaths (OR = 3.3). The risk of early neonatal deaths was significantly high when the number of antenatal care visits was less than four (OR = 8.1). Delivery by cesarean section was associated with high risk (OR = 3.8). Regarding the Apgar scores in the first and fifth minutes after birth, early neonatal death was significantly higher among those with severely depressed scores. Conclusion: High parity, inadequate antenatal attendance, obesity, and mode of delivery, were contributing factors to early neonatal deaths. Early prenatal care can assist in the rapid identification and management of risk factors for early neonatal deaths. Keywords: Early neonatal death; Parity; Low birth weight; Maternal characteristics; Overweight.
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