| Maternal and neonatal profile of late-preterm survivors in a poorly resourced country. | |
| | |
MedLine Citation:
|
PMID: 21604999 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Objective. To determine maternal indicators and adverse perinatal outcomes among late-preterm infants during birth hospitalization in a low-income country. Methods. Cross-sectional study of late-preterm and term survivors in a tertiary maternity hospital in southwest Nigeria using multivariable logistic regression analysis and population attributable risk (PAR) percentage. Adjusted odds ratios (OR) and 95% confidence intervals (CI) of significant factors are stated. Results. Of 4176 infants enrolled, 731 (17.5%) were late preterm and 3445 (82.5%) were full-term. Late-preterm delivery was independently associated with mothers who were unmarried (OR: 1.71, CI: 1.06-2.75), lacked formal education (OR: 1.75, CI: 1.06-2.89), human immunodeficiency virus positive (OR: 1.61, CI: 1.17-2.20), with hypertensive disorders (OR: 3.07, CI: 2.32-4.08), antepartum hemorrhage (OR: 3.66, CI: 1.97-6.84), and were unlikely to have induced labor (OR: 0.010, CI: 0.01-0.69). Hypertensive disorders and antepartum hemorrhage had a combined PAR of 48.4%. Infants born late preterm were more likely to have low 5-min Apgar scores (OR: 1.70, CI: 1.01-2.83), sepsis (OR: 1.62, CI: 1.05-2.50), hyperbilirubinemia (OR: 1.56, CI: 1.05-2.33), admission into special care baby unit (OR: 1.85, CI: 1.38-2.48), and nonexclusive breast-feeding (OR: 1.49, CI: 1.49, CI: 1.18-1.89). Conclusions. These findings suggest that late-preterm infants in low-resource settings are at risk of severe morbidity and suboptimal feeding. Education and close monitoring of high-risk mothers are warranted to prevent avoidable late-preterm delivery and facilitate the proactive management of unavoidable late-preterm births. |
| | |
Authors:
|
Bolajoko O Olusanya; Olumuyiwa A Solanke |
Related Documents
:
|
21950939 - Reproducibility of cerebral tissue oxygen saturation measurements by near-infrared spec... 22247569 - Emotional relationships in mothers and infants: culture-common and community-specific c... 21837919 - Amniotic band syndrome: a case report. 22530839 - Nicu-only versus universal screening for newborn hearing loss: population audit. 22178799 - A matched case control study with propensity score balancing examining the protective e... 7582889 - Gastroduodenal disorders associated with emesis in infants. 11436519 - Cold monday mornings prove dangerous: epidemiology of sudden cardiac death. 16531169 - Effects of the etonogestrel-releasing implant implanon and a nonmedicated intrauterine ... 2739889 - Right-sided facial asymmetry in infant emotional expression. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-5-24 |
Journal Detail:
|
Title: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians Volume: - ISSN: 1476-4954 ISO Abbreviation: - Publication Date: 2011 May |
Date Detail:
|
Created Date: 2011-5-24 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101136916 Medline TA: J Matern Fetal Neonatal Med Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Department of Community Health and Primary Care, University of Lagos , Lagos , Nigeria. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Domains of apoE4 required for the biogenesis of apoE-containing HDL.
Next Document: Fatty acid-binding protein-4 plasma levels are associated to metabolic abnormalities and response to...