Associated factors with neonatal near miss in twin pregnancies in a public referral maternity unit in Brazil
Journal Title: Journal of the Turkish-German Gynecological Association - Year 2021, Vol 22, Issue 1
Abstract
Objective: The aim was to analyze the factors associated with neonatal near miss (NNM) in twin pregnancies in a public referral maternity unit in Brazil. Material and Methods: This retrospective, cross-sectional study included 697 twin newborns. Cases of fetal and neonatal deaths were excluded. Neonates were divided into those meeting NNM criteria (5 min Apgar score <7, birth weight <1,500 g, gestational age at delivery <32 weeks, use of mechanical ventilation or congenital malformation, transfer before 28 days of life) and those who did not. In the bivariate analysis, the chi-square and Fisher’s exact tests were used. Variables with a p-value ≤0.20 were subjected to the multiple analyses, which followed the Poisson regression model. Results: The cohort consisted of 130 (18.7%) neonates meeting NNM criteria and 567 (81.3%) with no NNM criteria after multiple analyses, the following variables were associated with NNM: no previous pregnancy, prevalence ratio (PR): 1.38 [95% confidence interval (CI), 1.03-1.85]; >3 previous pregnancies, PR: 1.93 (95% CI, 1.38-2.69); premature rupture of membranes, PR: 1.50 (95% CI, 1.70-2.12); intrauterine growth restriction, PR: 2.28 (95% CI, 1.53-3.33); premature labor, PR: 1.63 (95% CI, 1.13-2.35); resuscitation in the delivery room, PR: 1.80 (95% CI, 1.24-2.62); and transfusion of blood products, PR: 4.44 (95% CI, 3.14-6.28). Conclusion: The study findings indicate that having had 0 or >3 previous pregnancies, premature rupture of the membranes, intrauterine growth restriction, resuscitation in the delivery room, premature labor, and transfusion of blood products were associated with NNM in twin pregnancies.
Authors and Affiliations
Fernanda Nogueira Barbosa Lopes, Ana Paula Mendes Gouveia, Ocília Maria Costa Carvalho, Antônio Brazil Viana Júnior, Álvaro Jorge Madeiro Leite, Edward Araujo Júnior, Francisco Herlânio Costa Carvalho
Keywords
Related Articles
- EP ID EP693543
- DOI 10.4274/jtgga.galenos.2021.2020.0176
- Views 98
- Downloads 0
Uncommon borderline ovarian tumours: A clinicopathologic study of seventeen patients
Objective: To evaluate uncommon types of borderline ovarian tumors (BOT) and define the clinical, surgical, and pathologic features. Material and Methods: Seventeen patients who were treated in our hospital between 1990...
A novel technique for determining the axis of the fetal heart: Clock position method
No summary
Oral care in pregnancy
Pregnant women are susceptible to a wide range of oral health conditions that could be harmful to their own health and the future of their baby. There are many myths about the safety of dental care during pregnancy. As a...
Association of decreased C1q/tumor necrosis factorrelated protein-5 levels with metabolic and hormonal disturbance in polycystic ovary syndrome
Objective: C1q/tumor necrosis factor-related protein-5 (CTRP5) is a novel peptide hormone involved in the metabolism of energy regulation. Polycystic ovary syndrome (PCOS), which is a reproductive and metabolic disorder,...
Analyses of soluble endoglin and matrix metalloproteinase 14 using enzyme-linked immunosorbent assay in the diagnosis and assessment of severity of early- and late-onset pre-eclampsia
Objective: Abnormal trophoblastic invasion and impaired placentation have a crucial role in the etiopathogenesis of preeclampsia (PrE). Trophoblastic cells are involved in invading the maternal decidua and remodelling of...