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 110
- Downloads 0
What is your diagnosis ?
No Summary.
Investigation of Catechol-O-methyltransferase (COMT) gene Val158Met polymorphism in ovarian cancer
Objective: Catechol-O-methyltransferase (COMT), the product of the COMT gene, detoxifies the carcinogenic catechol estrogens. The aim of the present study was to examine the relationship between COMT Val158Met polymorphi...
Perinatal outcomes of twenty-five human immunodeficiency virus-infected pregnant women: Hacettepe University experience
Objective: To evaluate perinatal outcomes in human immunodeficiency virus (HIV) infected pregnant women in Turkey. Material and Methods: Maternal characteristics, pregnancy complications, laboratory findings including H...
Detrimental effect of Hypericum perforatum on ovarian functions
Objective: Hypericum perforatum is widely used for depression and distress treatment as an over-the-counter plant at any age. This study investigated the safety of H. perforatum on ovarian function and infertility. Mate...
The influence on resection line during supracervical hysterectomy: physiological extension of endometrial cells in the cervix uteri
Objective: A straight resection of corpus uteri using the sacrouterine ligament as landmark is a common method during supracervical hysterectomy. Subsequent spotting rates of up to 25% suggest the existence of residual e...