Late Preterm and Term Birth: Neonatal Hyperbilirubinemia and Birth Model

Özdemirci, Şafak; Kut, Altuğ; Salgur, Funda

doi:10.3109/15513815.2016.1171421

Cited by 7 publications

(8 citation statements)

References 14 publications

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“…Postnatal jaundice rates were high in the cohort. Although shoulder dystocia is often cited as a major risk factor of neonatal jaundice, none of the cases of shoulder dystocia in the cohort resulted in a case of neonatal jaundice (4e6, 45,46). In fact, 1 in 10 babies born by elective cesarean section had postnatal jaundice.…”

Section: Newborn Complicationsmentioning

confidence: 90%

“…In fact, 1 in 10 babies born by elective cesarean section had postnatal jaundice. These rates may instead reflect the predisposition of babies exposed to diabetes in utero to various metabolic abnormalities (4e6, 45,46). Neonatal jaundice often results in longer hospital stays and increased costs, particularly for the northern families who are not candidates for outpatient phototherapy because of their distance from a major city.…”

Section: Newborn Complicationsmentioning

confidence: 99%

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Perinatal Outcomes in a Longitudinal Birth Cohort of First Nations Mothers With Pregestational Type 2 Diabetes and Their Offspring: The Next Generation Study

Pylypjuk

Sellers

Wicklow

2021

Canadian Journal of Diabetes

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Section: Newborn Complicationsmentioning

confidence: 90%

Section: Newborn Complicationsmentioning

confidence: 99%

Perinatal Outcomes in a Longitudinal Birth Cohort of First Nations Mothers With Pregestational Type 2 Diabetes and Their Offspring: The Next Generation Study

Pylypjuk

Sellers

Wicklow

2021

Canadian Journal of Diabetes

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“…Maternal age and cesarean delivery are risk factors associated with hyperbilirubinemia (32, 33), as well as fertility treatment conceptions which may in part explain our finding.…”

Section: Discussionmentioning

confidence: 58%

Fertility Treatment Is Associated with Stay in the Neonatal Intensive Care Unit and Respiratory Support in Late Preterm Infants

Wang

Sundheimer

Spades

et al. 2017

The Journal of Pediatrics

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“…However, currently it is not clear if the delivery mode is associated with hyperbilirubinemia requiring phototherapy [6]. While some studies found a higher risk for hyperbilirubinemia with vaginal delivery [18] in contrast other studies showed an increased risk with caesarean section [17].…”

Section: Discussionmentioning

confidence: 99%

Vaginal Delivery and Low Gestational Age are Key Risk Factors for Hypernatremia in Neonates<32 Weeks

et al. 2021

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Background Preterm neonates frequently experience hypernatremia (plasma sodium concentrations >145 mmol/l), which is associated with clinical complications, such as intraventricular hemorrhage. Study design In this single center retrospective observational study, the following 7 risk factors for hypernatremia were analyzed in very low gestational age (VLGA, below 32 weeks) neonates: gestational age (GA), delivery mode (DM; vaginal or caesarian section), sex, birth weight, small for GA, multiple birth, and antenatal corticosteroids. Machine learning (ML) approaches were applied to obtain probabilities for hypernatremia. Results 824 VLGA neonates were included (median GA 29.4 weeks, median birth weight 1170 g, caesarean section 83%). 38% of neonates experienced hypernatremia. Maximal sodium concentration of 144 mmol/l (interquartile range 142–147) was observed 52 hours (41–65) after birth. ML identified vaginal delivery and GA as key risk factors for hypernatremia. The risk of hypernatremia increased with lower GA from 22% for GA ≥ 31–32 weeks to 46% for GA < 31 weeks and 60% for GA < 27 weeks. A linear relationship between maximal sodium concentrations and GA was found, showing decreases of 0.29 mmol/l per increasing week GA in neonates with vaginal delivery and 0.49 mmol/l/week after cesarean section. Sex, multiple birth and antenatal corticosteroids were not associated hypernatremia. Conclusion VLGA neonates with vaginal delivery and low GA have the highest risk for hypernatremia. Early identification of neonates at risk and early intervention may prevent extreme sodium excursions and associated clinical complications.

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Late Preterm and Term Birth: Neonatal Hyperbilirubinemia and Birth Model

Abstract: This study revealed that compared with vaginal births, cesarean births led to higher rates of neonatal hyperbilirubinemia.

Cited by 7 publications

References 14 publications

Perinatal Outcomes in a Longitudinal Birth Cohort of First Nations Mothers With Pregestational Type 2 Diabetes and Their Offspring: The Next Generation Study

Perinatal Outcomes in a Longitudinal Birth Cohort of First Nations Mothers With Pregestational Type 2 Diabetes and Their Offspring: The Next Generation Study

Fertility Treatment Is Associated with Stay in the Neonatal Intensive Care Unit and Respiratory Support in Late Preterm Infants

Vaginal Delivery and Low Gestational Age are Key Risk Factors for Hypernatremia in Neonates<32 Weeks

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