Adverse Neonatal Outcome are More Common among Babies Born by Cesarean Section than Naturally Born Babies at Public Hospitals in Eastern Ethiopia: A Comparative Prospective Follow-Up Study at Eastern Ethiopia

Tefera, Maleda; Assefa, Nega; Roba, Kedir Teji; Gedefa, Letta

doi:10.1177/2333794x211018350

Cited by 4 publications

(1 citation statement)

References 53 publications

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“…A study by Sowemimo et al 13 showed that out of 66 deliveries conducted instrumentally, 45.5% resulted in admission to NICU, also, the risk of adverse neonatal outcome was increased in mothers who had cesarean section. 30 Undoubtedly, there could exist some confounding factors beyond the scope of the current study.…”

Section: Discussionmentioning

confidence: 94%

Pregnancy and the risk of NICU admissions in Nandom Municipality of Ghana: A cross‐sectional retrospective study

Ziem

Saaka

Vicar

et al. 2023

Health Science Reports

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Background Neonatal intensive care units (NICU) are specialized units that provide medical attention to neonates, and thus have become a vital aspect in the provision of critical care to infants who are faced with special challenges following birth. Aim To determine antepartum and intrapartum factors that predispose to NICU admissions in the Nandom Municipal of the Upper West Region of Ghana. Method This was a cross‐sectional retrospective study, spanning from January 1, 2021 to December 31, 2021. Records covering 1777 women who were delivered or had their babies referred to the St. Theresa's Hospital in the Nandom Municipality were involved in the study. Descriptive statistics and multinomial logistic regression analysis were used to compare variables, and statistical significance was determined where the p‐value was less than 0.05. Results From the study, the rate of NICU admission was 10.4%. There was a significant association between mothers who attended less than four antenatal sessions ( p = 0.004) and admission to NICU. Nulliparous mothers ( p = 0.027) and mothers who presented with multiple pregnancy ( p < 0.001) were more likely to have their babies sent to NICU. Both preterm delivery ( p < 0.001) and post‐term delivery ( p < 0.001) were prone to admission to NICU. Also, instrumental delivery ( p < 0.001), cesarean section ( p < 0.001), low birth weight ( p < 0.001), and male infants ( p = 0.003) had an increased risk of being admitted to NICU. Furthermore, severe ( p < 0.001) and moderate ( p < 0.001) birth asphyxia in the first minute following delivery were significantly associated with NICU admission whereas severely asphyxiated babies at 5 min ( p < 0.001) were associated with NICU admission. Conclusion The study revealed a relatively high NICU admission rate in the study area, and the predictors are multifaceted. Tailored intervention programs aimed at curbing these predictors will be required to reduce the rate of NICU admissions in the Nandom Municipality of Ghana.

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Section: Discussionmentioning

confidence: 94%

Pregnancy and the risk of NICU admissions in Nandom Municipality of Ghana: A cross‐sectional retrospective study

Ziem

Saaka

Vicar

et al. 2023

Health Science Reports

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Study on indoor thermal perception, behavioral adaptation in late pregnancy and their effects on adverse birth outcomes in south China

Ni,

Wang,

et al. 2024

Building and Environment

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Respiratory distress in newborns: current state of the problem

Ivanov,

Aleksandrovich,

Temirova

2024

Vestn. anesteziol. reanimatol.

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Introduction. Respiratory distress of newborns is one of the most common causes of complications, irreversible damage to the central nervous system and deaths in the neonatal period.The objective was to analyze the current features of epidemiology, risk factors and outcomes of respiratory distress (RD) in newborns according to the literature.Materials and methods. The analysis includes 112 publications included in the abstract PubMed database for the period from 2017 to 2023. The search was carried out using keywords: respiratory distress, respiratory distress syndrome, newborns, favorable outcome, unfavorable outcome, risk factor, epidemiology. After the initial study of abstracts, 62 articles were excluded from the review on predicting disease outcomes and the effect of therapeutic measures on the course of respiratory failure in the neonatal period.Results. Studies on the epidemiology of respiratory distress in newborns are very numerous, but the information available in them is extremely heterogeneous and cannot be extrapolated to patients with neonatal ICUs all over the world. Low weight and short gestation at the time of birth are the main risk factors for an unfavorable neonatal period outcome, especially in developing countries. A special risk group is prematurity with extremely low body weight, especially if they have severe infections and sepsis. Severe hypoxemic respiratory failure in the neonatal period in full-term newborns, in most cases, is noted in persistent pulmonary hypertension, which requires significant costs of all health care resources. Therapeutic strategies that have significantly reduced mortality in newborns with RD are surfactant replacement therapy and various options for non-invasive respiratory support.Conclusion. The most frequent cause of hypoxemic respiratory failure in the neonatal period is respiratory distress syndrome and transient tachypnea of newborns, which is due to nursing full-term newborns and increasing indications for surgical delivery.

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Adverse Neonatal Outcome are More Common among Babies Born by Cesarean Section than Naturally Born Babies at Public Hospitals in Eastern Ethiopia: A Comparative Prospective Follow-Up Study at Eastern Ethiopia

Cited by 4 publications

References 53 publications

Pregnancy and the risk of NICU admissions in Nandom Municipality of Ghana: A cross‐sectional retrospective study

Pregnancy and the risk of NICU admissions in Nandom Municipality of Ghana: A cross‐sectional retrospective study

Study on indoor thermal perception, behavioral adaptation in late pregnancy and their effects on adverse birth outcomes in south China

Respiratory distress in newborns: current state of the problem

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