Perinatal risk factors and Apgar score ≤ 3 in first minute of life in a referral tertiary obstetric and neonatal hospital

Bouzada, Maria Cândida Ferrarez; Reis, Zilma Silveira Nogueira; Brum, Natália Fernanda Ferreira; Machado, Márcia Gomes Penido; Rego, Maria Albertina Santiago; Anchieta, Lêni Márcia; Romanelli, Roberta Maia de Castro

doi:10.1080/01443615.2019.1673708

Cited by 6 publications

(9 citation statements)

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“…В недавнем метаанализе сообщается о связи между ожирением во время беременности и PAS (ОШ 1,4, (95 % ДИ 1,0-1,8) [24], что, вероятно, вторично связано с более высокои� частотои� операции� кесарево сечение по поводу акушерских осложне-нии� у пациенток с избыточнои� массои� , с нарушением заживления ран и повышенным риском их инфицирования [25]. Результаты исследования Smith C. et al ( 2019) указывают на высокую частоту предлежания плаценты среди женщин с анеми-еи� [26], что может быть обусловлено нарушением инвазии плаценты в результате ишемизации тканеи� матки и изменением иммунологическои� толерантности [18].…”

Section: Discussionunclassified

Placenta previa: risk factors, maternal and perinatal outcomes

Chulanova

Syundyukova

Сашенков

et al. 2023

jour

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Introduction. Placenta previa (PP), especially invasive forms (placenta accreta spectrum PAS), is one of the leading causes of maternal and perinatal morbidity and mortality. The aim of the study is to study the features of the anamnesis, pregnancy and childbirth outcomes for the mother and fetus with placenta previa, and to identify the main risk factors for this pathology. Materials and methods. Retrospective cohort study by continuous sampling method: Group 1 – 64 patients with PP, 2 – 30 women with normal childbirth. The anamnesis of women and pregnancy outcomes were studied. Statistical calculations: Mann-Whitney criteria, χ2 Pearson, odds ratio indicator (OSH). Results. The probability of PP increases in a woman's history with cesarean section in anamnesis (OR 20.53 (7.2–58.53), p < 0.001), premature birth (OR 4.29 (1.45–12.68), p = 0.04), abortion (OR 3.77 (2.32– 6.12), p = 0.004), including induced (OR 14.16 (4.95–40.53), p = 0.001) and spontaneous (OR 3.65 (2.01–6.62), p = 0.02), as well as somatic diseases (OR 6.17 (3.8–10.02), p < 0.001), especially the presence of anemia (OR 19.84 (6.95–56.61), p < 0.001), gastrointestinal diseases (OR 13.18 (4.6–37.75), p = 0.002), overweight/obesity (OR 6.23 (2.14–18.14), p = 0.015), varicose veins (OR 5.37 (1.84–15.72), p = 0.005). The threat of miscarriage (p = 0.012), placental disorders (p = 0.012), anemia (p = 0.026), genital infection (p = 0.023) were recorded more often in women with placenta previa. All women with PP were delivered by operation caesarean section, often prematurely (45.3 %; p < 0.001), urgently (45.3 %, p < 0.001) because of bleeding (37.5 %, p < 0.001). The expansion of the volume of surgery was required in 37.5 % of cases, hemotransfusion – 50.0 %. Morphofunctional indicators of children from mothers with PP were significantly lower, and the frequency of asphyxia, respiratory distress syndrome, аrtificial lung ventilation was higher than in the control group. Discussion. PP and PASS are potentially dangerous pathologies for the life and health of women and children, which is confirmed by the results of this study. However, problems of diagnosis of this pathology were revealed at the outpatient stage. In addition to the well-known risk factors for abnormal placentation, associations of PP with a low socio-economic status of a woman and a number of somatic nosologies, such as obesity, anemia, gastrointestinal tract diseases, varicose veins, the influence of which is probably indirect. The association of abnormal placentation with excessive use of gestogens during pregnancy cannot be ruled out. Conclusions. The risk factors for PP were the presence of a history of cesarean section, abortions, premature birth, low socio-economic status, somatic pathology (overweight / obesity, anemia, gastrointestinal diseases, varicose veins). PP is associated with a high frequency of the threat of miscarriage, placental disorders, genital infection, premature birth, cesarean section operations, bleeding, decreased morphofunctional indicators of newborns, perinatal morbidity and mortality

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Section: Discussionunclassified

Placenta previa: risk factors, maternal and perinatal outcomes

Chulanova

Syundyukova

Сашенков

et al. 2023

jour

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“…В литературе имеются указания на взаимосвязь между гестационным возрастом и оценкои� по Апгар, средняя оценка по Апгар на 5 минуте снижается по мере уменьшения срока гестации [24]. Таким образом, более низкая оценка по Апгар в подгруппе 3 и 4 закономерна в связи с преобладанием в неи� недоношенных, что подтверждают данные литературы: недоношенность увеличивает риск оценки по Апгар ≤ 3 на первои� минуте с отношением шансов 2,00 [25]. Вместе с тем имеются работы, сви-детельствующие, что низкая оценка по Апгар (5 и менее на 10 минуте) ассоциирована с дополнительным риском неонатальнои� смерти независимо от степени недоношенности и незрелости [26].…”

Section: Discussionunclassified

Threat-measuring capabilities of the NTISS scale in the pre-transport phase of neonatal preparation

Ковтун

Давыдова

Mukhametshin

et al. 2022

jour

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Introduction. Medical evacuation of newborns in critical condition remains an important area of neonatal intensive care. The study of threat-metric tools for assessing severity during the inter-hospital transport phases is of considerable practical interest.The aim of the study was to determine the ability of the NTISS scale to predict neonatal outcomes during the pre-transplant preparation phase, depending on the score obtained.Materials and Methods The cohort study includes data from 604 visits of the resuscitation and consultative center (RSCC) transport team to newborns under remote monitoring by the RSCC between August 1, 2017, and December 31, 2018. Division of the total sample into subgroups according to the score on the studied scale, with subsequent comparison of characteristics and outcomes in these subgroups was performed.Results In the subgroup of patients with a score of 30 or more there was a significant predominance of children with a birth weight of less than 1000 grams (85.72 %); in the subgroup with a score of 0–9, children with a birth weight of more than 2500 grams accounted for 83.33 %. Similar patterns were observed in the analysis of gestational age. Analysis of the volume of intensive care indicates an increase in the proportion of patients requiring high-frequency ventilatory ventilation, dopamine and adrenaline infusion as the NTISS score increased. When analyzing outcomes in the overall sample, there was an increase in the proportion of fatal outcomes from 0.00 % to 75.00 % as the NTISS score increased.Discussion The NTISS scale, being a therapeutic profile instrument, divided the sample according to the need for intensive care, which was significantly associated with birth weight and gestational age. Thus, the observed differences in outcomes are a legitimate result of the prevalence of extremely premature infants at high NTISS scores.Conclusion The NTISS scale demonstrates a reliable division of patients by severity and predicts the outcomes of the hospital phase of treatment.

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“…A cross-sectional, institutional study has been conducted considering 3058 deliveries during 2014 and 2015 in Portugal to find risk factors for 1-min Apgar scores lower than 7 [10].…”

Section: Dataset Characteristics Used In the Previous Studiesmentioning

confidence: 99%

“…Costa et al showed that different delivery teams illustrate significantly different impacts on Apgar scores [10].…”

Section: The Considered Predictors and Risk Factors In The Previous S...mentioning

confidence: 99%

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Distributed Big Data Analytics Method for the Early Prediction of the Neonatal 5-Minute Apgar Score before or during Birth and Ranking the Risk Factors from a National Dataset

Khatibi

Farahani

Sepehri

et al. 2022

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One-minute and five-minute Apgar scores are good measures to assess the health status of newborns. A five-minute Apgar score can predict the risk of some disorders such as asphyxia, encephalopathy, cerebral palsy and ADHD. The early prediction of Apgar score before or during birth and ranking the risk factors can be helpful to manage and reduce the probability of birth producing low Apgar scores. Therefore, the main aim of this study is the early prediction of the neonate 5-min Apgar score before or during birth and ranking the risk factors for a big national dataset using big data analytics methods. In this study, a big dataset including 60 features describing birth cases registered in Iranian maternal and neonatal (IMAN) registry from 1 April 2016 to 1 January 2017 is collected. A distributed big data analytics method for the early prediction of neonate Apgar score and a distributed big data feature ranking method for ranking the predictors of neonate Apgar score are proposed in this study. The main aim of this study is to provide the ability to predict birth cases with low Apgar scores by analyzing the features that describe prenatal properties before or during birth. The top 14 features were identified in this study and used for training the classifiers. Our proposed stack ensemble outperforms the compared classifiers with an accuracy of 99.37 ± 1.06, precision of 99.37 ± 1.06, recall of 99.50 ± 0.61 and F-score of 99.41 ± 0.70 (for confidence interval of 95%) to predict low, moderate and high 5-min Apgar scores. Among the top predictors, fetal height around the baby’s head and fetal weight denote fetal growth status. Fetal growth restrictions can lead to low or moderate 5-min Apgar score. Moreover, hospital type and medical science university are healthcare system-related factors that can be managed via improving the quality of healthcare services all over the country.

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Perinatal risk factors and Apgar score ≤ 3 in first minute of life in a referral tertiary obstetric and neonatal hospital

Cited by 6 publications

References 15 publications

Placenta previa: risk factors, maternal and perinatal outcomes

Placenta previa: risk factors, maternal and perinatal outcomes

Threat-measuring capabilities of the NTISS scale in the pre-transport phase of neonatal preparation

Distributed Big Data Analytics Method for the Early Prediction of the Neonatal 5-Minute Apgar Score before or during Birth and Ranking the Risk Factors from a National Dataset

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