The burden of severe hypertensive disorders of pregnancy on perinatal outcomes: a nationwide case-control study in Suriname

Prüst, Zita D.; Kodan, Lachmi R.; Akker, Thomas van den; Bloemenkamp, Kitty W. M.; Rijken, Marcus J.; Verschueren, Kim J.C.

doi:10.1016/j.xagr.2021.100027

Cited by 4 publications

(1 citation statement)

References 27 publications

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“…This finding was similar to the study conducted in Brazil ( 19 , 52 ), Suriname South America ( 53 ), and Ethiopia ( 43 , 54 , 55 ). The study conducted in 29 low- and middle-income countries reported that HDP causes 9% of fresh late fetal deaths and 10% of early neonatal deaths ( 56 ).…”

Section: Discussionsupporting

confidence: 90%

Determinants of neonatal near-miss among neonates delivered in public hospitals of Ilu Abba Bor Zone, Southwest Ethiopia: An unmatched case–control study during the COVID-19 pandemic

Debele

Zenu

Tsegaye

et al. 2022

Front. Public Health

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BackgroundThe neonatal period is the time with the highest risk of neonatal and infant mortality. The COVID-19 pandemic diverted resources from routine maternal health services, which raises the possibility of neonatal near misses (NNMs). To implement prompt treatments that could improve the standard of infant care and lower neonatal mortality, it has been theorized that pinpointing the determinants of NNM during this outbreak is crucial. In light of this, the current study identified the determinants of NNM in neonates delivered in public hospitals of Ilu Abba Bor Zone, South West Ethiopia.MethodsAn institution-based unmatched case–control study was conducted among randomly selected 303 (101 cases and 202 controls) neonates admitted to Mettu Karl Comprehensive Specialized Hospital (MKCSH) and Darimu Primary Hospital (DPH) from 1 November to 28 December 2020. Data were collected using interviewer-administered structured questionnaire and checklist. The collected data were coded and entered into Epi-Data version 4.6 and then exported to SPSS version 20 for analysis. Adjusted odds ratios (AOR) along with a 95% confidence interval was used to assess the strength of the association, and a p-value < 0.05 was considered to declare the statistical significance in the multivariable logistic regression analysis.ResultA total of 303 (101 cases and 202 controls) neonates admitted to MKCSH and DPH were included in the study making a 97.4% response rate. In the multivariable logistic regression analysis, no formal maternal education [AOR = 3.534, 95% CI: (1.194–10.455)], Breech presentation during birth [AOR = 3.088, 95% CI: (1.029–9.268)], < 4 antenatal care (ANC) visits [AOR = 1.920, 95% CI: (1.065–3.461], cesarean section delivery [AOR = 4.347, 95% CI: (1.718–10.996)], antepartum hemorrhage (APH) [AOR = 3.37, 95% CI: (1.23–9.24)], and hypertensive disorders of pregnancy (HDP) [AOR = 4.05, 95% CI: (2.36–11.05)] were independent determinants of NNM.ConclusionThe study's result revealed that factors such as education level, birth presentation, ANC visit, mode of delivery, APH, and HDP continued to be important determinants of the NNM in Ethiopia during this pandemic. Therefore, much work is needed to improve neonatal health by providing adequate ANC services and other identified potential determinant factors that predispose the newborn to life-threatening (near-miss) conditions especially during this pandemic.

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Section: Discussionsupporting

confidence: 90%

Determinants of neonatal near-miss among neonates delivered in public hospitals of Ilu Abba Bor Zone, Southwest Ethiopia: An unmatched case–control study during the COVID-19 pandemic

Debele

Zenu

Tsegaye

et al. 2022

Front. Public Health

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Factors Associated with Perinatal Mortality in Adult Pregnant Women with Hypertensive Disorders: A Case–Control Study

John

Dorairajan

Chinnakali

et al. 2023

J Obstet Gynecol India

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Cesarean sections in Suriname using Robson classification: a two-year nationwide cross-sectional study

Prüst,

Dupont,

Liesdek

et al. 2024

Preprint

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Background – Cesarean Section (CS) rates are increasing concerningly. Optimizing CS performance is a global health priority, given the maternal and perinatal morbidity and mortality associated with both underuse and overuse. This nationwide study in Suriname aims to (1) determine the national, facility-based CS rate and explore which women are at highest risk and (2) use the WHO Robson classification to enhance understanding drivers and outcomes of CS to develop tailored interventions. Methods – An observational, cross-sectional study in Suriname, using nationwide birth registry data that included all hospital births in 2020 and 2021. We used multivariate logistic regression analysis to assess maternal and perinatal characteristics associated with CS. We described caesarean births according to the Robson-10 classification and used descriptive statistics to analyze CS frequencies and neonatal outcomes. Results – We analyzed the 18,917 women who gave birth in Surinamese hospitals, with an overall 23.9% CS rate (n=4522). The highest CS rates were seen among women with a previous CS(69.3%, aOR 16.2, 95% CI 14.4 – 18.2), BMI > 40 (47.0%, aOR 5.1, 95% CI 4.0 – 6.5), newborn with a birth weight above 4000 grams (37.3%, 2.2, 95% CI 1.6 – 3.0) and women giving birth at hospital IV (38.5%, aOR 1.8, 95% CI 1.6 – 2.0). Hindustani women were more likely to give birth by CS compared to maroon women (aOR 1.6, 95% CI 1.4 – 2.0). Robson group 5 (i.e. multiparous, term women with a previous CS and cephalic presentation), contributed to 30.5% of the CS cases (n=1378). Robson group 2 and 4 (i.e. pre-labor CS, or CS after induction, among term women without previous CS and cephalic presentation) contributed to 21.8% (n=985) of all CS performed. Robson group 1 and 3 (i.e. during spontaneous labor CS among term women without previous CS and cephalic presentation) accounted for 23.3% (n=1052) of the CS cases. Conclusion – The CS rate in Suriname is 24%, with substantial intra-country and inter-hospital variations. These disparities underscore the need for targeted interventions addressing both overuse and underuse of CS. Preventative measures should prioritize promoting safe VBAC, preventing first-time CS and ongoing monitoring of trends and regular case audits.

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The burden of severe hypertensive disorders of pregnancy on perinatal outcomes: a nationwide case-control study in Suriname

Cited by 4 publications

References 27 publications

Determinants of neonatal near-miss among neonates delivered in public hospitals of Ilu Abba Bor Zone, Southwest Ethiopia: An unmatched case–control study during the COVID-19 pandemic

Determinants of neonatal near-miss among neonates delivered in public hospitals of Ilu Abba Bor Zone, Southwest Ethiopia: An unmatched case–control study during the COVID-19 pandemic

Factors Associated with Perinatal Mortality in Adult Pregnant Women with Hypertensive Disorders: A Case–Control Study

Cesarean sections in Suriname using Robson classification: a two-year nationwide cross-sectional study

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