Factors associated with the need for ventilation at birth of neonates weighing >= 2,500 g

Factors associated with the need for ventilation at birth of neonates weighing >= 2,500 g

Author Pereira de Sousa, Jose Roberto Google Scholar
Madeiro Leite, Alvaro Jorge Google Scholar
Sanudo, Adriana Autor UNIFESP Google Scholar
Guinsburg, Ruth Autor UNIFESP Google Scholar
Abstract OBJECTIVES : Approximately 20-40% of annual global neonatal deaths occur among infants with birthweights >= 2,500 g, and most of these deaths are associated with intrapartum asphyxia in low-and middle-income countries. This study aims to evaluate the peripartum variables associated with the need for resuscitation at birth of neonates weighing >= 2,500 g. METHOD: This case-control retrospective study was performed on data from all public reference maternity units in the state of Ceara, Northeast Brazil, between March 2009 and March 2010. The subjects were singleton neonates without malformations weighing >= 2,500 g, who required positive-pressure ventilation in the delivery room. The controls had a 1-minute Apgar score of >= 8 and did not undergo resuscitation. Variables associated with positive-pressure ventilation in the delivery room were evaluated via conditional multivariate logistic regression. RESULTS: Of the 2,233 live births with birth weights >= 2,500 g, 1-minute Apgar scores <= 7, and no malformations, 402 patients met the inclusion criteria, and they were paired with 402 controls. Risk variables for positive-pressure ventilation at birth were a gestational age <37 weeks (OR: 3.54

95% CI: 1.14-10.92) and meconium-stained amniotic fluid (8.53

4.17-17.47). Cervical examination at maternal admission (0.57

0.38-0.84) and a written follow-up of the labor (0.68

0.46-0.98) were identified as protective variables. CONCLUSIONS: Significant flaws in obstetric care are associated with the need for positive-pressure ventilation at birth for neonates weighing >= 2,500 g.
Keywords Newborn Infant
Positive-Pressure Ventilation
Resuscitation
Obstetric Labor Complications
Perinatal Care
xmlui.dri2xhtml.METS-1.0.item-coverage Sao Paulo
Language English
Date 2016
Published in Clinics. Sao Paulo, v. 71, n. 7, p. 381-386, 2016.
ISSN 1807-5932 (Sherpa/Romeo, impact factor)
Publisher Hospital Clinicas, Univ Sao Paulo
Extent 381-386
Origin http://dx.doi.org/10.6061/clinics/2016(07)05
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000380822800005
SciELO ID S1807-59322016000700381 (statistics in SciELO)
URI https://repositorio.unifesp.br/handle/11600/57653

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