Factors associated with the need for ventilation at birth of neonates weighing ≥2,500 g
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 r...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Faculdade de Medicina / USP
|
Series: | Clinics |
Subjects: | |
Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322016000700381&lng=en&tlng=en |
id |
doaj-7682450bf09245d58115ee045c7ebef2 |
---|---|
record_format |
Article |
spelling |
doaj-7682450bf09245d58115ee045c7ebef22020-11-25T02:42:38ZengFaculdade de Medicina / USPClinics1980-532271738138610.6061/clinics/2016(07)05S1807-59322016000700381Factors associated with the need for ventilation at birth of neonates weighing ≥2,500 gJosé Roberto Pereira de SousaÁlvaro Jorge Madeiro LeiteAdriana SanudoRuth GuinsburgOBJECTIVES: 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 Ceará, 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322016000700381&lng=en&tlng=enNewborn InfantPositive-Pressure VentilationResuscitationObstetric Labor ComplicationsPerinatal Care |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
José Roberto Pereira de Sousa Álvaro Jorge Madeiro Leite Adriana Sanudo Ruth Guinsburg |
spellingShingle |
José Roberto Pereira de Sousa Álvaro Jorge Madeiro Leite Adriana Sanudo Ruth Guinsburg Factors associated with the need for ventilation at birth of neonates weighing ≥2,500 g Clinics Newborn Infant Positive-Pressure Ventilation Resuscitation Obstetric Labor Complications Perinatal Care |
author_facet |
José Roberto Pereira de Sousa Álvaro Jorge Madeiro Leite Adriana Sanudo Ruth Guinsburg |
author_sort |
José Roberto Pereira de Sousa |
title |
Factors associated with the need for ventilation at birth of neonates weighing ≥2,500 g |
title_short |
Factors associated with the need for ventilation at birth of neonates weighing ≥2,500 g |
title_full |
Factors associated with the need for ventilation at birth of neonates weighing ≥2,500 g |
title_fullStr |
Factors associated with the need for ventilation at birth of neonates weighing ≥2,500 g |
title_full_unstemmed |
Factors associated with the need for ventilation at birth of neonates weighing ≥2,500 g |
title_sort |
factors associated with the need for ventilation at birth of neonates weighing ≥2,500 g |
publisher |
Faculdade de Medicina / USP |
series |
Clinics |
issn |
1980-5322 |
description |
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 Ceará, 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. |
topic |
Newborn Infant Positive-Pressure Ventilation Resuscitation Obstetric Labor Complications Perinatal Care |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322016000700381&lng=en&tlng=en |
work_keys_str_mv |
AT joserobertopereiradesousa factorsassociatedwiththeneedforventilationatbirthofneonatesweighing2500g AT alvarojorgemadeiroleite factorsassociatedwiththeneedforventilationatbirthofneonatesweighing2500g AT adrianasanudo factorsassociatedwiththeneedforventilationatbirthofneonatesweighing2500g AT ruthguinsburg factorsassociatedwiththeneedforventilationatbirthofneonatesweighing2500g |
_version_ |
1724772449629765632 |