Back to Search
Start Over
Maternal characteristics and obstetrical complications impact neonatal outcomes in Indonesia: a prospective study.
- Source :
- BMC Pregnancy & Childbirth; 3/28/2017, Vol. 17, p1-12, 12p
- Publication Year :
- 2017
-
Abstract
- <bold>Background: </bold>We investigated associations between maternal characteristics, access to care, and obstetrical complications including near miss status on admission or during hospitalization on perinatal outcomes among Indonesian singletons.<bold>Methods: </bold>We prospectively collected data on inborn singletons at two hospitals in East Java. Data included socio-demographics, reproductive, obstetric and neonatal variables. Reduced multivariable models were constructed. Outcomes of interest included low and very low birthweight (LBW/VLBW), asphyxia and death.<bold>Results: </bold>Referral from a care facility was associated with a reduced risk of LBW and VLBW [AOR = 0.28, 95% CI = 0.11-0.69, AOR = 0.18, 95% CI = 0.04-0.75, respectively], stillbirth [AOR = 0.41, 95% CI = 0.18-0.95], and neonatal death [AOR = 0.2, 95% CI = 0.05-0.81]. Mothers age <20 years increased the risk of VLBW [AOR = 6.39, 95% CI = 1.82-22.35] and neonatal death [AOR = 4.10, 95% CI = 1.29-13.02]. Malpresentation on admission increased the risk of asphyxia [AOR = 4.65, 95% CI = 2.23-9.70], stillbirth [AOR = 3.96, 95% CI = 1.41-11.15], and perinatal death [AOR = 3.89 95% CI = 1.42-10.64], as did poor prenatal care (PNC) [AOR = 11.67, 95%CI = 2.71-16.62]. Near-miss on admission increased the risk of neonatal [AOR = 11.67, 95% CI = 2.08-65.65] and perinatal death [AOR = 13.08 95% CI = 3.77-45.37].<bold>Conclusions: </bold>Mothers in labor should be encouraged to seek care early and taught to identify early danger signs. Adequate PNC significantly reduced perinatal deaths. Improved hospital management of malpresentation may significantly reduce perinatal morbidity and mortality. The importance of hospital-based prospective studies helps evaluate specific areas of need in training of obstetrical care providers. [ABSTRACT FROM AUTHOR]
- Subjects :
- OBSTETRICS
PREGNANCY complications
ASPHYXIA
HOSPITAL admission & discharge
MATERNAL health services
ASPHYXIA neonatorum
LOW birth weight
COMPARATIVE studies
INFANT mortality
LONGITUDINAL method
MATERNAL age
RESEARCH methodology
EVALUATION of medical care
MEDICAL cooperation
MULTIVARIATE analysis
PERINATAL death
PREGNANCY
PRENATAL care
RESEARCH
EVALUATION research
Subjects
Details
- Language :
- English
- ISSN :
- 14712393
- Volume :
- 17
- Database :
- Complementary Index
- Journal :
- BMC Pregnancy & Childbirth
- Publication Type :
- Academic Journal
- Accession number :
- 122197484
- Full Text :
- https://doi.org/10.1186/s12884-017-1280-1