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

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dc.citation.issue7
dc.citation.volume71
dc.contributor.authorPereira de Sousa, Jose Roberto
dc.contributor.authorMadeiro Leite, Alvaro Jorge
dc.contributor.authorSanudo, Adriana [UNIFESP]
dc.contributor.authorGuinsburg, Ruth [UNIFESP]
dc.coverageSao Paulo
dc.date.accessioned2020-08-14T13:44:25Z
dc.date.available2020-08-14T13:44:25Z
dc.date.issued2016
dc.description.abstractOBJECTIVES : 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: 3.54en
dc.description.abstract95% CI: 1.14-10.92) and meconium-stained amniotic fluid (8.53en
dc.description.abstract4.17-17.47). Cervical examination at maternal admission (0.57en
dc.description.abstract0.38-0.84) and a written follow-up of the labor (0.68en
dc.description.abstract0.46-0.98) 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.en
dc.description.affiliationUniv Fed Ceara, Dept Saude Comunitaria, Fortaleza, CE, Brazil
dc.description.affiliationUniv Fed Ceara, Dept Saude Maternal & Infantil, Fortaleza, CE, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Escola Paulista Med, Dept Prevent Med, Sao Paulo, SP, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Escola Paulista Med, Dept Pediat, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Escola Paulista Med, Dept Prevent Med, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Escola Paulista Med, Dept Pediat, Sao Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.format.extent381-386
dc.identifierhttp://dx.doi.org/10.6061/clinics/2016(07)05
dc.identifier.citationClinics. Sao Paulo, v. 71, n. 7, p. 381-386, 2016.
dc.identifier.doi10.6061/clinics/2016(07)05
dc.identifier.fileWOS000380822800005.pdf
dc.identifier.issn1807-5932
dc.identifier.scieloS1807-59322016000700381
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/57653
dc.identifier.wosWOS:000380822800005
dc.language.isoeng
dc.publisherHospital Clinicas, Univ Sao Paulo
dc.relation.ispartofClinics
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectNewborn Infanten
dc.subjectPositive-Pressure Ventilationen
dc.subjectResuscitationen
dc.subjectObstetric Labor Complicationsen
dc.subjectPerinatal Careen
dc.titleFactors associated with the need for ventilation at birth of neonates weighing >= 2,500 gen
dc.typeinfo:eu-repo/semantics/article
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