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被归类为接近死亡孕产妇的子女的胎儿及新生儿死亡情况。

Fetal and neonatal deaths of children of patients classified as near miss.

作者信息

Nardello Daniele Marin, Guimarães Alzira Maria D Avila Nery, Barreto Ikaro Daniel de Carvalho, Gurgel Ricardo Queiroz, Ribeiro Eleonora Ramos de Oliveira, Gois Cristiane Franca Lisboa

机构信息

Universidade Federal de Sergipe, Programa de Pós-Graduação em Enfermagem. Aracaju-SE, Brasil.

Universidade Federal Rural de Pernambuco, Programa de Pós-Graduação em Biometria e Estatística Aplicada. Recife-PE, Brasil.

出版信息

Rev Bras Enferm. 2017 Jan-Feb;70(1):104-111. doi: 10.1590/0034-7167-2016-0405.

DOI:10.1590/0034-7167-2016-0405
PMID:28226048
Abstract

OBJECTIVE

: identify the epidemiological aspects of early fetal and neonatal deaths in children of patients classified with near miss and the factors associated with this outcome.

METHOD

: a cross-sectional study of 79 women identified with near miss and their newborns. The variables were analyzed using Fisher's exact test. Risk factors were estimated based on unadjusted and adjusted odds ratios, and by means of multiple correspondence analysis, with significance for p <0.05.

RESULTS

: hypertensive disorders totaled 40.5%; Of these, 58.3% had adverse fetal and neonatal outcome. The newborns admitted to the Neonatal Intensive Care Unit proved to be significant for the outcome (70.8%), gestational age <32 weeks (41.6%), birth weight <2500 (66.7%), neonatal asphyxia (50%) and early respiratory discomfort (72.2%).

CONCLUSION

: prematurity, neonatal asphyxia, and early respiratory distress were significant characteristics for the outcome among newborns.

摘要

目的

确定被归类为孕产妇接近死亡病例的患者子女中早期胎儿和新生儿死亡的流行病学特征以及与该结局相关的因素。

方法

对79例被确定为孕产妇接近死亡病例的妇女及其新生儿进行横断面研究。使用Fisher精确检验分析变量。基于未调整和调整后的比值比估计危险因素,并通过多重对应分析进行分析,p<0.05具有显著性。

结果

高血压疾病占40.5%;其中,58.3%有不良胎儿和新生儿结局。入住新生儿重症监护病房的新生儿被证明对结局有显著影响(70.8%),胎龄<32周(41.6%),出生体重<2500(66.7%),新生儿窒息(50%)和早期呼吸不适(72.2%)。

结论

早产、新生儿窒息和早期呼吸窘迫是新生儿结局的显著特征。

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