Department of Obstetrics and Gynaecology, Grey's Hospital, Pietermaritzburg and University of Kwazulu-Natal, South Africa.
Afr Health Sci. 2022 Dec;22(4):686-694. doi: 10.4314/ahs.v22i4.75.
The preterm birth rate is rising mainly because of the marked increase in late preterm deliveries.
To evaluate the indications for LPTB and the factors associated with the short term maternal and neonatal outcomes.
This retrospective study was conducted at a tertiary health care institution. The study sample included 191 women who delivered between October 2019 to November 2020.
The majority (81%) were medically indicated LPTB, and mainly for maternal indications (77%). The most common maternal indication for LPTB was for hypertensive disease of pregnancy (HDP) (82.5%). There was a significant increase in the high care/ ICU admission for maternal indication of LPTB, maternal age < 20 years, and patients with HDP. There was 1 maternal death and 1 neonatal death. 48% of the neonates were admitted to NICU and 53% had neonatal complications. Neonates born by caesarean delivery were more likely to have respiratory complications and be admitted to NICU.
These maternal/ neonatal factors should be used to identify patients at risk of adverse maternal and neonatal outcomes.
早产率上升主要是由于晚期早产分娩显著增加。
评估晚期早产的指征以及与短期母婴结局相关的因素。
这是一项在三级医疗机构进行的回顾性研究。研究样本包括 191 名 2019 年 10 月至 2020 年 11 月分娩的妇女。
大多数（81%）是医学指征性晚期早产，主要是母体指征（77%）。晚期早产的最常见母体指征是妊娠高血压疾病（HDP）（82.5%）。由于晚期早产的母体指征（包括 HDP）、产妇年龄<20 岁和 HDP 患者，需要入住高护理/ ICU 的人数显著增加。有 1 例产妇死亡和 1 例新生儿死亡。48%的新生儿入住新生儿重症监护病房（NICU），53%有新生儿并发症。剖宫产分娩的新生儿更有可能出现呼吸并发症并入住 NICU。
这些母婴因素可用于识别有不良母婴结局风险的患者。
