201. Early neonatal morbidity and mortality in 'at-risk' and 'normal' term pregnancies.
- Author
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Gupta, Neeru, Jani, K., Kumari, Sudershan, Sood, Maya, Gupta, N, Jani, K K, Kumari, S, and Sood, M
- Subjects
HIGH-risk pregnancy ,NEONATAL diseases ,INFANT mortality ,PREGNANCY complications ,CASE-control method ,ODDS ratio - Abstract
It is a universally known fact that maternal well-being is related to neonatal health. This case-control study aims to assess the pattern and strength of association of neonatal morbidity and mortality (in first 7 days of life) in relation to the presence of obstetric & medical risk factors in the mother (indicating maternal ill-health). In 250 cases (at-risk pregnancies), 75 (30%) developed neonatal illnesses while 17 (6.8%) perinatal deaths occurred in first seven days. In the same number of controls (uncomplicated pregnancies) there were only two perinatal deaths and lesser number of newborns (45/250, 16.4%) developed neonatal diseases in the first 7 days. Perinatal deaths, (still births and early neonatal deaths), (OR = 9.05; AR = 88.2%) and neonatal illnesses (OR = 2.2 and AR = 45) were strongly associated with presence of maternal risk factors. This study supports the fact that 'at risk' pregnancies have highly significant chances of developing early (first 7 days) neonatal morbidity (p < 0.001) and mortality (p < 0.001). Still births also occurred significantly more (p < 0.005) in number among 'at risk' (cases) than normal term pregnancies (controls). [ABSTRACT FROM AUTHOR]
- Published
- 1997
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