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Hastane dışı doğumlar: Bir olgu-kontrol çalışması.
- Source :
-
Türk Pediatri Arşivi . Jun2018, Vol. 53 Issue 2, p87-95. 9p. - Publication Year :
- 2018
-
Abstract
- Aim: To identify the factors, risks, and mortality associated with unplanned out-of-hospital births. Material and Methods: This observational, retrospective, case-control study was conducted between 2005 and 2013 through a review of medical records from the hospital network of a county of Brazil. Mother-child dyads were divided into in-hospital births and unplanned out-of-hospital births. For hypothesis testing involving quantitative variables, parametric and nonparametric methods (t-test or Mann-Whitney test, respectively) were used as appropriate after ascertaining normality of distribution via the Kolmogorov-Smirnov or Shapiro-Wilk tests. The chi-square test, Fisher's exact test, odds ratios, and 95% confidence intervals were used to assess the relationship between categorical variables. A binary logistic regression was applied for pooled analysis of those variables that, when analyzed in isolation, had significant p-values on hypothesis testing. In all tests, p-values <0.05 were considered statistically significant. Results: Of the 420 records, 117 corresponded to out-of-hospital births dyads. Mothers were predominantly nonwhite (p<0.001), with a history of inadequate antenatal care (p<0.001), multiparous (p<0.001), aged >25 years (p=0.031), and had more puerperal complications (p<0.001). Their newborns had low birth weight (Odds Ratios: 2.22; 95% CI: [1.4-3.4]; p<0.001), higher morbidity (p=0.009), a higher rate of admission to neonatal intensive care and stepdown units (p=0.030), and prolonged length of stay (p<0.001). Conclusion: The risk of maternal and neonatal complications, as well as the neonatal mortality rate, were higher for unplanned outof- hospital deliveries. It occurred predominantly in nonwhite, older, multiparous women who had received incomplete antenatal care and who lived far from perinatal care centers. [ABSTRACT FROM AUTHOR]
- Subjects :
- *LOW birth weight
*CHI-squared test
*CHILDBIRTH
*CONFIDENCE intervals
*DELIVERY (Obstetrics)
*DISEASES
*FISHER exact test
*LENGTH of stay in hospitals
*INFANT mortality
*MATHEMATICAL statistics
*MOTHER-child relationship
*MATERNAL mortality
*NEONATAL intensive care
*NONPARAMETRIC statistics
*SCIENTIFIC observation
*PRENATAL care
*PROBABILITY theory
*T-test (Statistics)
*LOGISTIC regression analysis
*PARAMETERS (Statistics)
*QUANTITATIVE research
*NEONATAL intensive care units
*RETROSPECTIVE studies
*CASE-control method
*ODDS ratio
*MANN Whitney U Test
PREGNANCY complication risk factors
Subjects
Details
- Language :
- Turkish
- ISSN :
- 13060015
- Volume :
- 53
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Türk Pediatri Arşivi
- Publication Type :
- Academic Journal
- Accession number :
- 131430847
- Full Text :
- https://doi.org/10.5152/TurkPediatriArs.2018.6269