Assessment of morbidity and mortality in newborns with late prematurity: experience of a reference maternity in the northeast of Brazil.
| Autor: | Paes LS; Department of Maternal and Child Health, Federal University of Ceará (UFC), Fortaleza, Brazil., Carvalho FH; Department of Maternal and Child Health, Federal University of Ceará (UFC), Fortaleza, Brazil., Araujo Junior E; Department of Obstetrics, Paulista School of Medicine, Federal University of São Paulo (EPM-UNIFESP), São Paulo, Brazil - araujojred@terra.com.br., Feitosa HN; Department of Maternal and Child Health, Federal University of Ceará (UFC), Fortaleza, Brazil. |
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| Jazyk: | angličtina |
| Zdroj: | Minerva obstetrics and gynecology [Minerva Obstet Gynecol] 2022 Jun; Vol. 74 (3), pp. 270-278. Date of Electronic Publication: 2021 Apr 20. |
| DOI: | 10.23736/S2724-606X.21.04734-5 |
| Abstrakt: | Background: Late preterm infants show high rates of adverse perinatal outcomes. The aim of this study is to assess the morbidity and mortality of newborns (NBs) with late preterm birth in a reference maternity hospital in northeastern Brazil. Methods: Retrospective cohort study from March 1 st to July 15 th , 2017. A total of 204 NBs with gestational age between 34 and 36 weeks and six days were evaluated and compared to 205 full-term NBs (39 and 40 weeks and six days). Perinatal outcomes including neonatal morbidity were evaluated. The Student's t and ANOVA tests were used for normal variables, and the Wilcoxon, Mann-Whitney and Kruskal-Wallis tests for non-normal variables. Results: Late preterm infants showed significant higher rates of hypothermia, hypoglycemia, respiratory distress syndrome, jaundice in need of phototherapy (67.6%), admission to the neonatal intensive care unit (ICU), and difficulty breastfeeding compared to full-term NBs (P<0.001). Respiratory distress was the main indication for the admission of late preterm infants (P<0.001) to neonatal ICU. Late preterm infants had a longer hospital stay (6.9 vs. 3.7 days, P<0.001). There were three deaths in the group of late preterm NBs, and none in the group of term NBs. Conclusions: Late preterm NBs presented higher rates of morbidity and mortality when compared to full-term NBs. |
| Databáze: | MEDLINE |
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