Neonatal outcomes after the obstetric near-miss events uterine rupture, abnormally invasive placenta and emergency peripartum hysterectomy - prospective data from the 2009-2011 Finnish NOSS study
| Autor: | Mika Gissler, Maija-Riitta Ordén, Outi Palomäki, Anna-Maija Tapper, Maija Jakobsson, Kati Ojala, Nanneli Pallasmaa |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Placenta Diseases Near Miss Healthcare Hysterectomy Uterine Rupture Pregnancy Surveys and Questionnaires medicine.artery Placenta Infant Mortality Peripartum Period medicine Humans Prospective Studies Registries Finland Gynecology Fetus Obstetrics business.industry Infant Newborn Pregnancy Outcome Infant Obstetrics and Gynecology Umbilical artery General Medicine Odds ratio Stillbirth medicine.disease ta3123 Confidence interval 3. Good health Uterine rupture medicine.anatomical_structure Case-Control Studies Cohort Female Emergencies Complication business |
| Zdroj: | Acta Obstetricia et Gynecologica Scandinavica. 94:1387-1394 |
| ISSN: | 0001-6349 |
| Popis: | Introduction Neonatal outcomes after the maternal obstetric near-miss complications of uterine rupture, abnormally invasive placenta, and emergency peripartum hysterectomy were assessed. Material and methods This case-control study was conducted as part of the Nordic Obstetric Surveillance Study (NOSS). Data on 211 newborns from 197 deliveries in which an obstetric near-miss complication was involved, were collected prospectively from April 2009 to August 2011 from all Finnish delivery units via questionnaires. Missing cases were obtained from national health registers and confirmed by the clinics. Control populations consisted of all other children born during the same period of time in the Finnish Medical Birth Register (n = 147 551). Results The number of stillbirths in this cohort was high [n = 8, 3.8% vs. 0.3% among controls, odds ratio (OR) 12.5, 95% confidence interval (CI) 6.32–24.9]. In addition, there were two neonatal deaths. The majority of cases (n = 8, 80%) were connected to uterine rupture. The risk of severe birth asphyxia diagnosis was increased compared with controls (n = 17, 8.1% vs. 0.1%, OR 137, 95% CI 82.7–226). A low umbilical artery pH ( |
| Databáze: | OpenAIRE |
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