Effects of residential distance to hospitals with neonatal surgery care on prenatal management and outcome of pregnancies with severe fetal malformations

Pasquier, Jean-Charles; Morelle, Magali; Bagouet, S.; Moret, Stéphanie; Luo, Zhiqin; Rabilloud, Muriel; Gaucherand, P.; Robert-Gnansia, Élisabeth

doi:10.1002/uog.3942

Cited by 15 publications

(12 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our country, despite an increase in prenatal diagnosis, compared with another study of the pediatric intensive care for the period 2000–2005, prenatal diagnosis remains low (19%), different from developed countries. As reported by Pasquier et al 12 and even in our study, the rate of prenatal diagnosis decreases with increasing distance between the residence and the referral center.…”

Section: Discussionsupporting

confidence: 87%

“…Prenatal performance has increased considerably 5 11. From the assessment at several hospital centers in France, a significant increase in prenatal diagnosis was observed from 67.7% in the 1990–1995 period to 80.2% in the 1996–2001 period 12. In our country, despite an increase in prenatal diagnosis, compared with another study of the pediatric intensive care for the period 2000–2005, prenatal diagnosis remains low (19%), different from developed countries.…”

Section: Discussioncontrasting

confidence: 57%

See 1 more Smart Citation

Surgical congenital anomalies in Albania: incidence, prenatal diagnosis and outcome

Bakalli

Kola

Lluka

et al. 2019

World Jnl Ped Surgery

View full text Add to dashboard Cite

IntroductionSignificant progress has been made in the diagnosis and management of congenital anomalies (CA). In our study, we aimed to evaluate prenatal diagnosis, trend of surgical CA, mortality rate and the factors affecting their prognosis in our country.MethodsWe enrolled in our study all children with CA who underwent surgery from January 2008 to December 2017. We compared prenatal diagnosis, incidence and mortality for two 5-year periods: the first period in 2008–2012 and the second period in 2013–2017.ResultsDuring the study period, a total of 321 cases with CA were presented, with an incidence of 0.69–1.18 per 1000 live births. Intestinal, anal and esophageal atresia remain the most important CAs (23%, 18% and 16%), followed by diaphragmatic hernia and gastroschisis (10% and 7%). Comparing the incidence for the two periods, we did not find statistical differences (p=0.73), but the mortality rate has been reduced from 31.4% during the first period to 24.6% during the second period (p=0.17). Prenatal diagnosis has increased: 28% in the second period compared with 10% in the first period (p<0.001), without significantly affecting the prognosis (p=0.09). Birth of premature babies resulted in a significantly negative predictive factor for the prognosis of these anomalies (p=0.0002).ConclusionIncidence of CA has not changed over the years in our country. Advances in intensive care, surgical techniques and parenteral nutrition made in recent years have significantly increased the survival of neonates born with surgical CA. Birth of premature babies was a significantly negative predictive factor for the prognosis of these anomalies.

show abstract

Section: Discussionsupporting

confidence: 87%

Section: Discussioncontrasting

confidence: 57%

Surgical congenital anomalies in Albania: incidence, prenatal diagnosis and outcome

Bakalli

Kola

Lluka

et al. 2019

World Jnl Ped Surgery

View full text Add to dashboard Cite

show abstract

“…Recent studies revealed that distribution of neonatal mortality rates vary in rural-urban residence where neonatal mortality is high in rural areas [22-26]. In this study, it was clear that there was an evidence of change in mortality between urban and rural at bivariate analysis.…”

Section: Discussionmentioning

confidence: 57%

Trends and risk factors for neonatal mortality in Butajira District, South Central Ethiopia, (1987-2008): a prospective cohort study

Gizaw

Molla

Mekonnen

2014

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

BackgroundChild mortality is an important indicator of a country’s developmental status. Neonatal mortality and stillbirth shared a higher proportion of child deaths. However, in developing countries where there is no civil registration and most deliveries occur at home, it is difficult to measure the magnitude of neonatal mortality. Data from continuous demographic surveillance systems could provide reliable information. To this effect, the outputs in this analysis are based on a 22 year dataset from Butajira demographic surveillance site.MethodsThe Butajira Rural Health Programme was launched in 1987 with an objective of developing and evaluating a system for a continuous registration of vital events. The surveillance system operates in an open cohort. An event history analysis was carried out to calculate the yearly neonatal mortality and its association with selected covariates. Poisson regression model was used to elicit neonatal mortality risk factors.ResultsThe trends of neonatal mortality equaled out at a higher level over the study period (P-value = 0.099). There was a high burden of early neonatal mortality (incidence rate ratio 4.8 [4.5, 5.2]) with the highest risk of death on the first day of life 18 [16.6, 19.4]. In multivariate analysis, males 1.6(1.4-1.9), neonates born from poor mothers who had no oxen 1.2(1.0-1.3) lived in thatched houses 2.9(2.4-3.5) and a distance to a health facility 1.5(1.1-2.0) conferred the highest risk of neonatal deaths.ConclusionDespite an urgent need in reducing neonatal mortality which contributes to more than 40% to child mortality, no significant change was observed in Butajira. Death was significantly associated with sex of the child, socio-economic variables and physical access to hospital. Prevention strategies directed at reducing neonatal death should address policy and household and level factors, which significantly influence neonatal mortality in Butajira.

show abstract

“…The etiology of gastroschisis is unclear, but there are maternal factors strongly associated with its development which may also be associated with worse neonatal outcomes [5]. For instance, maternal geographic isolation may interfere with prenatal diagnosis and impact postnatal management [6]. …”

Section: Introductionmentioning

confidence: 99%

Influence of Maternal Factors on Health Outcomes in Gastroschisis: A Canadian Population-Based Study

Brindle

Flageole²,

Wales³

2012

Neonatology

View full text Add to dashboard Cite

Background: Gastroschisis is increasing in incidence worldwide. There is a need for a disease-specific, population-based approach to determining factors linked with gastroschisis and its outcome. Objectives: To examine racial, socioeconomic, health and geographic predictors of gastroschisis and its outcome in Canada. Methods: 535 cases of gastroschisis from the Canadian Pediatric Surgery Network national database were included from May 2005 to May 2010. Baseline characteristics of mothers were compared with those reported by Statistics Canada. Factors associated with adverse neonatal outcomes were examined using regression analyses. Results: Mothers of infants with gastroschisis are young, often from small communities. Smoking (37%) and illicit drug use are common in this population. Single mothers receive less perinatal care (OR 0.06; 95% CI 0.02–0.28). Geographically isolated mothers are more likely to undergo caesarian section (OR 3.84; 95% CI 1.26–11.74). Cocaine use predicts a lower odds of delivering at a planned center (OR 0.25; 95% CI 0.08–0.79), and is also associated with an increased likelihood of intestinal injury at birth (OR 6.26; 95% CI 1.52–25.72). Infants of mothers from isolated communities will spend a mean of 31.9 days longer in hospital. Aboriginal status is not independently predictive of perinatal or neonatal outcome. Conclusion: Gastroschisis in Canada occurs frequently in young mothers, aboriginals and smokers. Features associated with worse outcomes include single parent status, cocaine use and maternal hometown geographic isolation.

show abstract

Effects of residential distance to hospitals with neonatal surgery care on prenatal management and outcome of pregnancies with severe fetal malformations

Cited by 15 publications

References 25 publications

Surgical congenital anomalies in Albania: incidence, prenatal diagnosis and outcome

Surgical congenital anomalies in Albania: incidence, prenatal diagnosis and outcome

Trends and risk factors for neonatal mortality in Butajira District, South Central Ethiopia, (1987-2008): a prospective cohort study

Influence of Maternal Factors on Health Outcomes in Gastroschisis: A Canadian Population-Based Study

Contact Info

Product

Resources

About