The Influence of Maternal Factors on Neonatal Intensive Care Unit Admission and In-Hospital Mortality in Premature Newborns from Western Romania: A Population-Based Study

Ilyes, Stelian-Gabriel; Chiriac, Veronica Daniela; Gluhovschi, Adrian; Mihaela, Valcovici; Dahma, George; Mocanu, Adelina Geanina; Neamtu, Radu; Silaghi, Carmen; Radu, Daniela; Bernad, Elena; Craina, Marius

doi:10.3390/medicina58060709

Cited by 5 publications

(4 citation statements)

References 40 publications

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“…Mother's age over 35 years, low level of education, second or more pregnancy, infectious pathology of the mother, detachment from the placenta emerged as risk maternal factors for neonatal emergency demonstrated also in other studies while weight under 2500 g, Apgar score under 7, macrosomia are the neonatal risk factors similar with other studies [41][42][43].…”

Section: Discussionsupporting

confidence: 83%

Retrospective Study on the Risk Factors for Resuscitation at Birth and Admission to the NICU in a Third Level Maternity

Dorobanțu,

Pop,

Zaha

et al. 2024

Preprint

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Neonatal mortality remains a public health concern and timely identification and prompt intervention in the delivery room could improve the outcome in neonatal morbidity and mortality. We performed a retrospective study to help us finding the profile of the high-risk newborn regarding the need for NICU admission, necessary to establish a protocol regarding the mobilization of human and material resources for the urgent management of these situations. All deliveries and neonates born in Maternity of Bihor County Emergency Clinical Hospital from Romania were reviewed, including relevant maternal, foetal and perinatal data to identify risk factors that result in birth of newborns needing resuscitation at birth between 2012-2019. The number of births showed a downward trend but around 90% of the births were on term. The incidence of neonatal emergencies is increasing, the most frequently were respiratory, sepsis and other infections, cardiovascular emergencies, and extreme prematurity. It is noted that in 2021 the incidence of these neurological emergencies increased by three times compared to previous years. The neonatal and maternal risk factors associated with admission to the NICU were mother's age over 35 years, low level of education, second/more gestation, weight under 2500 g, Apgar score under 7, premature rupture of membranes, macrosomia and mother's infectious pathology. Accurate identification of risk factors and anticipation at the birth of a high-risk neonate would result in adequate preparation and prompt resuscitation of neonates who need some level of intervention and thus, reducing neonatal morbidity and mortality.

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Section: Discussionsupporting

confidence: 83%

Retrospective Study on the Risk Factors for Resuscitation at Birth and Admission to the NICU in a Third Level Maternity

Dorobanțu,

Pop,

Zaha

et al. 2024

Preprint

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“…PTB elevates the risk of childhood neurologic disability, respiratory diseases, gastrointestinal disorders, cardiovascular disease, and compromises immunity. Ill health at birth is also an important predictor of long-term quality of life, increasing the likelihood of disability, poorer education, employment, income, and so on [2][3][4][5][6][7][8]. In Latvia, there has been a slightly upward trend in the PTB rate over the past five years.…”

Section: Introductionmentioning

confidence: 99%

“…1 aOR for mothers' education level, nationality, and marital status. 2 aOR for mothers' education level, nationality, maternal comorbidities, maternal BMI before pregnancy, unhealthy habits of the mother and maternal age 3. aOR for mother's education level, nationality, maternal comorbidities, maternal BMI before pregnancy, unhealthy habits of the mother, maternal age, pregnancy complications, and antenatal care usage.…”

mentioning

confidence: 99%

Relationship between Maternal Socioeconomic Factors and Preterm Birth in Latvia

Kūkoja,

Villeruša,

Zīle-Velika

2024

Medicina

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Background and Objectives: Worldwide, preterm birth (PTB) stands as the primary cause of mortality among children under 5 years old. Socioeconomic factors significantly impact pregnancy outcomes, influencing both maternal well-being and newborn health. Understanding and addressing these socioeconomic factors is essential for developing effective public health interventions and policies aimed at improving pregnancy outcomes. This study aims to analyse the relationship between socioeconomic factors (education level, marital status, place of residence and nationality) and PTB in Latvia, considering mother’s health habits, health status, and pregnancy process. Materials and Methods: A cross-sectional study was conducted using data from the Medical Birth Register (MBR) of Latvia about women with singleton pregnancies in 2022 (n = 15,431). Data analysis, involving crosstabs, chi-square tests, and multivariable binary logistic regression, was performed. Adjusted Odds ratios (aOR) with 95% confidence intervals (CI) were estimated. Results: Lower maternal education was statistically significantly associated with increased odds of PTB. Mothers with education levels below secondary education had over two times higher odds of PTB (aOR = 2.07, p < 0.001, CI 1.58–2.70) and those with secondary or vocational secondary education had one and a half times higher odds (aOR = 1.58, p < 0.001, CI 1.33–1.87) after adjusting for other risk factors. Study results also showed the cumulative effect of socioeconomic risk factors on PTB. Additionally, mothers facing two or three socioeconomic risk factors in Latvia exhibited one and a half times higher odds of PTB (aOR = 1.59, p = 0.021). Conclusions: The study highlights the cumulative impact of socioeconomic risk factors on PTB, with higher maternal education demonstrating the highest protective effect against it. This underscores the importance of education in promoting optimal foetal development. Since the influence of socioeconomic factors on PTB is not a widely studied issue in Latvia, further research is needed to improve understanding of this complex topic.

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“…The neonatal period (first 28 days of life) carries the highest risk of mortality than any other period during childhood [1]. Neonatal mortality is a global public health issue, disproportionately affecting low-and middle-income nations [2]. Out of 130 million babies born every year globally, about 4 million die in the first 4 weeks of life [3].…”

Section: Introductionmentioning

confidence: 99%

To Study the Effect of Maternal Factors on Mortality of Very Low Birth Weight Neonates

HARINKHEDE,

KUMAR PATEL,

NAGWANSHI

et al. 2023

Asian J Pharm Clin Res

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Objectives: The present study is to determine the influences of maternal risk factors on neonatal mortality in very low birth weight (VLBW) infants born in central India. Methods: A nested case–control study was conducted in the prospectively assembled cohort at the Department of Pediatrics Government Medical College and Hospital, Nagpur, India, for 2 years. Intramural neonates admitted to NICU with a birth weight of 500–1500 g were included in the study. Newborns with major congenital malformation and those who died in the delivery room or within 12 h of birth were excluded from the study. Results: A total of 260 inborn VLBW newborns admitted to the NICU were enrolled. The mean gestational age was 33.58±4.8 weeks, and the mean birth weight was 1256.56±182.8 g. The overall case fatality rate was 50.38%. Maternal body mass index (BMI) <18.5 g/m2 (p=0.0019 [(Odds Ratio [OR]=3.23) (95% confidence interval [CI]. 1.43–7.80)]) and ante partum hemorrhage (p=0.0001[(OR=3.57) (95% CI 1.82–7.22)]) were two maternal factors which significantly increased the risk of death. However, antenatal steroid coverage (p=0.0005 [(OR=2.25) (95% CI 1.12–5.35)]) was associated with improved survival of VLBW neonates. Conclusion: It can be said that very low birth neonates, especially those weighing <1000 g, preterm, and who are critically ill due to disturbance in pulmonary and circulatory physiology have a very high risk of mortality. Low maternal BMI and antepartum hemorrhage in mothers of VLBW neonate were associated with increased neonatal mortality and ACS therapy was associated with decreased neonatal mortality.

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The Influence of Maternal Factors on Neonatal Intensive Care Unit Admission and In-Hospital Mortality in Premature Newborns from Western Romania: A Population-Based Study

Cited by 5 publications

References 40 publications

Retrospective Study on the Risk Factors for Resuscitation at Birth and Admission to the NICU in a Third Level Maternity

Retrospective Study on the Risk Factors for Resuscitation at Birth and Admission to the NICU in a Third Level Maternity

Relationship between Maternal Socioeconomic Factors and Preterm Birth in Latvia

To Study the Effect of Maternal Factors on Mortality of Very Low Birth Weight Neonates

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