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Association of maternal disease and levels of resuscitation

Association of maternal disease and levels of resuscitation

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Background: There are many known risk factors related to maternal or neonatal problems which can predict the need for resuscitation. In this study, we evaluated the resuscitation process of preterm neonates and analyzed the impact of different risk factors on the level of resuscitation required in the patients.Methods: This cross-sectional descript...

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... the evaluation of mothers, 117 (60.6%) subjects had medical problems during pregnancy. The association of maternal diseases and different levels of resuscitation were shown in Table 2. As we showed, the most prevalent problem was preeclampsia in 44 (22.8%) subjects. ...
Context 2
... the evaluation of mothers, 117 (60.6%) subjects had medical problems during pregnancy. The association of maternal diseases and different levels of resuscitation were shown in Table 2. As we showed, the most prevalent problem was preeclampsia in 44 (22.8%) subjects. ...

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Background: The phenomena of transformation from the intrauterine environment to independent breathing proceeds successfully in 90% of newborns. However, timely resuscitation is crucial for the 10% remaining. Objectives: We investigated the neonate resuscitation (NR) status, predisposing factors, and outcomes. Methods: This retrospective descriptive research was conducted at Al-Zahra hospital (Guilan-Iran) between April 2018 to March 2019. During the study period, all files of born neonates were reviewed, and relevant maternal and neonate information was extracted and analyzed. Results: A total of 4,850 files were reviewed, and the data from 2,131 complete ones were analyzed. Among them, 14.1% needed resuscitation, 10.2% basic interventions, while 3.9% required advanced interventions. Neonate resuscitation outcome was significantly associated with gestational age (in less than 32 gestation weeks, 84.9% of neonates needed resuscitation) (P < 0.001), meconium staining of amniotic fluid (in 38.3% of cases whose amniotic fluid was stained with meconium, resuscitation was required) (P < 0.001), mode of delivery (in cesarean delivery, 18.7% of infants were resuscitated) (P < 0.001), birth weight (49.3% of infants weighing less than 2,500 grams needed resuscitation) (P < 0.001), multiple pregnancies (in multiple pregnancies, 66.1% resuscitation was needed (P < 0.001), Apgar score at minute 1 and 5 (in infants with an Apgar score below 7 in minute 1, 57.7% and in infants with an Apgar score below 7 in minute 5, 90.8% of neonates needed resuscitation) (P < 0.001). Conclusions: Screening pregnant women for early detection of high-risk cases and attendance of a skilled NR team at the time of delivery results in better outcomes.