Neonatal Outcomes in High Risk Pregnancies in an Egyptian Tertiary Health Care Center
AMANY IBRAHIM, M.D., A., NABIL, M.D., H. (2018). Neonatal Outcomes in High Risk Pregnancies in an Egyptian Tertiary Health Care Center. EKB Journal Management System, 86(June), 1751-1758. doi: 10.21608/mjcu.2018.56571
AMIRA S. DIEB, M.D.; AMANY IBRAHIM, M.D.; HALA NABIL, M.D.. "Neonatal Outcomes in High Risk Pregnancies in an Egyptian Tertiary Health Care Center". EKB Journal Management System, 86, June, 2018, 1751-1758. doi: 10.21608/mjcu.2018.56571
AMANY IBRAHIM, M.D., A., NABIL, M.D., H. (2018). 'Neonatal Outcomes in High Risk Pregnancies in an Egyptian Tertiary Health Care Center', EKB Journal Management System, 86(June), pp. 1751-1758. doi: 10.21608/mjcu.2018.56571
AMANY IBRAHIM, M.D., A., NABIL, M.D., H. Neonatal Outcomes in High Risk Pregnancies in an Egyptian Tertiary Health Care Center. EKB Journal Management System, 2018; 86(June): 1751-1758. doi: 10.21608/mjcu.2018.56571

Neonatal Outcomes in High Risk Pregnancies in an Egyptian Tertiary Health Care Center

The Medical Journal of Cairo University
Article 83, Volume 86, June, June 2018, Page 1751-1758  XML PDF (376.9 K)
Document Type: Original Article
DOI: 10.21608/mjcu.2018.56571
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Authors
AMIRA S. DIEB, M.D.; AMANY IBRAHIM, M.D.; HALA NABIL, M.D.
The Departments of Obstetrics & Gynecology* and Pediatrics, The Diabetes, Endocrine & Metabolism Pediatric Unit (DEMPU), Children Hospital**, Faculty of Medicine, Cairo University
Abstract
Abstract
Background: Early neonatal morbidity and mortality represents a major problem caused by maternal medical and obstetric risk factors complicated by lack of primary antenatal care. High risk pregnancy is known to negatively affect the neonatal outcomes.
Aim of the Work: This study aimed to compare low and high risk pregnancy neonatal outcomes and to test individual maternal risk factors for poor neonatal outcomes.
Patients and Methods: A retrospective study was conducted at a tertiary referral hospital over 6 months. After applying eligibility criteria, 157 high and 125 low risk patients were identified. The neonatal outcome measures were weight, sex, Apgar score at 1 and 5 minutes, respiratory distress, neonatal intensive care unit admission, endotracheal intubation, me-chanical ventilation, meconium aspiration and neonatal death.
Results: Neonatal morbidity was higher in high risk group (p<0.05). The Relative Risk of low birth weight, poor Apgar score at 1 minute, respiratory distress, neonatal intensive care unit admission, endotracheal intubation and mechanical ven-tilation was 8.2, 1.85, 5.13, 6.83, 15.37 and 26.42 respectively emphasizing that prematurity affected early neonatal outcomes.
Conclusion: The main determinants of poor neonatal outcomes were preterm delivery, previous section and hyper-tensive disorders.
Keywords
Apgar score – High risk pregnancy – Low birth weight – NICU admission and neonatal outcome RDS
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