Choose your font:
 Arimo
 Merriweather
 Mukta Malar
 Open Sans Condensed
 Rokkitt
 Source Sans Pro
 Login


 English 
 Français 
 Português 

[Valid RSS] RSS

Database - Alliance francophone pour l'accouchement respecté (AFAR)

http://afar.info/id=1253
Created on : 23/05/2005
Modified on : 2/12/2007

Modify this record
Do not follow this link unless you know an editor’s password!

hard

Author(s) :

Erez O, Shoham-Vardi L, Sheiner E, Dukler D, Bashiri A, Mazor M.

Bibliographical entry (without author) :

Hydramnios and small for gestational age are independent risk factors for neonatal mortality and maternal morbidity.
Archives of Gynecology and Obstetrics 2005;271(4):296-301.

Year of publication :

2005

Résumé (français) :

Abstract (English):

OBJECTIVE: The objective was to evaluate the contribution of hydramnios and small for gestational age (SGA) as a combined pathology to maternal and neonatal morbidity and mortality.

METHODS: The study population consisted of 192 SGA neonates with hydramnios, 5,515 SGA neonates with a normal amount of amniotic fluids, 3,714 appropriate for gestational age (AGA) neonates with polyhydramnios and 83,763 AGA neonates with a normal amount of amniotic fluid. A cross-sectional population based study was designed between the four study groups. Multiple logistic regression analysis was used to assess the contribution of these abnormalities and different risk factors to maternal and perinatal complications.

RESULTS: The combination of hydramnios/SGA was found to be an independent risk factor for perinatal mortality (OR 20.55; CI 12.6–33.4). Congenital anomalies, prolapse of cord, hydramnios, SGA and grand multiparity were also independent risk factors for perinatal mortality. Independent risk factors for neonatal complications were prolapse of umbilical cord (OR 4.13; 95% CI 1.48–11.5), hydramnios/SGA (OR 2.72; 95% CI 1.81–4.07), chronic hypertension (OR 2.45; 95% CI 1.02–5.9), congenital malformations (OR 1.93; 95% CI 1.14–3.24) and SGA (OR 1.47; 95% CI 1.07–2). Significant independent risk factors for medical interventions during labor were fetal distress (OR 198.46; 95% CI 47.27–825.27), GDM Class B–R (OR 21.22; 95% CI 2.34–192.25), GDM class A (OR 4.64; 95% CI 2.62–8.21), severe pregnancy-induced hypertension (PIH; OR 7.74; 95% CI 2.35–25.42), hydramnios (OR 1.95; 95% CI 1.3–2.91), hydramnios/SGA (OR 1.84; 95% CI 1.12–3.02) and malpresentation (OR 1.56; 95% CI 1.32–1.84).

CONCLUSION: The combination of hydramnios and SGA is an independent risk factor for perinatal mortality and maternal complications. We suggest that the growth restriction of these fetuses is responsible for the neonatal complications, while the hydramnios contributes mainly to maternal complications.

Sumário (português):

URL :

http://springerlink.metapress.com/media/012C8PTHMQ7YE2JHPQ0X/Contributions/H/C/2/M/HC2M2NA45TT919E9_

Full text (private) :

http://afar.info/private/1253

Comments :

Argument (français) :

L'hypotrophie et le manque de liquide amniotique seraient des facteurs de risque
indépendants pour la morbidité/mortalité foetale et maternelle.

Argument (English):

Argumento (português):

Keywords :

low birth weight ; evidence-based medicine/midwifery ; perinatal death rates ; morbidity ; maternal age

Author of this record :

Cécile_Loup — 23/05/2005


DateDiscussion (only in English)Author
 
➡ Only identified users


 I have read the guidelines of discussions and I accept all terms (read guidelines)

New expert query ---  New simple query

Creating new record --- Importing records

User management --- Dump database

bar

This database is managed by Alliance francophone pour l'accouchement respecté (AFAR, http://afar.info)
affiliated with Collectif interassociatif autour de la naissance (CIANE, http://ciane.net).
It is fed by the voluntary contributions of persons interested in the sharing of scientific data.
If you agree with this project, you can support us in several ways:
(1) becoming a member of AFAR
(2) financially supporting AFAR
(3) contributing to this database if you have a minimum training in scientific documentation.
Sign in or create an account to follow changes or become an editor.
Contact afar.association(arobase)gmail.com for more information.

Valid CSS! Valid HTML!