Perinatal factors associated with admission to neonatal intensive care unit following cesarean delivery in Kano, northern Nigeria.
J Perinat Med
; 50(4): 493-502, 2022 May 25.
Article
em En
| MEDLINE
| ID: mdl-35038815
ABSTRACT
OBJECTIVES:
Cesarean section is the most common obstetric surgical procedure, with associated risks for adverse neonatal outcomes. The interplay of perinatal factors associated with neonatal admissions following cesarean delivery remains poorly understood in developing countries. We examined how perinatal and facility-based factors affect Neonatal Intensive Care Unit (NICU) admission after cesarean delivery in northern Nigeria.METHODS:
A prospective cohort study involving 200 women undergoing cesarean section were consecutively enrolled with subsequent follow-up of their infants in the post-natal period. Data were abstracted from the medical record using an interviewer-administered questionnaire. The primary outcomes were NICU admission and intrauterine or early neonatal deaths. Binary logistic regression modelling was used to identify variables independently associated with the outcomes.RESULTS:
Over the study period (six months), there were 200 cesarean sections. A total of 30 (15.0%) neonates were admitted into the NICU following the procedure. No stillbirths or early neonatal deaths were recorded. NICU admission was associated with gestational age (preterm vs. term [adjusted odds ratio, aOR 18.9, 95% confidence interval (CI) 4.0-90.4]), birth weight (small vs. appropriate [aOR 6.7, 95% CI 1.9-22.7] and large vs. appropriate birth weight [aOR 20.3, 95% CI 2.9-143.7]) and the number of indications for cesarean section (≥2 vs. one [aOR 0.2, 95% 0.1-0.8]).CONCLUSIONS:
Prematurity, small and large for gestational age neonates; and indications for cesarean section were associated with increased likelihood of neonatal admission following cesarean delivery. These findings could inform ongoing quality enhancement initiatives to improve NICU admission outcomes at the study site, and other similar settings.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cesárea
/
Morte Perinatal
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Infant
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Male
/
Newborn
/
Pregnancy
País/Região como assunto:
Africa
Idioma:
En
Revista:
J Perinat Med
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Nigéria