Neonatal Outcomes of Infants Born to Women on Hemodialysis: A Single-Center, Case-Control Study.
Am J Perinatol
; 40(7): 741-747, 2023 05.
Article
en En
| MEDLINE
| ID: mdl-34058762
ABSTRACT
OBJECTIVE:
The study aimed to investigate the neonatal outcomes of infants born to mothers on hemodialysis. STUDYDESIGN:
This retrospective, case-control, and observational study included 17 infants born to 16 mothers on dialysis in 2003 to 2016. We compared their clinical characteristics to those of 51 gestational age- and sex-matched control infants. Statistical comparisons were made between the two groups by using the Wilcoxon-Mann-Whitney test for continuous variables and the Chi-square test or Fisher's exact test for categorical variables.RESULTS:
Of the 16 pregnancies of mothers on dialysis, 15 (94%) deliveries were premature (<37 weeks), and 16/17 (94%) infants survived to discharge. The incidences of neonatal complications, such as intraventricular hemorrhage, bronchopulmonary dysplasia, patent ductus arteriosus, and periventricular leukomalacia, were not significantly different between the groups. However, 5/17 (29%) of the infants had congenital anomalies.CONCLUSION:
Although infants born to mothers on dialysis have a high risk of prematurity, they do not have any additional risk of neonatal complications, except for congenital anomalies. The potential risk of congenital anomalies should be investigated further. KEY POINTS · Preterm birth rate among mothers on hemodialysis was 94%.. · Complications in these infants were similar to controls.. · Twenty-nine percent of infants had congenital anomalies..
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Mortalidad Infantil
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Nacimiento Prematuro
Tipo de estudio:
Observational_studies
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Risk_factors_studies
Límite:
Female
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Humans
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Infant
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Newborn
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Pregnancy
Idioma:
En
Revista:
Am J Perinatol
Año:
2023
Tipo del documento:
Article
País de afiliación:
Japón