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Maternal risk factors for ''adverse neonatal outcome” after term deliveries in Sri Lanka

Authors:

D. A. Gunawardane ,

University of Peradeniya, LK
About D. A.
Senior Lecturer and Consultant Community Physician, Department of Community  Medicine, Faculty of Medicine
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S. D. Dharmaratne,

University of Peradeniya, LK
About S. D.
Professor in Community Medicine and Consultant Community Physician, Department of Community Medicine, Faculty of Medicine
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D. S. Rowel

UNICEF, LK
About D. S.
Consultant Community Physician, Health and Nutrition Officer
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Abstract

Background: Even though forty to seventy percent of neonatal mortality are recorded among term neonates, information on neonatal outcomes of term neonates is scarce. The high volume of term neonatal admissions to neonatal care units(NCU)signifies the importance of studying the maternal risk factors for such neonatal outcomes.

 

Objectives:The present study aims to identify the maternal risk factors for' “adverse neonatal outcome'' (ANO) following term deliveries at Teaching Hospital Kandy.

 

Methods:An unmatched case-control study was nested within a descriptive follow-up study. A sample of 1105 neonates, delivered at termat Teaching Hospital Kandy, was followed up until their initial discharge point.

 

Results:Multivariate analysis, found that caesarean section with labour increases the risk of  ANOamong term neonates by 3.37 ( CI- 2.13-5.33) times compared to normal vaginal delivery. Further, 37 completed weeks of Period of Amenorrhea (POA) (OR-2.91,1.57-5.42), Pregnancy Induced Hypertension (PIH) (OR-2.46,  CI- 1.27-4.75), Gestational Diabetes Mellitus (GDM) (OR-2.33,  CI- 1.0-5.15), primiparity (OR-1.53,  CI- 1.02-2.30) and maternal occupation as professionals (OR-3.45,  CI- 1.46-8.13) was identified  as  independent risk factors of ANO among term neonates.

 

Conclusions: Caesarean section with labour, 37 completed weeks of POA, PIH, GDM, primiparity and maternal occupation as professional are independent risk factors for ANOin term neonates.
DOI: https://doi.org/10.4038/jrcs.v26i1.113
How to Cite: Gunawardane, D.A., Dharmaratne, S.D. and Rowel, D.S., 2021. Maternal risk factors for ''adverse neonatal outcome” after term deliveries in Sri Lanka. Journal of the Ruhunu Clinical Society, 26(1), pp.30–38. DOI: http://doi.org/10.4038/jrcs.v26i1.113
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Published on 15 Dec 2021.
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