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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.12
- 수록면
- 184 - 192 (9page)
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초록· 키워드
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Objective: This study aimed to evaluate the risk factors associated with neonatal intensive care unit (NICU) admission in term neonates and to provide necessary data for antenatal counseling.
Methods: This retrospective case-control study was conducted with 643 singleton pregnancies with term delivery at Inje University Busan Paik Hospital from 2017 to 2019. Patients were divided into the NICU admission and nursery groups. Maternal, antepartum, intrapartum, and placental factors were compared between the 2 groups to evaluate the risk factors for the NICU admission. Neonatal outcomes were analyzed as well.
Results: NICU-admitted neonates had lower birth weight (2,971±597 vs. 3,142±418 g, P<0.001), higher incidence of fetal growth restriction (FGR) (21.6% vs. 0.2%, P<0.001), lower Apgar score at 5 minutes (2.7% vs. 0%, P=0.001), and higher incidence of respiratory distress syndrome (23.9%, n=53). Fetal growth restriction (FGR) was the greatest risk factor for the NICU admission (odds ratio [OR], 126.98; 95% confidence interval [CI], 17.17-939.17). Maternal pre-gestational and gestational diabetes mellitus with insulin use were great risk factors for the NICU admission (OR, 33.74; 95% CI, 4.36-260.92 for pre-gestational diabetes; and OR, 24.61; 95% CI, 3.02-200.07 for gestational diabetes, respectively). Emergent cesarean delivery due to prolonged 1st stage of labor and vaginal delivery had similar risk for the NICU admission (OR, 2.18; 95% CI, 1.26-3.77; and OR, 1.85; 95% CI, 1.18-2.91, respectively).
Conclusion: Pregnancies that are complicated with FGR, pre-gestational and gestational diabetes mellitus with insulin use, and emergent cesarean delivery due to prolonged 1st stage labor may have higher risk for NICU admission, even among term neonates. Therefore, pregnancies with the above risk factors are advised for possible NICU admission during antenatal counseling.
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참고문헌 (33)
참고문헌 신청
Clark SL / 2011 / Term pregnancy : time for a redefinition / Clin Perinatol 38:557~564
Tracy SK / 2007 / Admission of term infants to neonatal intensive care : a population-based study / Birth 34:301~307
Clark SL / 2009 / Neonatal and maternal outcomes associated with elective term delivery / Am J Obstet Gynecol 200:156
Demisse AG / 2017 / Patterns of admission and factors associated with neonatal mortality among neonates admitted to the neonatal intensive care unit of University of Gondar Hospital, Northwest Ethiopia / Pediatric Health Med Ther 8:57~64
Kurek Eken M / 2016 / Evaluation of the maternal and fetal risk factors associated with neonatal care unit hospitalization time / J Matern Fetal Neonatal Med 29:3553~3557
Tracy SK / 2007 / Admission of term infants to neonatal intensive care : a population-based study / Birth 34:301~307
Clark SL / 2009 / Neonatal and maternal outcomes associated with elective term delivery / Am J Obstet Gynecol 200:156
Demisse AG / 2017 / Patterns of admission and factors associated with neonatal mortality among neonates admitted to the neonatal intensive care unit of University of Gondar Hospital, Northwest Ethiopia / Pediatric Health Med Ther 8:57~64
Kurek Eken M / 2016 / Evaluation of the maternal and fetal risk factors associated with neonatal care unit hospitalization time / J Matern Fetal Neonatal Med 29:3553~3557
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