Detection of Risk Factors for "Near Miss SIDS" Events in Full-Term Infants

Objective. The purpose of this study was to explore the underlying clinical factors associated with the degree of retinal hemorrhage (RH) in full-term newborns. Methods. A total of 3054 full-term infants were included in this study. Eye examinations were performed with RetCamIII within one week of birth for all infants. Maternal, obstetric, and neonatal parameters were compared between newborns with RH and controls. The RH group was divided into three sections (I, II, and III) based on the degree of RH. Results. RH was observed in 1202 of 3054 infants (39.36%) in this study. The quantity and proportion of newborns in groups I, II, and III were 408 (13.36%), 610 (19.97%), and 184 (6.03%), respectively. Spontaneous vaginal delivery (SVD), prolonged duration of second stage of labor, advanced maternal age, and neonatal intracranial hemorrhage positively correlated with aggravation of the degree of RH in newborns. Conversely, cesarean section was protective against the incidence of RH. Conclusions. SVD, prolonged duration of second stage of labor, advanced maternal age, and neonatal intracranial hemorrhage were potential risk factors for aggravation of the degree of RH in full-term infants. Accordingly, infants with these risk factors may require greater attention with respect to RH development.

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Risk factors associated with subaponeurotic haemorrhage in full-term infants exposed to vacuum extraction

BJOG An International Journal of Obstetrics & Gynaecology ◽

10.1111/j.1471-0528.2006.00911.x ◽

2006 ◽

Vol 113 (4) ◽

pp. 491-492 ◽

Cited By ~ 1

Author(s):

N-Y Boo ◽

Z Mahdy

Keyword(s):

Risk Factors ◽

Full Term ◽

Vacuum Extraction ◽

Term Infants ◽

Factors Associated

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Risk factors for severity of thrombocytopenia in full term infants: a single center study

Italian Journal of Pediatrics ◽

10.1186/s13052-021-00965-1 ◽

2021 ◽

Vol 47 (1) ◽

Author(s):

Amira M. Saber ◽

Shereen P. Aziz ◽

Al Zahraa E. Almasry ◽

Ramadan A. Mahmoud

Keyword(s):

Risk Factors ◽

Lupus Erythematosus ◽

Neonatal Intensive Care ◽

Complete Blood Count ◽

Mode Of Delivery ◽

Full Term ◽

Common Finding ◽

Inclusion Criteria ◽

Term Infants ◽

Platelet Transfusions

Abstract Background Neonatal thrombocytopenia (NT) (platelet count < 150 × 109/L) is a common finding in the neonatal intensive care unit (NICU). The main aim of this study was to assess the prevalence, risk factors, and outcomes of severe NT in full term (FT) infants. Methods During the study period, all FT infants who met the inclusion criteria for NT on two occasions were included. Maternal data, such as maternal age, weight, gestational age, mode of delivery, and history of systemic diseases, including diabetes mellitus, pre-eclampsia, systemic lupus erythematosus, and immune thrombocytopenic purpura, were recorded. Furthermore, neonatal data, such as gender, neonatal weight, causes/duration of admission, types of respiratory support used, complete blood count measurements, and outcomes for neonates admitted to the NICU, were recorded. Results In total, 55 FT infants with NT met the inclusion criteria, and 29 (52.73%) cases had severe NT. The most common cause of NT was neonatal sepsis (20 cases, 36.35%), followed by a postoperative state (5 cases, 9.09%). Moreover, in cases of positive blood cultures, the most commonly isolated organism was Escherichia coli (6 cases, 10.90%), followed by Klebsiella (5 cases, 9.09%). Cases of severe NT needed more platelet transfusions (P = 0.001) and had higher rates of mortality (P = 0.001) when compared to cases of mild/moderate NT associated with signs of bleeding and pulmonary/intraventricular hemorrhage (IVH) (P = 0.001). Conclusion Severe NT compared to mild/moderate NT, associated with signs of bleeding and pulmonary/IVH, needed more platelet transfusions, and had increased mortality. Further research is needed to explain which of these complications related to severity of thrombocytopenia or were associated with original disease of the babies.

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Risk factors for perinatal arterial ischaemic stroke in full-term infants: a case-control study

Archives of Disease in Childhood - Fetal and Neonatal Edition ◽

10.1136/archdischild-2011-300973 ◽

2012 ◽

Vol 97 (6) ◽

pp. F411-F416 ◽

Cited By ~ 58

Author(s):

Johanna C Harteman ◽

Floris Groenendaal ◽

Anneke Kwee ◽

Paco MJ Welsing ◽

Manon JNL Benders ◽

...

Keyword(s):

Risk Factors ◽

Ischaemic Stroke ◽

Case Control Study ◽

Case Control ◽

Full Term ◽

Term Infants ◽

Arterial Ischaemic Stroke ◽

Control Study

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Risk Factors For Severity Of Thrombocytopenia In Full Term Infants: A Single Center Study

10.21203/rs.3.rs-26188/v4 ◽

2020 ◽

Author(s):

Amira M Saber ◽

Shereen P Aziz ◽

Al Zahraa E Almasry ◽

Ramadan A Mahmoud

Keyword(s):

Risk Factors ◽

Lupus Erythematosus ◽

Neonatal Intensive Care ◽

Complete Blood Count ◽

Mode Of Delivery ◽

Full Term ◽

Common Finding ◽

Inclusion Criteria ◽

Term Infants ◽

Platelet Transfusions

Abstract Background: Neonatal thrombocytopenia (NT) (platelet count <150 x 109/L) is a common finding in the neonatal intensive care unit (NICU). The main aim of this study was to assess the prevalence, risk factors, and outcomes of severe NT in full term (FT) infants.Methods: During the study period, all FT infants who met the inclusion criteria for NT on two occasions were included. Maternal data, such as maternal age, weight, gestational age, mode of delivery, and history of systemic diseases, including diabetes mellitus, pre-eclampsia, systemic lupus erythematosus, and immune thrombocytopenic purpura, were recorded. Furthermore, neonatal data, such as gender, neonatal weight, causes/duration of admission, types of respiratory support used, complete blood count measurements, and outcomes for neonates admitted to the NICU, were recorded.Results: In total, 55 FT infants with NT met the inclusion criteria, and 29 (52.73%) cases had severe NT. The most common cause of NT was neonatal sepsis (20 cases, 36.35%), followed by a postoperative state (5 cases, 9.09%). Moreover, in cases of positive blood cultures, the most commonly isolated organism was Escherichia coli (6 cases, 10.90%), followed by Klebsiella (5 cases, 9.09%). Cases of severe NT needed more platelet transfusions (P=0.001) and had higher rates of mortality (P=0.001) when compared to cases of mild/moderate NT associated with signs of bleeding and pulmonary/intraventricular hemorrhage (IVH) (P=0.001).Conclusion: Severe NT compared to mild/moderate NT, associated with signs of bleeding and pulmonary/IVH, needed more platelet transfusions, and had increased mortality. Further research is needed to explain which of these complications related to severity of thrombocytopenia or were associated with original disease of the babies.

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Risk factors for early wheezing in preterm infants: a retrospective cohort study

10.21203/rs.3.rs-42409/v2 ◽

2020 ◽

Author(s):

Xun Chen ◽

Minjing Yang ◽

Shengzhu Huang ◽

Xiaolian Qin ◽

Zhijian Pan ◽

...

Keyword(s):

Risk Factors ◽

Risk Factor ◽

Family History ◽

Preterm Infants ◽

Full Term ◽

Term Infants ◽

History Of ◽

Group A ◽

Male Sex ◽

Group B

Abstract Background: The factors that cause recurrent wheezing in children are complex, and premature delivery may be one of these factors. Little is known about early wheezing in preterm infants.Methods: Data were sourced from 1616 children born between 2007 and 2013 from 8 hospitals in Guangxi, China. All children were followed up by telephone or questionnaire through the sixth year of life. Children were grouped by gestational age (GA): Group A, GA ≤ 32 weeks; Group B, 32 weeks < GA < 37 weeks; and Group C, 37 weeks ≤ GA < 42 weeks.Results: The incidences and risk factors for early wheezing in preterm infants were analysed. The incidences of early wheezing were as follows: Group A > Group B > Group C. The incidence of persistent early wheezing in Group A or Group B was significantly higher than that in Group C, respectively. SGA (95% CI: 1.097 to 7.519) was a risk factor for early wheezing in group A. Male sex (95% CI: 1.595 to 4.501) and family history of allergies (95% CI: 1.207 to 3.352) were risk factors for early wheezing in group B.Conclusions: 1. New-borns with younger GAs had a higher risk of early wheezing. 2. The incidence of persistent early wheezing for preterm infants (GA ≤ 32 weeks and 32 weeks < GA < 37 weeks) was higher than that for full-term infants (37 weeks ≤ GA < 42 weeks). 3. SGA was a risk factor for early wheezing in preterm infants with a GA ≤ 32 weeks. 4. Male sex, personal history of allergies and family history of allergies were all possible factors affecting early wheezing in preterm infants with a GA > 32 weeks but < 37 weeks and full-term infants. Among them, male sex and family history of allergies were risk factors for early wheezing. 5. Mode of delivery, passive smoking, breastfeeding and invasive mechanical ventilation were not possible risk factors for early wheezing in infants of different GAs.

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Risk factors associated with subaponeurotic haemorrhage in full-term infants exposed to vacuum extraction

BJOG An International Journal of Obstetrics & Gynaecology ◽

10.1111/j.1471-0528.2005.00732.x ◽

2005 ◽

Vol 112 (11) ◽

pp. 1516-1521 ◽

Cited By ~ 38

Author(s):

Nem-Yun Boo ◽

Kin-Wai Foong ◽

Zaleha Abdullah Mahdy ◽

Sin-Chuen Yong ◽

Rohana Jaafar

Keyword(s):

Risk Factors ◽

Full Term ◽

Vacuum Extraction ◽

Term Infants ◽

Factors Associated

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Predictors of Size for Gestational Age in St. Louis City and County

BioMed Research International ◽

10.1155/2014/515827 ◽

2014 ◽

Vol 2014 ◽

pp. 1-8 ◽

Cited By ~ 1

Author(s):

Pamela K. Xaverius ◽

Joanne Salas ◽

Candice L. Woolfolk ◽

Frances Leung ◽

Jessica Yuan ◽

...

Keyword(s):

Risk Factors ◽

Logistic Regression ◽

Weight Gain ◽

Gestational Age ◽

Birth Certificate ◽

Significant Risk ◽

Full Term ◽

Chronic Hypertension ◽

Term Infants ◽

Bivariate Logistic Regression

Objective. To identify social, behavioral, and physiological risk factors associated with small for gestational age (SGA) by gestational age category in St. Louis City and County.Methods. A retrospective cohort study was conducted using birth certificate and fetal death records from 2000 to 2009 (n= 142,017). Adjusted associations of risk factors with SGA were explored using bivariate logistic regression. Four separate multivariable logistic regression analyses, stratified by gestational age, were conducted to estimate adjusted odds ratios.Results. Preeclampsia and inadequate weight gain contributed significantly to increased odds for SGA across all gestational age categories. The point estimates ranged from a 3.41 increased odds among women with preeclampsia and 1.76 for women with inadequate weight gain at 24–28 weeks’ gestational age to 2.19 and 2.11 for full-term infants, respectively. Among full-term infants, smoking (aOR = 2.08), chronic hypertension (aOR = 1.46), and inadequate prenatal care (aOR = 1.25) had the next most robust and significant impact on SGA.Conclusion. Preeclampsia and inadequate weight gain are significant risk factors for SGA, regardless of gestational age. Education on the importance of nutrition and adequate weight gain during pregnancy is vital. In this community, disparities in SGA and smoking rates are important considerations for interventions designed to improve birth outcomes.

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