Document Type
Journal Article
Publication Date
3-28-2017
Journal
BMC Pregnancy and Childbirth [electronic resource]
Volume
17
Issue
1
DOI
10.1186/s12884-017-1280-1
Abstract
BACKGROUND: We investigated associations between maternal characteristics, access to care, and obstetrical complications including near miss status on admission or during hospitalization on perinatal outcomes among Indonesian singletons.
METHODS: We prospectively collected data on inborn singletons at two hospitals in East Java. Data included socio-demographics, reproductive, obstetric and neonatal variables. Reduced multivariable models were constructed. Outcomes of interest included low and very low birthweight (LBW/VLBW), asphyxia and death.
RESULTS: Referral from a care facility was associated with a reduced risk of LBW and VLBW [AOR = 0.28, 95% CI = 0.11-0.69, AOR = 0.18, 95% CI = 0.04-0.75, respectively], stillbirth [AOR = 0.41, 95% CI = 0.18-0.95], and neonatal death [AOR = 0.2, 95% CI = 0.05-0.81]. Mothers age[AOR = 6.39, 95% CI = 1.82-22.35] and neonatal death [AOR = 4.10, 95% CI = 1.29-13.02]. Malpresentation on admission increased the risk of asphyxia [AOR = 4.65, 95% CI = 2.23-9.70], stillbirth [AOR = 3.96, 95% CI = 1.41-11.15], and perinatal death [AOR = 3.89 95% CI = 1.42-10.64], as did poor prenatal care (PNC) [AOR = 11.67, 95%CI = 2.71-16.62]. Near-miss on admission increased the risk of neonatal [AOR = 11.67, 95% CI = 2.08-65.65] and perinatal death [AOR = 13.08 95% CI = 3.77-45.37].
CONCLUSIONS: Mothers in labor should be encouraged to seek care early and taught to identify early danger signs. Adequate PNC significantly reduced perinatal deaths. Improved hospital management of malpresentation may significantly reduce perinatal morbidity and mortality. The importance of hospital-based prospective studies helps evaluate specific areas of need in training of obstetrical care providers.
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
APA Citation
Anggondowati, T., El-Mohandes, A., Qomariyah, S., Kiely, M., Ryon, J., Gipson, R., Zinner, B., Achadi, A., & Wright, L. (2017). Maternal characteristics and obstetrical complications impact neonatal outcomes in Indonesia: a prospective study.. BMC Pregnancy and Childbirth [electronic resource], 17 (1). http://dx.doi.org/10.1186/s12884-017-1280-1
Peer Reviewed
1
Open Access
1
Included in
Maternal and Child Health Commons, Obstetrics and Gynecology Commons, Women's Health Commons
Comments
Reproduced with permission of BioMed Central Ltd. BMC Pregnancy and Childbirth