EVALUATION OF NEONATAL HEALTH IN PROLONGED PREGNANCY IN SHABIH-KHANI HOSPITAL, KASHAN, 2003

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BAGHERI A.; KAFAEI MAHBOUBEH; SARAFRAZ N.; AKBARI HOSSEIN

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Journal: Journal of Advances in Medical and Biomedical Research Year:2008 | Volume:15 | Issue:61 Page(s): 71-78

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Title

EVALUATION OF NEONATAL HEALTH IN PROLONGED PREGNANCY IN SHABIH-KHANI HOSPITAL, KASHAN, 2003

Author(s)

BAGHERI A. | KAFAEI MAHBOUBEH | SARAFRAZ N. | AKBARI HOSSEIN | Issue Writer Certificate

Keywords

PROLONGED PREGNANCYQ3

NEONATAL OUTCOMEQ3

HIGH RISK NEONATEQ3

Abstract

Background and Objective: PROLONGED PREGNANCY influences different aspects of maternal and neonatal health.Although it is generally accepted that drug intervention is necessary before labor in PROLONGED PREGNANCY, there is still debate about the termination time of the pregnancy. Regarding the high prevalence of PROLONGED PREGNANCY we studied the neonatal health in the hospitalized women with PROLONGED PREGNANCY in kashan, in 2002-2003.Materials and Methods: This descriptive study was carried out on 450 women at gestational age over 40 weeks (based on their LMP or sonography before 30 weeks) admitted for termination of pregnancy by induction. The cases had no obstetrical problems. Neonatal health including type of delivery and dystocia, fetal distress, meconium, apgar in 5 minutes, NICU (neonatal intensive care unit) stay and weight were recorded and the cases were categorized into 4 groups based on gestational age: 40 weeks to 40 weeks and 3 days, 40 weeks and 4 days to 41 weeks, 41 weeks and 1days to 41 weeks and 3 days and 41 weeks and 4 days and more. The results were analyzed by descriptive statistics chi-square, Kruskal-Wallis, and Mann-Whitney.Results: The results showed that studied women terminated their pregnancy as follows: 131 individuals (29.1%) terminated their pregnancy during 40 to 40weeks and 3 days, 150 (33.3%) during 41 weeks and 1 day to 41 weeks and 3 days, and only 39 women (8.7%) terminated their pregnancy after 41 weeks and 3 days, 12 (2.7%) of whom were over 42 weeks. There was no significant difference between women in fetal stress, meconium, apgar in 5 minutes, NICU stay, neonatal weight, type of delivery and dystocia. However, the studied groups differed singnificantly in terms of cesarean cause based on pregnancy. Statistical tests showed that the studied groups in terms of mother’s age (P=0.4), the history of PROLONGED PREGNANCY (p=0.08), number of parities (p=0.7), dilatation (p=0.2), cervix effacement based on pregnancy age had no significant difference.Conclusion: Based on the study results, termination of pregnancy prior to 41.5 weeks of gestational age due to fear of NEONATAL OUTCOME is not necessary. Pre- term intervention can cause enhancement of cesarean. Thus, pregnancy termination could be delayed in pregnant women who are under control and have no compilcations.

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APA: Copy

BAGHERI, A., KAFAEI, MAHBOUBEH, SARAFRAZ, N., & AKBARI, HOSSEIN. (2008). EVALUATION OF NEONATAL HEALTH IN PROLONGED PREGNANCY IN SHABIH-KHANI HOSPITAL, KASHAN, 2003. JOURNAL OF ADVANCES IN MEDICAL AND BIOMEDICAL RESEARCH, 15(61), 71-78. SID. https://sid.ir/paper/61037/en

Vancouver: Copy

BAGHERI A., KAFAEI MAHBOUBEH, SARAFRAZ N., AKBARI HOSSEIN. EVALUATION OF NEONATAL HEALTH IN PROLONGED PREGNANCY IN SHABIH-KHANI HOSPITAL, KASHAN, 2003. JOURNAL OF ADVANCES IN MEDICAL AND BIOMEDICAL RESEARCH[Internet]. 2008;15(61):71-78. Available from: https://sid.ir/paper/61037/en

IEEE: Copy

A. BAGHERI, MAHBOUBEH KAFAEI, N. SARAFRAZ, and HOSSEIN AKBARI, “EVALUATION OF NEONATAL HEALTH IN PROLONGED PREGNANCY IN SHABIH-KHANI HOSPITAL, KASHAN, 2003,” JOURNAL OF ADVANCES IN MEDICAL AND BIOMEDICAL RESEARCH, vol. 15, no. 61, pp. 71–78, 2008, [Online]. Available: https://sid.ir/paper/61037/en

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