Risk factors for neonatal admission from the beginning of pregnancy in Northeast Spain.

IF 1.6 4区 医学 Q2 PEDIATRICS
Carlos Nagore González, Olga Bueno Lozano, Sofía Valle Guillén, María Pilar Samper Villagrasa, Purificación Ventura Faci, Gerardo Rodríguez Martínez
{"title":"Risk factors for neonatal admission from the beginning of pregnancy in Northeast Spain.","authors":"Carlos Nagore González, Olga Bueno Lozano, Sofía Valle Guillén, María Pilar Samper Villagrasa, Purificación Ventura Faci, Gerardo Rodríguez Martínez","doi":"10.1111/jpc.16704","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>Maternal health and gestational control are crucial to improving the newborn's prognosis. This study analyses demographic and obstetric factors at the beginning of pregnancy related to neonatal health, assessing their impact on the risk of hospital admission and prematurity.</p><p><strong>Methods: </strong>Observational retrospective study conducted in Northeast Spain with data of 9560 newborns between February 2017 and February 2022. The following have been evaluated as risk factors for hospital admission: nulliparity, multiple gestation, fertilisation techniques, foreign maternal origin, maternal age, smoking and residential location, dividing the sample according to gestational age. Hypothesis testing and logistic regression were performed.</p><p><strong>Results: </strong>Nulliparity, fertilisation techniques and multiple gestation represent a risk factor for neonatal admission (OR 22.48, 4.04 and 3.34, respectively), especially in premature newborns <32 weeks of GA (OR: 30.71, 10.71 and 22.76, respectively). Foreign maternal origin also adds risk of admission, both in term newborns (OR 1.26; CI: 1.10-1.43) and in premature babies <32 weeks of GA (OR 1.61; CI: 1.09-2.38). Tobacco does not present a significant risk of neonatal admission. The multivariate analysis model confirms the influence of the following factors in all the studied groups: nulliparity, multiple gestation and foreign maternal origin.</p><p><strong>Conclusions: </strong>Nulliparity and multiple pregnancies are both main risk factors for neonatal admission and premature delivery. The use of fertilisation techniques and the foreign origin of the mother significantly associate increased risk of admission and neonatal prematurity. These findings underscore the need for a comprehensive approach to prenatal care to improve neonatal prognosis and promote long-term health in risk populations.</p>","PeriodicalId":16648,"journal":{"name":"Journal of paediatrics and child health","volume":" ","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of paediatrics and child health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jpc.16704","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0

Abstract

Aim: Maternal health and gestational control are crucial to improving the newborn's prognosis. This study analyses demographic and obstetric factors at the beginning of pregnancy related to neonatal health, assessing their impact on the risk of hospital admission and prematurity.

Methods: Observational retrospective study conducted in Northeast Spain with data of 9560 newborns between February 2017 and February 2022. The following have been evaluated as risk factors for hospital admission: nulliparity, multiple gestation, fertilisation techniques, foreign maternal origin, maternal age, smoking and residential location, dividing the sample according to gestational age. Hypothesis testing and logistic regression were performed.

Results: Nulliparity, fertilisation techniques and multiple gestation represent a risk factor for neonatal admission (OR 22.48, 4.04 and 3.34, respectively), especially in premature newborns <32 weeks of GA (OR: 30.71, 10.71 and 22.76, respectively). Foreign maternal origin also adds risk of admission, both in term newborns (OR 1.26; CI: 1.10-1.43) and in premature babies <32 weeks of GA (OR 1.61; CI: 1.09-2.38). Tobacco does not present a significant risk of neonatal admission. The multivariate analysis model confirms the influence of the following factors in all the studied groups: nulliparity, multiple gestation and foreign maternal origin.

Conclusions: Nulliparity and multiple pregnancies are both main risk factors for neonatal admission and premature delivery. The use of fertilisation techniques and the foreign origin of the mother significantly associate increased risk of admission and neonatal prematurity. These findings underscore the need for a comprehensive approach to prenatal care to improve neonatal prognosis and promote long-term health in risk populations.

西班牙东北部地区怀孕初期新生儿入院的风险因素。
目的:孕产妇健康和妊娠控制对改善新生儿预后至关重要。本研究分析了妊娠初期与新生儿健康有关的人口和产科因素,评估了这些因素对新生儿入院和早产风险的影响:方法:在西班牙东北部进行的观察性回顾研究,收集了 2017 年 2 月至 2022 年 2 月间 9560 名新生儿的数据。根据胎龄划分样本,评估了以下入院风险因素:无胎龄、多胎妊娠、受精技术、外籍产妇、产妇年龄、吸烟和居住地。进行了假设检验和逻辑回归:无子宫、受精技术和多胎妊娠是新生儿入院的风险因素(OR 分别为 22.48、4.04 和 3.34),尤其是早产新生儿:单胎妊娠和多胎妊娠都是新生儿入院和早产的主要风险因素。使用受精技术和母亲的外籍血统与入院和新生儿早产风险的增加有很大关系。这些研究结果表明,有必要采取全面的产前护理方法,以改善新生儿预后,促进高危人群的长期健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
2.90
自引率
5.90%
发文量
487
审稿时长
3-6 weeks
期刊介绍: The Journal of Paediatrics and Child Health publishes original research articles of scientific excellence in paediatrics and child health. Research Articles, Case Reports and Letters to the Editor are published, together with invited Reviews, Annotations, Editorial Comments and manuscripts of educational interest.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信