Hydramnios and small for gestational age are independent risk factors for neonatal mortality and maternal morbidity

Archives of Gynecology and Obstetrics
Offer ErezM Mazor

Abstract

The objective was to evaluate the contribution of hydramnios and small for gestational age (SGA) as a combined pathology to maternal and neonatal morbidity and mortality. The study population consisted of 192 SGA neonates with hydramnios, 5,515 SGA neonates with a normal amount of amniotic fluids, 3,714 appropriate for gestational age (AGA) neonates with polyhydramnios and 83,763 AGA neonates with a normal amount of amniotic fluid. A cross-sectional population based study was designed between the four study groups. Multiple logistic regression analysis was used to assess the contribution of these abnormalities and different risk factors to maternal and perinatal complications. The combination of hydramnios/SGA was found to be an independent risk factor for perinatal mortality (OR 20.55; CI 12.6-33.4). Congenital anomalies, prolapse of cord, hydramnios, SGA and grand multiparity were also independent risk factors for perinatal mortality. Independent risk factors for neonatal complications were prolapse of umbilical cord (OR 4.13; 95% CI 1.48-11.5), hydramnios/SGA (OR 2.72; 95% CI 1.81-4.07), chronic hypertension (OR 2.45; 95% CI 1.02-5.9), congenital malformations (OR 1.93; 95% CI 1.14-3.24) and SGA (OR 1.47; 95% CI 1.07-2). Sig...Continue Reading

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Citations

May 14, 2009·BMC Pregnancy and Childbirth·Rachel A HawsZulfiqar A Bhutta
Nov 10, 2007·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Malcolm R BattinJohn M D Thompson
Sep 16, 2011·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Masaki OgawaYukihiro Terada
Nov 17, 2007·Obstetrical & Gynecological Survey·Everett F MagannJohn C Morrison
Aug 30, 2008·PloS One·Ida N DamgaardKatharina M Main
Aug 15, 2014·Journal of Health Communication·Katie A PortsAnjali Rameshbabu
Dec 27, 2019·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Ortal HadarGali Pariente

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