PMID: 25371936Nov 6, 2014

Impact of change in delivery practice on neonatal and maternal outcomes in cases of significant congenital heart disease

Congenital Heart Disease
Nina M DadlezIsmée A Williams

Abstract

Because of data published in 2009 demonstrating improved outcomes among early- vs. late-term infants,practice shifted toward delivering infants at later gestational ages. We examined the effects of this change on neonates with congenital heart disease. This was a retrospective cohort study. Neonates with congenital heart disease born between 2004 and 2008 were compared with those born in 2010. Patients born in 2009, considered to be a transitional year, were excluded. Our study was conducted at a tertiary care level 4 neonatal intensive care unit with comprehensive cardiac service. Study subjects consisted of neonates with significant congenital heart disease admitted between 2004 and 2010. Outcomes measures consisted of mode of delivery, length of stay, neonatal morbidity, and mortality. There were 878 infants with congenital heart disease born in 2004-2008 and 124 in 2010. The mean gestational age was higher in 2010 than in 2004-2008 (38.4 ± 1.9 vs. 37.8 ± 2.3 weeks, P = .001), and there were fewer preterm births in 2010 compared with 2004-2008 (P = .003, odds ratio [OR] = 0.4). Mean birth weight was also higher in 2010 (3134 ± 675 vs. 2975 ± 599 g, P = .008). In 2010, less than half as many infants were born via scheduled in...Continue Reading

References

Jan 10, 2002·The Journal of Thoracic and Cardiovascular Surgery·Kathy J JenkinsLisa I Iezzoni
Feb 24, 2006·The Journal of Pediatrics·R E AndrewsR W M Yates
Oct 22, 2008·American Journal of Obstetrics and Gynecology·Yvonne W ChengAaron B Caughey
Jan 9, 2009·The New England Journal of Medicine·Alan T N TitaEunice Kennedy Shriver NICHD Maternal-Fetal Medicine Units Network
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Citations

Nov 29, 2016·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·Takekazu MiyoshiTomoaki Ikeda
Jun 5, 2017·American Journal of Obstetrics and Gynecology·Laura I ParikhUma M Reddy
Aug 30, 2018·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·Mehmet Resit AsogluOzhan M Turan
Aug 7, 2018·Cardiology in the Young·Piers C A BarkerStephen G Miller
Sep 5, 2020·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·Mamatha GowdaLaxmi Godipelli
Oct 16, 2019·Journal of Perinatology : Official Journal of the California Perinatal Association·April D AdamsSara N Iqbal

Related Concepts

Postcesarean Section
Emergencies [Disease/Finding]
Gestational Age
Health Status
Congenital Heart Defects
Postneonatal Mortality
Intensive Care Units, Neonatal
Induction of Labor Procedure
Hospital Stay
Prescribing Patterns, Physician

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