Infant births during the internal night are at increased risk for operative delivery and NICU admission

Archives of Gynecology and Obstetrics
Ioannis KalogiannidisTheodoros Agorastos

Abstract

The purpose of the present study was to compare neonatal morbidity between night and the rest of day and investigate potential differences of birth outcomes during the internal night. We conducted a retrospective study based on maternal and neonatal data of period 2004-2007, enrolling exclusively spontaneous deliveries of term (≥ 37 weeks), singleton pregnancies with cephalic presentation that were in labor. Time of day was divided into the night-shift period, from 11.00 p.m. to 7.00 a.m. (period 1) and the rest-of-day period, from 7.00 a.m. to 11.00 p.m. (period 2). The night-shift period was further sub-divided into period 1a (11.00 p.m.-3.00 a.m.) and period 1b (3.00 a.m.-7.00 a.m.). Epidemiological and obstetric characteristics as well as neonatal outcomes were initially compared between periods 1 and 2 and thereafter between sub-periods 1a and 1b. There were 3,055 cases with complete data meeting our inclusion criteria, of which 871 (28.5%) were delivered during period 1 and 2,184 (71.5%) during period 2. Furthermore, 51.3% of night-born infants were delivered during period 1a and the remaining 48.7% during period 1b. All examined parameters were not significantly different between periods 1 and 2. Analyzing night internal...Continue Reading

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Citations

Mar 12, 2015·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·Hugh MillerOlof Rugarn
Nov 28, 2014·Journal of Perinatology : Official Journal of the California Perinatal Association·S Zuarez-EastonR Salim
Feb 7, 2020·Obstetrics and Gynecology·Moeun SonUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Maternal-Fetal Medicine Units (MFMU)
Jul 11, 2020·Obstetrics and Gynecology·Jeffrey B GouldElliott K Main
Sep 5, 2020·Archives of Gynecology and Obstetrics·Einav Kadour-PeeroDana Vitner
Aug 6, 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·Maya Frank-WolfRon Maymon
Mar 27, 2019·Journal of Perinatology : Official Journal of the California Perinatal Association·Lilly Y LiuLynn M Yee
Apr 7, 2021·Journal of Korean Medical Science·Misun YangUNKNOWN Korean Neonatal Network

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