Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/91953
Citations | ||
Scopus | Web of Science® | Altmetric |
---|---|---|
?
|
?
|
Type: | Journal article |
Title: | Trends in birth asphyxia, obstetric interventions and perinatal mortality among term singletons: a nationwide cohort study |
Author: | Ensing, S. Abu-Hanna, A. Schaaf, J. Mol, B. Ravelli, A. |
Citation: | The Journal of Maternal-Fetal and Neonatal Medicine, 2015; 28(6):632-637 |
Publisher: | Informa Healthcare |
Issue Date: | 2015 |
ISSN: | 1476-7058 1476-4954 |
Statement of Responsibility: | Sabine Ensing, Ameen Abu-Hanna, Jelle M. Schaaf, Ben Willem J. Mol and Anita C. J. Ravelli |
Abstract: | OBJECTIVE: The objective of the present study is to investigate trends in birth asphyxia and perinatal mortality in the Netherlands over the last decade. METHODS: A nationwide cohort study among women with a term singleton pregnancy. We assessed trends in birth asphyxia in relation to obstetric interventions for fetal distress. Birth asphyxia was defined as a 5-minute Apgar score < 7 (any asphyxia) or 5-minute Apgar score < 4 (severe asphyxia). Perinatal mortality was defined as mortality during delivery or within 7 days after birth. Multivariable analyses were used to adjust for confounding factors. RESULTS: The prevalence of birth asphyxia was 0.85% and severe asphyxia 0.16%. Between 1999 and 2010 birth asphyxia decreased significantly with approximately 6% (p = 0.03) and severe asphyxia with 11% (p = 0.03). There was no significant change in perinatal mortality rate (0.98 per 1000 live births). Simultaneously the referral rate from primary to secondary care during labor increased from 20% to 24% (p < 0.0001) and the intervention rate for fetal distress from 5.9% to 7.7% (p < 0.0001). CONCLUSION: In the Netherlands, the risk of birth asphyxia among term singletons has slightly decreased over the last decade; without a significant change in perinatal mortality. |
Keywords: | Apgar score birth asphyxia fetal distress obstetric interventions perinatal mortality trends |
Description: | Published online 27 June 2014 |
Rights: | © 2014 Informa UK Ltd. |
DOI: | 10.3109/14767058.2014.929111 |
Published version: | http://dx.doi.org/10.3109/14767058.2014.929111 |
Appears in Collections: | Aurora harvest 7 Obstetrics and Gynaecology publications |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.