Maternal characteristics and obstetrical complications impact neonatal outcomes in Indonesia: a prospective study

Abstract Background We investigated associations between maternal characteristics, access to care, and obstetrical complications including near miss status on admission or during hospitalization on perinatal outcomes among Indonesian singletons. Methods We prospectively collected data on inborn sing...

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Main Authors: Trisari Anggondowati, Ayman A. E. El-Mohandes, S. Nurul Qomariyah, Michele Kiely, Judith J. Ryon, Reginald F. Gipson, Benjamin Zinner, Anhari Achadi, Linda L. Wright
Format: Article
Language:English
Published: BMC 2017-03-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12884-017-1280-1
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spelling doaj-8738e38d36084cddaddd7dd1a3d2d7cd2020-11-25T00:46:07ZengBMCBMC Pregnancy and Childbirth1471-23932017-03-0117111210.1186/s12884-017-1280-1Maternal characteristics and obstetrical complications impact neonatal outcomes in Indonesia: a prospective studyTrisari Anggondowati0Ayman A. E. El-Mohandes1S. Nurul Qomariyah2Michele Kiely3Judith J. Ryon4Reginald F. Gipson5Benjamin Zinner6Anhari Achadi7Linda L. Wright8Center for Family Welfare, Faculty of Public Health, University of IndonesiaCUNY Graduate School of Public Health and Health PolicyCenter for Family Welfare, Faculty of Public Health, University of IndonesiaCUNY Graduate School of Public Health and Health Policy(Formerly) John Snow, Inc.John Snow, Inc.U.S. Agency for International DevelopmentSchool of Public Health, University of IndonesiaGeorge Washington University School of Medicine and Health ScienceAbstract Background We investigated associations between maternal characteristics, access to care, and obstetrical complications including near miss status on admission or during hospitalization on perinatal outcomes among Indonesian singletons. Methods We prospectively collected data on inborn singletons at two hospitals in East Java. Data included socio-demographics, reproductive, obstetric and neonatal variables. Reduced multivariable models were constructed. Outcomes of interest included low and very low birthweight (LBW/VLBW), asphyxia and death. Results Referral from a care facility was associated with a reduced risk of LBW and VLBW [AOR = 0.28, 95% CI = 0.11–0.69, AOR = 0.18, 95% CI = 0.04–0.75, respectively], stillbirth [AOR = 0.41, 95% CI = 0.18–0.95], and neonatal death [AOR = 0.2, 95% CI = 0.05–0.81]. Mothers age <20 years increased the risk of VLBW [AOR = 6.39, 95% CI = 1.82–22.35] and neonatal death [AOR = 4.10, 95% CI = 1.29–13.02]. Malpresentation on admission increased the risk of asphyxia [AOR = 4.65, 95% CI = 2.23–9.70], stillbirth [AOR = 3.96, 95% CI = 1.41–11.15], and perinatal death [AOR = 3.89 95% CI = 1.42–10.64], as did poor prenatal care (PNC) [AOR = 11.67, 95%CI = 2.71–16.62]. Near-miss on admission increased the risk of neonatal [AOR = 11.67, 95% CI = 2.08–65.65] and perinatal death [AOR = 13.08 95% CI = 3.77–45.37]. Conclusions Mothers in labor should be encouraged to seek care early and taught to identify early danger signs. Adequate PNC significantly reduced perinatal deaths. Improved hospital management of malpresentation may significantly reduce perinatal morbidity and mortality. The importance of hospital-based prospective studies helps evaluate specific areas of need in training of obstetrical care providers.http://link.springer.com/article/10.1186/s12884-017-1280-1ObstetricalPerinatal deathAsphyxiaPrematurityIndonesia
collection DOAJ
language English
format Article
sources DOAJ
author Trisari Anggondowati
Ayman A. E. El-Mohandes
S. Nurul Qomariyah
Michele Kiely
Judith J. Ryon
Reginald F. Gipson
Benjamin Zinner
Anhari Achadi
Linda L. Wright
spellingShingle Trisari Anggondowati
Ayman A. E. El-Mohandes
S. Nurul Qomariyah
Michele Kiely
Judith J. Ryon
Reginald F. Gipson
Benjamin Zinner
Anhari Achadi
Linda L. Wright
Maternal characteristics and obstetrical complications impact neonatal outcomes in Indonesia: a prospective study
BMC Pregnancy and Childbirth
Obstetrical
Perinatal death
Asphyxia
Prematurity
Indonesia
author_facet Trisari Anggondowati
Ayman A. E. El-Mohandes
S. Nurul Qomariyah
Michele Kiely
Judith J. Ryon
Reginald F. Gipson
Benjamin Zinner
Anhari Achadi
Linda L. Wright
author_sort Trisari Anggondowati
title Maternal characteristics and obstetrical complications impact neonatal outcomes in Indonesia: a prospective study
title_short Maternal characteristics and obstetrical complications impact neonatal outcomes in Indonesia: a prospective study
title_full Maternal characteristics and obstetrical complications impact neonatal outcomes in Indonesia: a prospective study
title_fullStr Maternal characteristics and obstetrical complications impact neonatal outcomes in Indonesia: a prospective study
title_full_unstemmed Maternal characteristics and obstetrical complications impact neonatal outcomes in Indonesia: a prospective study
title_sort maternal characteristics and obstetrical complications impact neonatal outcomes in indonesia: a prospective study
publisher BMC
series BMC Pregnancy and Childbirth
issn 1471-2393
publishDate 2017-03-01
description Abstract Background We investigated associations between maternal characteristics, access to care, and obstetrical complications including near miss status on admission or during hospitalization on perinatal outcomes among Indonesian singletons. Methods We prospectively collected data on inborn singletons at two hospitals in East Java. Data included socio-demographics, reproductive, obstetric and neonatal variables. Reduced multivariable models were constructed. Outcomes of interest included low and very low birthweight (LBW/VLBW), asphyxia and death. Results Referral from a care facility was associated with a reduced risk of LBW and VLBW [AOR = 0.28, 95% CI = 0.11–0.69, AOR = 0.18, 95% CI = 0.04–0.75, respectively], stillbirth [AOR = 0.41, 95% CI = 0.18–0.95], and neonatal death [AOR = 0.2, 95% CI = 0.05–0.81]. Mothers age <20 years increased the risk of VLBW [AOR = 6.39, 95% CI = 1.82–22.35] and neonatal death [AOR = 4.10, 95% CI = 1.29–13.02]. Malpresentation on admission increased the risk of asphyxia [AOR = 4.65, 95% CI = 2.23–9.70], stillbirth [AOR = 3.96, 95% CI = 1.41–11.15], and perinatal death [AOR = 3.89 95% CI = 1.42–10.64], as did poor prenatal care (PNC) [AOR = 11.67, 95%CI = 2.71–16.62]. Near-miss on admission increased the risk of neonatal [AOR = 11.67, 95% CI = 2.08–65.65] and perinatal death [AOR = 13.08 95% CI = 3.77–45.37]. Conclusions Mothers in labor should be encouraged to seek care early and taught to identify early danger signs. Adequate PNC significantly reduced perinatal deaths. Improved hospital management of malpresentation may significantly reduce perinatal morbidity and mortality. The importance of hospital-based prospective studies helps evaluate specific areas of need in training of obstetrical care providers.
topic Obstetrical
Perinatal death
Asphyxia
Prematurity
Indonesia
url http://link.springer.com/article/10.1186/s12884-017-1280-1
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