MỘT SỐ YẾU TỐ SẢN KHOA LIÊN QUAN TỬ VONG SƠ SINH SỚM Ở TRẺ ĐẺ NON 28 – 32 TUẦN

Abstract

Objective: To analyze several obstetric risk factors for early neonatal death in premature babies born between 28 to 32 weeks’ gestation. Subjects and method: This cross-sectional study include singleton live infants born between 28 to 32 weeks of gestation at National hospital of Obstetrics and Gynecology from July 1^st 2020 to December 31^st 2020. Results: Out of 238 singleton live births in the study, 11 infants died in the first week (4,62%), the majortiy of deaths happened in the first 24 hours (5/11 cases, 45,45%). The leading causes are respiratory failure (55%), infection (18%), intraventricular hemorrhage (18%). 81,82% (9/11 cases) of child had mothers with health problems, increasing the probability of early neonatal death nearly 8 times (OR = 7,96, 95% CI 1,68 – 37,71), particularly blood pressure disorders increase 6,3 times (OR = 6,37, 95% CI 1,84 – 21,98). Preterm babies with intrauterine growth restriction were simutaneously 8,8 times more likely to die in the first week of life (OR = 8,89, 95% CI 2,54 – 31,12). Conclusions: Maternal diseases (especially blood pressure problems) and intrauterine growth restriction were associated with increased risk of early neonatal mortality.