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Notice bibliographique (sans auteurs) :

Neonatal Transfer Rate and Mode of Delivery from 37th Week of Gestation in a German Perinatal Center Level 1. Geburtshilfe Frauenheilkd. 2013

Auteur·e(s) :

Reinhard J., Hanker L., Sänger N., Yuan J., Louwen F.

Année de publication :

2013

URL(s) :

https://www.ncbi.nlm.nih.gov/pubmed/24771918
https://doi.org/10.1055/s-0032-1328435

Résumé (français)  :

Abstract (English)  :

Introduction: Rates for caesarean section are on the rise and the reasons for this are being discussed worldwide. As the data is unclear, the identification of additional predictive factors for caesarean section is important as caesarean sections are closely linked to maternal and neonatal morbidity. The aim of the study was to identify predictive factors for the transfer of the neonate to a neonatal intensive care unit (NICU) depending on the mode of delivery. The study investigated the neonatal transfer rates for singleton and twin pregnancies delivered at ≥ 36 + 0 weeks of gestation. Material and Methods: The data of all singleton (n = 4181) and twin pregnancies (n = 305 neonates), delivered between 1 January 2009 and 31 March 2012 in the OB/Gyn Department of the University Hospital Frankfurt/M, Germany, (perinatal center level 1) were evaluated. The indications for transfer to the NICU and possible predictive factors were evaluated. Results: Our study found a two times lower neonatal transfer rate for vaginal deliveries of pregnant women without risk factors compared to women with risk factors. The following neonatal transfer rates to the NICU were noted for singleton pregnancies: 4.7 % without risk factors, 8.3 % high-risk pregnancy, 6.2 % vaginal breech delivery, 9.3 % forceps delivery, 10 % elective primary caesarean section and 14 % secondary caesarean section. There was a statistically signific.

Sumário (português)  :

Resumen (español)  :

Remarques :

Argument (français) :

étude statistique du taux de transfert néo-natal en fonction du mode d’accouchement, césariennes (10 et 14%) et forceps (9%) en tête. Taux de transfert deux fois plus faible chez les accouchements sans facteurs de risques.

Argument (English):

Argumento (português):

Argumento (español):

Mots-clés :

➡ césarienne ; pathologies nouveau-né ; extraction instrumentale ; forceps ; ventouse ; mortalité périnatale

Auteur·e de cette fiche :

Alison Passieux — 30 Jan 2018