ADVANCES IN OBSTETRICS AND GYNECOLOGY
Online ISSN : 1347-6742
Print ISSN : 0370-8446
ISSN-L : 0370-8446
Original
Prognostic factors of outcome in neonates born at less than 29 weeks of gestation because of threatened premature labor
Naoya UJITAKenji TANIMURASinya TAIRAKUYoko MAESAWAMayumi MORIZANEMasashi DEGUCHIIchiro MORIOKAHideto YAMADA
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2016 Volume 68 Issue 2 Pages 69-74

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Abstract

Objective: We aimed to evaluate prognostic factors of outcome in neonates born at less than 29 weeks of gestation (GW) because of threatened premature labor. Patients and Methods: This was a retrospective study including 43 neonates who were born in our hospital between 2005 and 2014. These neonates were divided into two groups according to the outcome: good (healthy) and poor (handicapped or dead). We examined the following factors: GW at delivery, the presence of rupture of the membranes, maximum maternal leukocyte count 15000/μl and serum CRP level 2.0 mg/dl, highest maternal body temperature 37.5 degrees, maternal steroid administration, male sex, standard deviation of birthweight, and stage of chorioamnionitis grade 2. The prognostic factors for poor outcome were determined by uni- and multivariate logistic regression analyses. Results: Logistic regression analyses showed that GW at delivery was an independent prognostic factor of outcome of neonates (OR, 0.5; 95% CI, 0.3-0.9; p=0.03). Conclusions: This study suggests that the prognosis of neonates who are born at less than 29 GW because of threatened premature labor is associated with earlier GW at delivery. [Adv Obstet Gynecol, 68(2) : 69-74, 2016 (H28.5)]

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© 2016 by THE OBSTETRICAL GYNECOLOGICAL SOCIETY OF KINKI DISTRICT JAPAN
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