การเปรียบเทียบผลการตั้งครรภ์ในหญิงตั้งครรภ์ที่มีภาวะคลอดก่อนกำหนดระยะท้ายกับหญิงตั้งครรภ์ที่คลอดครบกำหนด โรงพยาบาลเทพรัตน์นครราชสีมา

Weera Khonkangploo

Authors

Weera Khonkangploo Debaratana Nakhon Ratchasima Hospital

Keywords:

Late preterm delivery, maternal outcomes, neonatal outcomes, Risk factors

Abstract

Objectives: To compare outcomes of late preterm delivery (GA 34-<37 week) with term delivery (GA 37-42 week) and identify the significant risk factors of late preterm delivery.

Materials and Methods: A case control study was performed to compared and identifies risk on deliveries at Debaratana Nakhon Ratchasima Hospital from January to December 2016

Main Outcome Measurement: Maternal outcomes were Ante natal care (ANC), anemia, hypertensive disorder, gestational diabetes mellitus, Infection, premature rupture of membrane, mode of delivery, and postpartum hemorrhage. Neonatal outcomes included low birth weight, birth asphyxia and hypoglycemia.

Results: The incidence of late preterm delivery was 9.89%. Late preterm delivery mothers were significantly less mean of age (p=0.01). Incidence of maternal age group < 20 years (p=0.002) and ANC < 6 time (p=<0.001) was significantly higher in late preterm delivery. Intrapartum period the incidence of caesarian section (p=0.01) were significantly higher in term delivery. Neonatal outcome the incidence of low birth weight (p=<0.001) were significantly higher in late preterm delivery. In multivariate analysis only 2 significant risk factors of late preterm delivery were maternal age group < 20 years (adjusted OR=2.69, 95%CI= 1.12, 6.46) and ANC < 6 time (adjusted OR =3.47, 95%CI= 1.57, 7.63).

Conclusion: Late preterm delivery had preferable neonatal adverse events for the incidence of low birth weight but not increased the obstetric adverse events. The significant risk factors of Late preterm delivery were maternal age group < 20 years and ANC < 6 time.

Author Biography

Weera Khonkangploo, Debaratana Nakhon Ratchasima Hospital

Medical Physician, Professional Level

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