Birth before Arrival at Faculty of Medicine Vajira Hospital

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Published: Aug 1, 2018
Keywords:
Birth before arrival BBA neonatal morbidity neonatal mortality maternal morbidity

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Kasemsis Kaewkiattikun
Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand

Abstract

Objective: To discover the prevalence of BBA and to compare maternal and neonatal complications of birth before arrival (BBA) with birth in hospital (BIH). Moreover, to analyze risk factors and predictive factors of BBA in an urban setting.


Method: A retrospective cohort study was conducted by reviewing medical records of postpartum BBA mother-infant dyads compare with BIH mother-infant dyads.


Result: Prevalence of BBA was 1.14%. BBA was significantly associated with neonatal morbidities. A significant maternal morbidity in BBA was birth canal tear. Risk factors for BBA included teenager, low education, multiparity, ANC less than or equal to 4, preterm birth and precipitated labor. Transportation barriers (home-hospital distance, transportation time and timing of transportation) were not significantly different between groups, but delayed transportation was a significant risk in BBA. Significant predictors for BBA were multiparity, ANC less than or equal to 4, preterm birth, precipitate labor and delayed transportation > 60 minutes.


Conclusion: BBA was significant associated with maternal and neonatal morbidity. Transportation barriers (distance, time and timing) were not risk factor of BBA in urban area; but delayed transportation from home was a significant risk. Significant predictors of BBA in an urban setting were multiparity, poor ANC, preterm labor, precipitate labor and delayed transportation.

Article Details

How to Cite
Kaewkiattikun, K. (2018). Birth before Arrival at Faculty of Medicine Vajira Hospital. Vajira Medical Journal : Journal of Urban Medicine, 62(4), 267–280. Retrieved from https://he02.tci-thaijo.org/index.php/VMED/article/view/194663
Issue
Vol. 62 No. 4 (2018): JUL - AUG 2018
Section
Original Articles

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