Prediction Maternal and infants Risk Factors for Referral to Newborn Neonatal Intensive Care Unit (NICU): Case Study of a Tertiary Hospital in Southern Thailand
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Abstract
Objective: To identify the risk factors of mothers and infants for refer in the Neonatal Intensive Care Unit (NICU) in the Hat Yai Hospital, Songkhla Province. Methods: Sample is the cohort of pregnant women who delivered at Hat Yai Hospital, Songkhla Province, over a 10-year period (2011-2020), totaling 6,503 individuals. The cohort was divided into two groups: newborns admitted to the Neonatal Intensive Care Unit (NICU) and newborns not admitted to the NICU. Data were collected on maternal complications occurring during pregnancy until after childbirth. Analyze the data using frequencies, percentages, chi-square tests, Mann-Whitney U tests, and logistic regression analysis. Present the risk estimates with odds ratios (OR) at a 95% confidence level. Results: It was found that 26.31% of infants were admitted to the Neonatal Intensive Care Unit (NICU), and statistically significant differences in the odds of infants being admitted to the NICU were observed. Significant contributing factors from maternal variables include preeclampsia (OR = 1.70, 95% CI: 1.38-2.10). Significant infant complications include low birth weight (OR = 24.14, 95% CI: 20.13-28.95), bacterial infection in the newborn (OR = 20.79, 95% CI: 15.24-28.36), preterm birth (OR = 3.50, 95% CI: 2.54-4.82), transient tachypnea of the newborn (OR = 15.64, 95% CI: 10.55-23.19), shoulder dystocia (OR = 64.63, 95% CI: 33.39-125.13), and small for gestational age (OR = 2.53, 95% CI: 1.59-4.04). Conclusion: During 2011-2020, there has been an increase in infants being admitted to the NICU. Therefore, it is necessary to pay attention to reducing risk factors and preventing of these health issues, commencing from the maternal prenatal period.
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