In view of a new classification of term pregnancy Neonatal outcomes in a level III clinic in Cali, Colombia A cross-sectional study, 2013
DOI:
https://doi.org/10.18597/rcog.1065Keywords:
Newborn, premature labour, premature birth, term delivery, pregnancyAbstract
Objective: To apply the classification of term delivery of the American College of Obstetricians and Gynaecologists, describe the frequency of the various categories, and explore neonatal outcomes among groups.
Materials and methods: A cross-sectional study including pregnant women considered initially healthy with a term pregnancy defined on the basis of the last reliable menstruation and ultrasound performed in the first half of the gestation period in a private, Level III clinic, in Cali, Colombia, in 2013. Deliveries were classified as early term, full term and late term. Social and demographic
characteristics of the mothers and perinatal outcomes are described. The frequency of each category is described and group comparisons are
performed using the variance analysis (ANOVA),and the Kruskal-Wallis or Chi-square test.
Results: Of 502 births, 200 (39.8 %) were classified as early term, 354 (50.6 %) as full term, and 48 (9.6 %) as late term. There was a higher frequency of contributive insurance coverage and high risk pregnancies in the early term group. Statistically significant differences were observed in terms of low birth weight and average neonatal weight in the early term group, whereas neonatal asphyxia
was higher in the late term group. There were no differences in terms of respiratory distress syndrome or length of stay.
Conclusion: It is feasible to apply the new ACOG term pregnancy classification. The frequency of early term delivery is high in Colombia. There was no evidence of significant differences in neonatal outcomes between the three groups except for
higher neonatal asphyxia in the late term group.
Author Biographies
Rodrigo Cifuentes-Borrero
Mauricio Hernández-Carrillo
Ana María Toro-Cifuentes
Viviana R. Franco-Torres
Ángela M. Cubides-Munevar
Ingrid J. Duarte-González
References
World Health Organization. International statistical classification of diseases and related health problems [Internet]. Vol. 2. WHO; 2004. http://apps.who.int/iris/bitstream/10665/42980/1/9241546530_eng.pdf
Spong CY. Defining “term” pregnancy: recommendations from the defining “term” pregnancy workgroup. JAMA. 2013;309:2445-6. doi: 10.1001/jama.2013.6235.
Wang ML, Dorer DJ, Fleming MP, Catlin EA.Clinical outcomes of near-term infants. Pediatrics. 2004;114:372-6.
Tita AT, Landon MB, Spong CY, Lai Y, Leveno KJ, Varner MW, et al. Timing of elective repeat cesarean delivery at term and neonatal outcomes. N Engl J Med. 2009;360:111-20.
Definición de embarazo a término. Rev Obstet Ginecol Venez. 2013;73:285-6.
Reddy UM, Bettegowda VR, Dias T, Yamada-Kushnir T, Ko CW, Willinger M. Term pregnancy: a period of heterogeneous risk for infant mortality. Obstet Gynecol. 2011;117:1279-87. doi: 10.1097/AOG.0b013e3182179e28.
Ehrenthal DB, Hoffman MK, Jiang X, Ostrum G. Neonatal outcomes after implementation of guidelines limiting elective delivery before 39 weeks of gestation. Obstet Gynecol. 2011;118:1047-55. doi: 10.1097/AOG.0b013e3182319c58.
Salemi JL, Pathak EB, Salihu HM. Infant outcomes after elective early-term delivery compared with expectant management. Obstet Gynecol. 2016;127:657-6.
Furzán JA, Arteaga N, Luchón C, Expósito M, Henríquez A. Incidencia y morbilidad perinatal. Arch Venez Pueric Pediatría. 2012;75:108-12.
Ulubaş-Işık D, Erol S, Demirel N, Kale Y, Çelik İH, Tapısız ÖL, et al. Early-term delivery and adverse neonatal outcomes at a tertiary center in Turkey. Turk J Pediatr. 2015;57:547-52.
Sengupta S, Carrion V, Shelton J, Wynn RJ, Ryan RM, Singhal K, et al. Adverse neonatal outcomes associated with early-term birth. JAMA Pediatr. 2013;167:1053-9. doi: 10.1001/jamapediatrics.2013.2581.
Hoyert DL, Xu J. Deaths: Preliminary Data for 2011. National Vital Statistics Reports. Cent Dis Control Prev. 2012 [visitado 2016 Oct 23]; 61(1):53. Disponible en: http://large.stanford.edu/courses/2014/ph240/poplawski2/docs/nvsr61_06.pdf
OMS. Declaración de la OMS sobre tasas de cesárea. Organización Mundial de la Salud. 2015 [visitado 2016 Oct 23]; 1-8. Disponible en: http://apps.who.int/iris/bitstream/10665/161444/1/WHO_RHR_15.02_spa.pdf
Gómez-Pizarro CI, Rosas-Coronado MM, Leonel-Rivadeneyra S, Rojo-Quiñónez AR. Resultados neonatales en embarazo pretérmino tardío, término temprano y término completo. Bol Clínico Hosp Infant Estado Sonora. 2015;32:69-75.
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