The relationships between antenatal management, the cause of delivery and neonatal outcome in a large cohort of very preterm singleton infants
Objective To determine whether the cause of very preterm delivery influences neonatal outcome. Design A cohort study of 685 consecutive singletons born before 33 weeks of gestation. Methods Causes of birth and perinatal outcome variables were correlated for statistical significance by uni‐ and multi...
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| Veröffentlicht in: | BJOG : an international journal of obstetrics and gynaecology 2000-07, Vol.107 (7), p.877-884 |
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| container_title | BJOG : an international journal of obstetrics and gynaecology |
| container_volume | 107 |
| creator | Baud, O. Zupan, V. Lacaze‐Masmonteil, T. Audibert, F. Shojaei, T. Thebaud, B. Ville, Y. Frydman, R. Dehan, M. |
| description | Objective
To determine whether the cause of very preterm delivery influences neonatal outcome.
Design
A cohort study of 685 consecutive singletons born before 33 weeks of gestation.
Methods
Causes of birth and perinatal outcome variables were correlated for statistical significance by uni‐ and multi‐variate analyses.
Results
Intrauterine growth retardation or pre‐eclampsia were associated with a higher rate of respiratory distress syndrome compared with prolonged rupture of membranes, after controlling for gestational age, antenatal corticosteroid therapy, antenatal antibiotic administration, mode of delivery and origin (inborn or outborn) (adjusted OR 3.12; 95% CI 1.55–6.28). The prevalence of grade 3–4 intraventricular haemorrhage or cystic periventricular leukomalacia was 25% in newborn babies born after intrauterine infection or prolonged rupture of membranes. Among infants born after intrauterine growth retardation/pre‐eclampsia, the rate of severe intraventricular haemorrhage was 3.2% and the rate of periventricular leukomalacia was 0.9%. Compared with intrauterine infection and after controlling for potential confounding covariates, intrauterine growth retardation/pre‐eclampsia was associated with a lower rate of periventricular leukomalacia (adjusted OR 0.08; 95% CI 0.02–0.41). In the same multiple logistic regression model, antenatal corticosteroid administration was associated with a lower incidence of periventricular leukomalacia (adjusted OR 0.36; 95% CI 0.16–0.79).
Conclusions
The cause of very preterm delivery has an important influence on neonatal outcome. |
| doi_str_mv | 10.1111/j.1471-0528.2000.tb11086.x |
| format | Article |
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To determine whether the cause of very preterm delivery influences neonatal outcome.
Design
A cohort study of 685 consecutive singletons born before 33 weeks of gestation.
Methods
Causes of birth and perinatal outcome variables were correlated for statistical significance by uni‐ and multi‐variate analyses.
Results
Intrauterine growth retardation or pre‐eclampsia were associated with a higher rate of respiratory distress syndrome compared with prolonged rupture of membranes, after controlling for gestational age, antenatal corticosteroid therapy, antenatal antibiotic administration, mode of delivery and origin (inborn or outborn) (adjusted OR 3.12; 95% CI 1.55–6.28). The prevalence of grade 3–4 intraventricular haemorrhage or cystic periventricular leukomalacia was 25% in newborn babies born after intrauterine infection or prolonged rupture of membranes. Among infants born after intrauterine growth retardation/pre‐eclampsia, the rate of severe intraventricular haemorrhage was 3.2% and the rate of periventricular leukomalacia was 0.9%. Compared with intrauterine infection and after controlling for potential confounding covariates, intrauterine growth retardation/pre‐eclampsia was associated with a lower rate of periventricular leukomalacia (adjusted OR 0.08; 95% CI 0.02–0.41). In the same multiple logistic regression model, antenatal corticosteroid administration was associated with a lower incidence of periventricular leukomalacia (adjusted OR 0.36; 95% CI 0.16–0.79).
Conclusions
The cause of very preterm delivery has an important influence on neonatal outcome.</description><identifier>ISSN: 1470-0328</identifier><identifier>ISSN: 0306-5456</identifier><identifier>EISSN: 1471-0528</identifier><identifier>EISSN: 1365-215X</identifier><identifier>DOI: 10.1111/j.1471-0528.2000.tb11086.x</identifier><identifier>PMID: 10901559</identifier><identifier>CODEN: BJOGAS</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adrenal Cortex Hormones - therapeutic use ; Analysis of Variance ; Biological and medical sciences ; Cause of Death ; Cerebral Hemorrhage - etiology ; Cohort Studies ; Delivery. Postpartum. Lactation ; Disorders ; Female ; Fetal Growth Retardation - complications ; Fetal Membranes, Premature Rupture - complications ; Gestational Age ; Gynecology. Andrology. Obstetrics ; Humans ; Infant, Newborn ; Leukomalacia, Periventricular - complications ; Leukomalacia, Periventricular - prevention & control ; Medical sciences ; Obstetric Labor, Premature - etiology ; Pre-Eclampsia - complications ; Pregnancy ; Pregnancy Outcome ; Prenatal Care - methods ; Respiratory Distress Syndrome, Newborn - etiology ; Respiratory Distress Syndrome, Newborn - prevention & control ; Risk Factors</subject><ispartof>BJOG : an international journal of obstetrics and gynaecology, 2000-07, Vol.107 (7), p.877-884</ispartof><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5177-dc6e7d6d8daabf99543db4a26b15d3bfb21644a51393561893d18838172b66523</citedby><cites>FETCH-LOGICAL-c5177-dc6e7d6d8daabf99543db4a26b15d3bfb21644a51393561893d18838172b66523</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1471-0528.2000.tb11086.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1471-0528.2000.tb11086.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1441269$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10901559$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baud, O.</creatorcontrib><creatorcontrib>Zupan, V.</creatorcontrib><creatorcontrib>Lacaze‐Masmonteil, T.</creatorcontrib><creatorcontrib>Audibert, F.</creatorcontrib><creatorcontrib>Shojaei, T.</creatorcontrib><creatorcontrib>Thebaud, B.</creatorcontrib><creatorcontrib>Ville, Y.</creatorcontrib><creatorcontrib>Frydman, R.</creatorcontrib><creatorcontrib>Dehan, M.</creatorcontrib><title>The relationships between antenatal management, the cause of delivery and neonatal outcome in a large cohort of very preterm singleton infants</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>BJOG</addtitle><description>Objective
To determine whether the cause of very preterm delivery influences neonatal outcome.
Design
A cohort study of 685 consecutive singletons born before 33 weeks of gestation.
Methods
Causes of birth and perinatal outcome variables were correlated for statistical significance by uni‐ and multi‐variate analyses.
Results
Intrauterine growth retardation or pre‐eclampsia were associated with a higher rate of respiratory distress syndrome compared with prolonged rupture of membranes, after controlling for gestational age, antenatal corticosteroid therapy, antenatal antibiotic administration, mode of delivery and origin (inborn or outborn) (adjusted OR 3.12; 95% CI 1.55–6.28). The prevalence of grade 3–4 intraventricular haemorrhage or cystic periventricular leukomalacia was 25% in newborn babies born after intrauterine infection or prolonged rupture of membranes. Among infants born after intrauterine growth retardation/pre‐eclampsia, the rate of severe intraventricular haemorrhage was 3.2% and the rate of periventricular leukomalacia was 0.9%. Compared with intrauterine infection and after controlling for potential confounding covariates, intrauterine growth retardation/pre‐eclampsia was associated with a lower rate of periventricular leukomalacia (adjusted OR 0.08; 95% CI 0.02–0.41). In the same multiple logistic regression model, antenatal corticosteroid administration was associated with a lower incidence of periventricular leukomalacia (adjusted OR 0.36; 95% CI 0.16–0.79).
Conclusions
The cause of very preterm delivery has an important influence on neonatal outcome.</description><subject>Adrenal Cortex Hormones - therapeutic use</subject><subject>Analysis of Variance</subject><subject>Biological and medical sciences</subject><subject>Cause of Death</subject><subject>Cerebral Hemorrhage - etiology</subject><subject>Cohort Studies</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Disorders</subject><subject>Female</subject><subject>Fetal Growth Retardation - complications</subject><subject>Fetal Membranes, Premature Rupture - complications</subject><subject>Gestational Age</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Leukomalacia, Periventricular - complications</subject><subject>Leukomalacia, Periventricular - prevention & control</subject><subject>Medical sciences</subject><subject>Obstetric Labor, Premature - etiology</subject><subject>Pre-Eclampsia - complications</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Prenatal Care - methods</subject><subject>Respiratory Distress Syndrome, Newborn - etiology</subject><subject>Respiratory Distress Syndrome, Newborn - prevention & control</subject><subject>Risk Factors</subject><issn>1470-0328</issn><issn>0306-5456</issn><issn>1471-0528</issn><issn>1365-215X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkc9u1DAQxiMEoqXwCshCqCcSPHbiJByQSsWfVpV6KWfLiSe7WTn2Yju0-xI8M06zAq74Mpb8-2Y835dlb4AWkM77XQFlDTmtWFMwSmkROwDaiOLhSXb65-np453mlLPmJHsRwo5SEIzy59kJ0JZCVbWn2a-7LRKPRsXR2bAd94F0GO8RLVE2olVRGTIpqzY4oY3vSEx8r-aAxA1Eoxl_oj8kVhOLbsXdHHs3IRlTD2KU3ySF2zofF8kjvvcY0U8kjHZjMDqb2CHNCy-zZ4MyAV8d61n2_cvnu8tv-c3t16vLi5u8r6Cuc90LrLXQjVaqG9q2KrnuSsVEB5Xm3dAxEGWpKuAtrwQ0LdfQNLyBmnVCVIyfZedr3713P2YMUU5j6NEYlbaYg6yBJQvZAn5Ywd67EDwOcu_HSfmDBCqXNOROLpbLxXK5pCGPaciHJH59nDJ3E-p_pKv9CXh7BFTolRm8sv0Y_nJlCUws2McVux8NHv7jB_LT9W1T1_w3T26o4A</recordid><startdate>200007</startdate><enddate>200007</enddate><creator>Baud, O.</creator><creator>Zupan, V.</creator><creator>Lacaze‐Masmonteil, T.</creator><creator>Audibert, F.</creator><creator>Shojaei, T.</creator><creator>Thebaud, B.</creator><creator>Ville, Y.</creator><creator>Frydman, R.</creator><creator>Dehan, M.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200007</creationdate><title>The relationships between antenatal management, the cause of delivery and neonatal outcome in a large cohort of very preterm singleton infants</title><author>Baud, O. ; Zupan, V. ; Lacaze‐Masmonteil, T. ; Audibert, F. ; Shojaei, T. ; Thebaud, B. ; Ville, Y. ; Frydman, R. ; Dehan, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5177-dc6e7d6d8daabf99543db4a26b15d3bfb21644a51393561893d18838172b66523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adrenal Cortex Hormones - therapeutic use</topic><topic>Analysis of Variance</topic><topic>Biological and medical sciences</topic><topic>Cause of Death</topic><topic>Cerebral Hemorrhage - etiology</topic><topic>Cohort Studies</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Disorders</topic><topic>Female</topic><topic>Fetal Growth Retardation - complications</topic><topic>Fetal Membranes, Premature Rupture - complications</topic><topic>Gestational Age</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Leukomalacia, Periventricular - complications</topic><topic>Leukomalacia, Periventricular - prevention & control</topic><topic>Medical sciences</topic><topic>Obstetric Labor, Premature - etiology</topic><topic>Pre-Eclampsia - complications</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>Prenatal Care - methods</topic><topic>Respiratory Distress Syndrome, Newborn - etiology</topic><topic>Respiratory Distress Syndrome, Newborn - prevention & control</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baud, O.</creatorcontrib><creatorcontrib>Zupan, V.</creatorcontrib><creatorcontrib>Lacaze‐Masmonteil, T.</creatorcontrib><creatorcontrib>Audibert, F.</creatorcontrib><creatorcontrib>Shojaei, T.</creatorcontrib><creatorcontrib>Thebaud, B.</creatorcontrib><creatorcontrib>Ville, Y.</creatorcontrib><creatorcontrib>Frydman, R.</creatorcontrib><creatorcontrib>Dehan, M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baud, O.</au><au>Zupan, V.</au><au>Lacaze‐Masmonteil, T.</au><au>Audibert, F.</au><au>Shojaei, T.</au><au>Thebaud, B.</au><au>Ville, Y.</au><au>Frydman, R.</au><au>Dehan, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The relationships between antenatal management, the cause of delivery and neonatal outcome in a large cohort of very preterm singleton infants</atitle><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle><addtitle>BJOG</addtitle><date>2000-07</date><risdate>2000</risdate><volume>107</volume><issue>7</issue><spage>877</spage><epage>884</epage><pages>877-884</pages><issn>1470-0328</issn><issn>0306-5456</issn><eissn>1471-0528</eissn><eissn>1365-215X</eissn><coden>BJOGAS</coden><abstract>Objective
To determine whether the cause of very preterm delivery influences neonatal outcome.
Design
A cohort study of 685 consecutive singletons born before 33 weeks of gestation.
Methods
Causes of birth and perinatal outcome variables were correlated for statistical significance by uni‐ and multi‐variate analyses.
Results
Intrauterine growth retardation or pre‐eclampsia were associated with a higher rate of respiratory distress syndrome compared with prolonged rupture of membranes, after controlling for gestational age, antenatal corticosteroid therapy, antenatal antibiotic administration, mode of delivery and origin (inborn or outborn) (adjusted OR 3.12; 95% CI 1.55–6.28). The prevalence of grade 3–4 intraventricular haemorrhage or cystic periventricular leukomalacia was 25% in newborn babies born after intrauterine infection or prolonged rupture of membranes. Among infants born after intrauterine growth retardation/pre‐eclampsia, the rate of severe intraventricular haemorrhage was 3.2% and the rate of periventricular leukomalacia was 0.9%. Compared with intrauterine infection and after controlling for potential confounding covariates, intrauterine growth retardation/pre‐eclampsia was associated with a lower rate of periventricular leukomalacia (adjusted OR 0.08; 95% CI 0.02–0.41). In the same multiple logistic regression model, antenatal corticosteroid administration was associated with a lower incidence of periventricular leukomalacia (adjusted OR 0.36; 95% CI 0.16–0.79).
Conclusions
The cause of very preterm delivery has an important influence on neonatal outcome.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>10901559</pmid><doi>10.1111/j.1471-0528.2000.tb11086.x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1470-0328 |
| ispartof | BJOG : an international journal of obstetrics and gynaecology, 2000-07, Vol.107 (7), p.877-884 |
| issn | 1470-0328 0306-5456 1471-0528 1365-215X |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Alma/SFX Local Collection |
| subjects | Adrenal Cortex Hormones - therapeutic use Analysis of Variance Biological and medical sciences Cause of Death Cerebral Hemorrhage - etiology Cohort Studies Delivery. Postpartum. Lactation Disorders Female Fetal Growth Retardation - complications Fetal Membranes, Premature Rupture - complications Gestational Age Gynecology. Andrology. Obstetrics Humans Infant, Newborn Leukomalacia, Periventricular - complications Leukomalacia, Periventricular - prevention & control Medical sciences Obstetric Labor, Premature - etiology Pre-Eclampsia - complications Pregnancy Pregnancy Outcome Prenatal Care - methods Respiratory Distress Syndrome, Newborn - etiology Respiratory Distress Syndrome, Newborn - prevention & control Risk Factors |
| title | The relationships between antenatal management, the cause of delivery and neonatal outcome in a large cohort of very preterm singleton infants |
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