Antenatal and Intrapartum Risk Factors for Seizures in Term Newborns: A Population-Based Study, California 1998-2002
Objective To assess antenatal and intrapartum risk factors for seizures occurring during the birth admission. Study design Using multivariable logistic regression analysis, we evaluated the association between maternal characteristics and birth admission seizures in a cohort of 2.3 million Californi...
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| Veröffentlicht in: | The Journal of pediatrics 2009-01, Vol.154 (1), p.24-28.e1 |
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| container_title | The Journal of pediatrics |
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| creator | Glass, Hannah C., MDCM Pham, Trinh N., MA Danielsen, Beate, PhD Towner, Dena, MD Glidden, David, PhD Wu, Yvonne W., MD, MPH |
| description | Objective To assess antenatal and intrapartum risk factors for seizures occurring during the birth admission. Study design Using multivariable logistic regression analysis, we evaluated the association between maternal characteristics and birth admission seizures in a cohort of 2.3 million California children born at ≥36 weeks' gestation between 1998 and 2002 using the California Office of Statewide Planning and Development database containing birth certificates linked to infant and maternal hospital discharge abstracts. Results The incidence of seizures during the birth admission was 0.95/1000 live births. In an adjusted analysis, infants of women age 40 years and older who were nulliparous; had diabetes mellitus, intrapartum fever, or infection or delivered at ≥42 weeks had an increased risk of seizures. Infants of Hispanic and Asian mothers had a lower risk compared with infants of Caucasian mothers. Conclusions Several maternal antenatal and intrapartum factors increased the risk of seizures during the birth admission. Identifying and avoiding risks for neonatal seizures may lead to lower infant neurologic morbidity and mortality. |
| doi_str_mv | 10.1016/j.jpeds.2008.07.008 |
| format | Article |
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Study design Using multivariable logistic regression analysis, we evaluated the association between maternal characteristics and birth admission seizures in a cohort of 2.3 million California children born at ≥36 weeks' gestation between 1998 and 2002 using the California Office of Statewide Planning and Development database containing birth certificates linked to infant and maternal hospital discharge abstracts. Results The incidence of seizures during the birth admission was 0.95/1000 live births. In an adjusted analysis, infants of women age 40 years and older who were nulliparous; had diabetes mellitus, intrapartum fever, or infection or delivered at ≥42 weeks had an increased risk of seizures. Infants of Hispanic and Asian mothers had a lower risk compared with infants of Caucasian mothers. Conclusions Several maternal antenatal and intrapartum factors increased the risk of seizures during the birth admission. Identifying and avoiding risks for neonatal seizures may lead to lower infant neurologic morbidity and mortality.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2008.07.008</identifier><identifier>PMID: 18760807</identifier><identifier>CODEN: JOPDAB</identifier><language>eng</language><publisher>Maryland Heights, MO: Mosby, Inc</publisher><subject>Biological and medical sciences ; California - epidemiology ; Chorioamnionitis - epidemiology ; Delivery. Postpartum. Lactation ; Female ; General aspects ; Gynecology. Andrology. Obstetrics ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Humans ; Incidence ; Infant, Newborn ; Maternal Age ; Medical sciences ; Nervous system (semeiology, syndromes) ; Neurology ; Obstetric Labor Complications - epidemiology ; Pediatrics ; Pregnancy ; Pregnancy in Diabetics - epidemiology ; Risk Factors ; Seizures - epidemiology ; Seizures - ethnology</subject><ispartof>The Journal of pediatrics, 2009-01, Vol.154 (1), p.24-28.e1</ispartof><rights>Mosby, Inc.</rights><rights>2009 Mosby, Inc.</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c608t-a91197c7d8995e619653b4266a01bfaaa852d1cb123925a5cdb842c6a89fcb5d3</citedby><cites>FETCH-LOGICAL-c608t-a91197c7d8995e619653b4266a01bfaaa852d1cb123925a5cdb842c6a89fcb5d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022347608005854$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20971045$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18760807$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Glass, Hannah C., MDCM</creatorcontrib><creatorcontrib>Pham, Trinh N., MA</creatorcontrib><creatorcontrib>Danielsen, Beate, PhD</creatorcontrib><creatorcontrib>Towner, Dena, MD</creatorcontrib><creatorcontrib>Glidden, David, PhD</creatorcontrib><creatorcontrib>Wu, Yvonne W., MD, MPH</creatorcontrib><title>Antenatal and Intrapartum Risk Factors for Seizures in Term Newborns: A Population-Based Study, California 1998-2002</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>Objective To assess antenatal and intrapartum risk factors for seizures occurring during the birth admission. Study design Using multivariable logistic regression analysis, we evaluated the association between maternal characteristics and birth admission seizures in a cohort of 2.3 million California children born at ≥36 weeks' gestation between 1998 and 2002 using the California Office of Statewide Planning and Development database containing birth certificates linked to infant and maternal hospital discharge abstracts. Results The incidence of seizures during the birth admission was 0.95/1000 live births. In an adjusted analysis, infants of women age 40 years and older who were nulliparous; had diabetes mellitus, intrapartum fever, or infection or delivered at ≥42 weeks had an increased risk of seizures. Infants of Hispanic and Asian mothers had a lower risk compared with infants of Caucasian mothers. Conclusions Several maternal antenatal and intrapartum factors increased the risk of seizures during the birth admission. Identifying and avoiding risks for neonatal seizures may lead to lower infant neurologic morbidity and mortality.</description><subject>Biological and medical sciences</subject><subject>California - epidemiology</subject><subject>Chorioamnionitis - epidemiology</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Female</subject><subject>General aspects</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant, Newborn</subject><subject>Maternal Age</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Obstetric Labor Complications - epidemiology</subject><subject>Pediatrics</subject><subject>Pregnancy</subject><subject>Pregnancy in Diabetics - epidemiology</subject><subject>Risk Factors</subject><subject>Seizures - epidemiology</subject><subject>Seizures - ethnology</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkk9v1DAQxSMEokvhEyAhX-BElrGTODYSlZYVhUoVILacrYnjgLdZO9hJ0fLpcdhV-XPhNAf_3szzvMmyxxSWFCh_sV1uB9PGJQMQS6iXqdzJFhRknXNRFHezBQBjeVHW_CR7EOMWAGQJcD87oaLmIKBeZOPKjcbhiD1B15ILNwYcMIzTjnyy8Zqcox59iKTzgWyM_TEFE4l15MqEHXlvvjc-uPiSrMhHP0w9jta7_DVG05LNOLX752SNvU1iZ5FQKUWe3LKH2b0O-2geHetp9vn8zdX6XX754e3FenWZ6-RuzFFSKmtdt0LKynAqeVU0JeMcgTYdIoqKtVQ3lBWSVVjpthEl0xyF7HRTtcVpdnboO0zNzrTazL_r1RDsDsNeebTq7xdnv6ov_kYxXlRlAanBs2OD4L9NJo5qZ6M2fY_O-CkqzoUAJmewOIA6-BiD6W6HUFBzWmqrfqWl5rQU1CqVpHryp7_fmmM8CXh6BDBq7LuATtt4y7GUNYWyStyrA2fSNm-sCSpqa5w2rQ1Gj6r19j9Gzv7R6946m0Zem72JWz8Fl4JSVEWmQG3mw5rvKpmESqRV_QSQCMkX</recordid><startdate>20090101</startdate><enddate>20090101</enddate><creator>Glass, Hannah C., MDCM</creator><creator>Pham, Trinh N., MA</creator><creator>Danielsen, Beate, PhD</creator><creator>Towner, Dena, MD</creator><creator>Glidden, David, PhD</creator><creator>Wu, Yvonne W., MD, MPH</creator><general>Mosby, Inc</general><general>Elsevier</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><scope>5PM</scope></search><sort><creationdate>20090101</creationdate><title>Antenatal and Intrapartum Risk Factors for Seizures in Term Newborns: A Population-Based Study, California 1998-2002</title><author>Glass, Hannah C., MDCM ; Pham, Trinh N., MA ; Danielsen, Beate, PhD ; Towner, Dena, MD ; Glidden, David, PhD ; Wu, Yvonne W., MD, MPH</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c608t-a91197c7d8995e619653b4266a01bfaaa852d1cb123925a5cdb842c6a89fcb5d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Biological and medical sciences</topic><topic>California - epidemiology</topic><topic>Chorioamnionitis - epidemiology</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Female</topic><topic>General aspects</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant, Newborn</topic><topic>Maternal Age</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Obstetric Labor Complications - epidemiology</topic><topic>Pediatrics</topic><topic>Pregnancy</topic><topic>Pregnancy in Diabetics - epidemiology</topic><topic>Risk Factors</topic><topic>Seizures - epidemiology</topic><topic>Seizures - ethnology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Glass, Hannah C., MDCM</creatorcontrib><creatorcontrib>Pham, Trinh N., MA</creatorcontrib><creatorcontrib>Danielsen, Beate, PhD</creatorcontrib><creatorcontrib>Towner, Dena, MD</creatorcontrib><creatorcontrib>Glidden, David, PhD</creatorcontrib><creatorcontrib>Wu, Yvonne W., MD, MPH</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Glass, Hannah C., MDCM</au><au>Pham, Trinh N., MA</au><au>Danielsen, Beate, PhD</au><au>Towner, Dena, MD</au><au>Glidden, David, PhD</au><au>Wu, Yvonne W., MD, MPH</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Antenatal and Intrapartum Risk Factors for Seizures in Term Newborns: A Population-Based Study, California 1998-2002</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>2009-01-01</date><risdate>2009</risdate><volume>154</volume><issue>1</issue><spage>24</spage><epage>28.e1</epage><pages>24-28.e1</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><coden>JOPDAB</coden><abstract>Objective To assess antenatal and intrapartum risk factors for seizures occurring during the birth admission. Study design Using multivariable logistic regression analysis, we evaluated the association between maternal characteristics and birth admission seizures in a cohort of 2.3 million California children born at ≥36 weeks' gestation between 1998 and 2002 using the California Office of Statewide Planning and Development database containing birth certificates linked to infant and maternal hospital discharge abstracts. Results The incidence of seizures during the birth admission was 0.95/1000 live births. In an adjusted analysis, infants of women age 40 years and older who were nulliparous; had diabetes mellitus, intrapartum fever, or infection or delivered at ≥42 weeks had an increased risk of seizures. Infants of Hispanic and Asian mothers had a lower risk compared with infants of Caucasian mothers. Conclusions Several maternal antenatal and intrapartum factors increased the risk of seizures during the birth admission. Identifying and avoiding risks for neonatal seizures may lead to lower infant neurologic morbidity and mortality.</abstract><cop>Maryland Heights, MO</cop><pub>Mosby, Inc</pub><pmid>18760807</pmid><doi>10.1016/j.jpeds.2008.07.008</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Biological and medical sciences California - epidemiology Chorioamnionitis - epidemiology Delivery. Postpartum. Lactation Female General aspects Gynecology. Andrology. Obstetrics Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans Incidence Infant, Newborn Maternal Age Medical sciences Nervous system (semeiology, syndromes) Neurology Obstetric Labor Complications - epidemiology Pediatrics Pregnancy Pregnancy in Diabetics - epidemiology Risk Factors Seizures - epidemiology Seizures - ethnology |
| title | Antenatal and Intrapartum Risk Factors for Seizures in Term Newborns: A Population-Based Study, California 1998-2002 |
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