Journals / Journal of the Turkish-German Gynecological Association / 2020 / Cilt: 21 - Sayı: 4

Influence of evening/night-time birth on maternal/ perinatal outcomes in a low-risk population

Pages
221–227
Publication Date
2022-10-18
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Newborns delivered during the evening/night-time had a higher prevalence of infection (15.3% vs 7.9%, p=0.019, PR: 2.11, CI 95% 1.13-3.93) and hospitalization in the neonatal care unit (25.8% vs 10.4%, p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: To compare maternal and perinatal outcomes between day-time and evening/night-time births in a low-risk population.Material and Methods: The present study had a retrospective and cross-sectional design.
📊
Key Findings & Data:The study recruited 421 pregnant women admitted for spontaneous or induced labor, with singleton, full-term pregnancy, without comorbidities, and with birthweight between 2,500 and 4,499 g.
💡
Conclusion & Impact:Newborns delivered during the evening/night-time had a higher prevalence of infection (15.3% vs 7.9%, p=0.019, PR: 2.11, CI 95% 1.13-3.93) and hospitalization in the neonatal care unit (25.8% vs 10.4%, p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: To compare maternal and perinatal outcomes between day-time and evening/night-time births in a low-risk population.Material and Methods: The present study had a retrospective and cross-sectional design. The study recruited 421 pregnant women admitted for spontaneous or induced labor, with singleton, full-term pregnancy, without comorbidities, and with birthweight between 2,500 and 4,499 g. Maternal data, including severe bleeding, need for blood transfusion, puerperal infection, and admission to the intensive care unit, and neonatal data including birthweight, Apgar scores at first and fifth minute, oxygen administration, resuscitation, admission to the neonatal care unit, infection, and blood transfusion, were evaluated. Univariate and multivariate analysis and calculation of the prevalence ratio (PR) were performed with a 95% confidence interval (CI).Results: There were no differences in factors of maternal morbidity between delivery times. Newborns delivered during the evening/night-time had a higher prevalence of infection (15.3% vs 7.9%, p=0.019, PR: 2.11, CI 95% 1.13-3.93) and hospitalization in the neonatal care unit (25.8% vs 10.4%, p

🔖

Cite This Article

JUNIOR, E. A., CARVALHO, F. H. C., VIDAL, C. R. P. M., MEDEIROS, M. Q., ANDRADE, J. A. F. M. (2022). Influence of evening/night-time birth on maternal/ perinatal outcomes in a low-risk population. Journal of the Turkish-German Gynecological Association, Cilt: 21 - Sayı: 4, 221–227. https://ajindex.com/articles/567418

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Shakibazadeh E, Namadian M, Bohren MA, Vogel JP, Rashidian A, Nogueira Pileggi V, et al. Respectful care during childbirth in health facilities globally: a qualitative evidence synthesis. BJOG 2018; 125: 932-42
  2. Alvares AS, Corrêa ÁCP, Nakagawa JTT, Teixeira RC, Nicolini AB, Medeiros RMK. Humanized practices of obstetric nurses: contributions in maternal welfare. Rev Bras Enferm 2018; 71(suppl 6): 2620-7
  3. Pereira RM, Fonseca GO, Pereira ACCC, Gonçalves GA, Mafra RA. [New childbirth practices and the challenges for the humanization of health care in southern and southeastern Brazil]. Cien Saude Colet 2018; 23: 3517-24
  4. Hamilton P, Restrepo E. Weekend birth and higher neonatal mortality: a problem of patient acuity or quality of care? J Obstet Gynecol Neonatal Nurs 2003; 32: 724-33
  5. Wu YW, Pham TN, Danielsen B, Towner D, Smith L, Johnston SC. Nighttime delivery and risk of neonatal encephalopathy. Am J Obstet Gynecol 2011; 204: 37.e1-6. 6. de Graaf JP, Ravelli AC, Visser GH, Hukkelhoven C, Tong WH, Bonsel GJ, et al. Increased adverse perinatal outcome of hospital delivery at night. BJOG 2010; 117: 1098-107
  6. Gijsen R, Hukkelhoven CW, Schipper CM, Ogbu UC, de Bruin Kooistra M, Westert GP. Effects of hospital delivery during off-hours on perinatal outcome in several subgroups: a retrospective cohort study. BMC Pregnancy Childbirth 2012; 12: 92
  7. Lyndon A, Lee HC, Gay C, Gilbert WM, Gould JB, Lee KA. Effect of time of birth on maternal morbidity during childbirth hospitalization in Californi. Am J Obstet Gynecol. 2015; 213: 705.e1-11
  8. Bell EF, Hansen NI, Morriss FH Jr, Stoll BJ, Ambalavanan N, Gould JB, et al. Impact of timing of birth and resident duty-hour restrictions on outcomes for small preterm infants. Pediatrics 2010; 126: 222-31
  9. Mgaya A, Hinju J, Kidanto H. Is time of birth a predictor of adverse perinatal outcome? A hospital-based cross-sectional study in a low resource setting, Tanzania. BMC Pregnancy Childbirth 2017; 17: 184
  10. David M, Henrich W, Schlembach D, Lanowska M, Razum O, Breckenkamp J. Is There a Negative Night or Weekend Effect on the Child's Postnatal State Among Migrant Women? Z Geburtshilfe Neonatol 2020; 224: 143-9
  11. Aiken CE, Aiken AR, Scott JG, Brockelsby JC. The influence of hours worked prior to delivery on maternal and neonatal outcomes: a retrospective cohort study. Am J Obstet Gynecol 2016; 215: 634.e1- 634.e7
  12. Hehir MP, Walsh JM, Higgins S, Mahony R. Maternal and neonatal morbidity during o