In:
Fetal Diagnosis and Therapy, S. Karger AG, Vol. 18, No. 6 ( 2003), p. 404-407
Abstract:
〈 i 〉 Objective: 〈 /i 〉 The purpose of this study was to compare complications and outcome of preterm neonates weighing ≤1,500 g who developed necrotizing enterocolitis (NEC) to neonates without NEC. 〈 i 〉 Study Design: 〈 /i 〉 During January, 1995 to December, 1998, 211 live preterm neonates were born with birth weight ≤1,500 g. A cross sectional prospective study was designed and two groups were defined: 17 neonates who developed NEC and 194 without NEC. Multiple logistic regression analysis was performed to determine independent risk factors for the development of NEC. 〈 i 〉 Results: 〈 /i 〉 The prevalence of NEC was 8% (17/211). The following complications were found to be significantly higher among mothers of neonates with NEC: mild pre-eclampsia (11.8 vs. 2.6%, p = 0.04); severe pre-eclampsia (35.5 vs. 12.9%, p = 0.01); chronic hypertension (29.4 vs. 5.7%, p 〈 0.001) and low birth weight (968 ± 233 vs. 1,123 ± 257 g, p = 0.02). In contrast, mean maternal age, mean gestational age at delivery and parity were not significantly different between the groups. A multivariate analysis including the following factors: maternal hypertensive disorders, pregestational diabetes mellitus, birth weight and gestational age at delivery, found only maternal hypertensive disorders to be independent risk factors for NEC (OR = 5.21, 95% CI 1.64–16.58). 〈 i 〉 Conclusions: 〈 /i 〉 Maternal hypertension is an independent risk factor for the development of NEC in preterm neonates weighing 〈 1,500 g. Thus, maternal vascular disorders may play an important role in the pathophysiology of NEC.
Type of Medium:
Online Resource
ISSN:
1015-3837
,
1421-9964
Language:
English
Publisher:
S. Karger AG
Publication Date:
2003
detail.hit.zdb_id:
1482292-1
detail.hit.zdb_id:
1066460-9
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