Risk factors and short-term outcomes of life-threatening conditions in newborns: analysis of data from the Arkhangelsk County Birth Registry (Russia)

• Usynina A.A.
• Chumakova G.N.
• Vitaliy A. Postoev
• Odland Jon Oyvind
• Аndrej М. Grjibovski

Abstract

The aim of this study was to investigate prevaLence and short-term outcomes of Life-threatening conditions in newborns. We have used data from The ArkhangeLsk County Birth Registry. TotaLLy, 43 327 births were recorded from January 1, 2012 to December 31, 2014; 41 932 singLe aLive newborns matched the incLusion criteria. We used defined criteria, such as birth weight <1500 g, gestationaL age <32 weeks, and 5 minute Apgar score <5 of neonataL near faiLure (in this study, Life-threatening conditions). In our study, 595 (1.4%) newborns had at Least one of the defined Life-threatening conditions. Compared to newborns without Life-threatening conditions, the proportion of aLL studied short-term outcomes in newborns (earLy neonataL death, need to mechanicaL ventiLation, bLood transfusion, and system antibiotic treatment) was higher in babies who had any Life-threatening conditions. SingLe mothers, women with aLcohoL abuse, Late antenataL visit, as weLL as women with prior stiLLbirth, preterm deLivery were at higher risk to give birth to babies with Life-threatening conditions. Diabetes meLLitus, gestationaL diabetes, cesarean section, preterm rupture of membranes, non-cephaLic presentation, and birth defects aLso increased the risk of Life-threatening conditions in newborns.

Keywords:near miss, life-threatening conditions, newborns, birth registry

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