APOSTOLOS ATHANASSİADİS, ATHENA MPALASKA, THEMİSTOKLİS MİKOS, ELEONORA TOGARİDOU, EFSTRATİOS ASSİMAKOPOULOS, FİLİPPOS TZEVELEKİS, GEORGİA POUPNARA, PANAGİOTİS TAMPAKOUDİS, KATERİNA KARAVİDA, ALEXANDROS ANDREOU, JOHN BONTİS
Gynecology Obstetrics & Reproductive Medicine - 2004;10(1):22-26
OBJECTIVE: Neonates born to high-risk pregnancies were followed up to assess survival and normal psychomotor development. The purpose of the study was to find any possible correlations between diagnosis at the time of maternal admission and neonatal outcome. STUDY DESIGN: Retrospective study of 804 consecutive complicated pregnant women. 155 women that gave birth to 186 neonates admitted to NICU met the inclusion criteria for this study. Statistical analysis was performed attempting to find correlation between admission indications and neonatal outcome. RESULTS: There were 11 out of 186 neonatal deaths and 7 out of the remaining 175 infants suffered mental retardation at six months of life. The commonest reasons for maternal admission into a Maternal-Fetal Unit were premature preterm rupture of membranes (PPROM), antepartum hemorrhage (APH), preterm labour, pregnancy induced hypertension (PIH) and multiple gestation. The study did not show any significant statistical correlation between indication for maternal admission and neonatal outcome. However, the findings of the study showed a tendency for worse neonatal outcome in pregnancies complicated with PPROM and APH, and for improved neonatal outcome in pregnancies complicated with PIH. CONCLUSION: Admission and the management of high-risk pregnancy in a Maternal-Fetal Unit and timely admission of the neonate into NICU improve perinatal mortality and morbidity. Conditions such as PPROM and APH have a tendency for worse neonatal outcome.
