ArticleBMC pregnancy and childbirth2017
Maternal characteristics and obstetrical complications impact neonatal outcomes in Indonesia: a prospective study.
Article in BMC pregnancy and childbirth, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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17 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
- Factors associated with stillbirth in selected countries of South Asia: A systematic review of observational studies.PloS one · 2020Pooled it
- Advanced maternal age increases the risk of adverse neonatal outcomes: a comparative study in Ethiopia.BMC pregnancy and childbirth · 2025Article
- Environmental factors affecting the delivery practices of hospital-based intrapartum care.African journal of primary health care & family medicine · 2025Article
- Maternal near miss as a predictor of adverse perinatal outcomes: findings from a prospective cohort study in southwestern Uganda.BMC pregnancy and childbirth · 2024Article
- Predictors of neonatal mortality among neonates in Tigray regional state, Ethiopia: A cross-sectional study.PloS one · 2024Article
- Modified Pathway to Survival highlights importance of rapid access to quality institutional delivery care to decrease neonatal mortality in Serang and Jember districts, Java, Indonesia.Journal of global health · 2023Article
- Morbidity and mortality in neonates with Down Syndrome based on gestational age.Journal of perinatology : official journal of the California Perinatal Association · 2023Article
- Selected environmental factors in mothers of newborns subjected to the therapeutic hypothermia - a case control study.International journal of occupational medicine and environmental health · 2023Article
- Associated factors of neonatal near miss among newborns of adolescent mothers in Brazil.Revista da Escola de Enfermagem da U S P · 2022Article
- Adverse perinatal outcomes and its associated factors among adult and advanced maternal age pregnancy in Northwest Ethiopia.Scientific reports · 2021Article
- Prevalence of neonatal near miss and associated factors in Nepal: a cross-sectional study.BMC pregnancy and childbirth · 2021Article
- Maternal age and risk of early neonatal mortality: a national cohort study.Scientific reports · 2021Article
- Effect of maternal near miss on neonatal mortality in selected hospitals: Prospective cohort study, Southeast Ethiopia.SAGE open medicine · 2021Article
- Determinant Factors of Neonatal Near Miss Among Neonates in Gurage Zone Hospitals, Ethiopia: A Case-Control Study.Pediatric health, medicine and therapeutics · 2021Article
- Surviving mothers and lost babies - burden of stillbirths and neonatal deaths among women with maternal near miss in eastern Ethiopia: a prospective cohort study.Journal of global health · 2020Article
- Incidence and predictors of neonatal mortality among neonates admitted in Amhara regional state referral hospitals, Ethiopia: prospective follow up study.BMC pediatrics · 2020Article
- Neonatal near miss determinants at a maternity hospital for high-risk pregnancy in Northeastern Brazil: a prospective study.BMC pregnancy and childbirth · 2018Article
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Authors and funding
9 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe investigated associations between maternal characteristics, access to care, and obstetrical complications including near miss status on admission or during hospitalization on perinatal outcomes among Indonesian singletons.
methodsWe prospectively collected data on inborn singletons at two hospitals in East Java. Data included socio-demographics, reproductive, obstetric and neonatal variables. Reduced multivariable models were constructed. Outcomes of interest included low and very low birthweight (LBW/VLBW), asphyxia and death.
resultsReferral from a care facility was associated with a reduced risk of LBW and VLBW [AOR = 0.28, 95% CI = 0.11-0.69, AOR = 0.18, 95% CI = 0.04-0.75, respectively], stillbirth [AOR = 0.41, 95% CI = 0.18-0.95], and neonatal death [AOR = 0.2, 95% CI = 0.05-0.81]. Mothers age <20 years increased the risk of VLBW [AOR = 6.39, 95% CI = 1.82-22.35] and neonatal death [AOR = 4.10, 95% CI = 1.29-13.02]. Malpresentation on admission increased the risk of asphyxia [AOR = 4.65, 95% CI = 2.23-9.70], stillbirth [AOR = 3.96, 95% CI = 1.41-11.15], and perinatal death [AOR = 3.89 95% CI = 1.42-10.64], as did poor prenatal care (PNC) [AOR = 11.67, 95%CI = 2.71-16.62]. Near-miss on admission increased the risk of neonatal [AOR = 11.67, 95% CI = 2.08-65.65] and perinatal death [AOR = 13.08 95% CI = 3.77-45.37].
conclusionsMothers in labor should be encouraged to seek care early and taught to identify early danger signs. Adequate PNC significantly reduced perinatal deaths. Improved hospital management of malpresentation may significantly reduce perinatal morbidity and mortality. The importance of hospital-based prospective studies helps evaluate specific areas of need in training of obstetrical care providers.
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