Neonatal Near Miss among Newborns of Women with Type 1 Diabetes Mellitus
Objective. To investigate the frequency of neonatal near miss (NNM) and associate it with maternal morbidity in newborns of women with type 1 diabetes mellitus (T1DM). Methods. This was a cross-sectional retrospective study from a secondary analysis of data retrieved from medical records of pregnant...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2019/8594158 |
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| author | Luiza R. Morais Beatriz C. Patz Felipe F. Campanharo Patricia M. Dualib Sue Y. Sun Rosiane Mattar |
| author_facet | Luiza R. Morais Beatriz C. Patz Felipe F. Campanharo Patricia M. Dualib Sue Y. Sun Rosiane Mattar |
| author_sort | Luiza R. Morais |
| collection | DOAJ |
| description | Objective. To investigate the frequency of neonatal near miss (NNM) and associate it with maternal morbidity in newborns of women with type 1 diabetes mellitus (T1DM). Methods. This was a cross-sectional retrospective study from a secondary analysis of data retrieved from medical records of pregnant women with T1DM cared at a Brazilian university hospital between 2005 and 2015. Maternal near miss (MNM) and potentially life-threatening conditions (PTLC) were classified according to the World Health Organization criteria. NNM was classified according to the Pan American Health Organization Neonatal Near Miss Working Group criteria. Association of maternal morbidity with NNM was assessed using chi-square test. Results. There were 122 newborns (NB) among 137 T1DM pregnancies. Thirty-seven NB presented NNM—incidence of 303 NNM per 1000 live births (37/122). NNM was associated with MNM (P<0.001, OR (95% CI): 17.15 (1.85–159.12)). PLTC did not increase the odds of NNM (P=0.07; OR (95% CI): 2.1281 (0.92–4.91)). Seven newborns died, six of them from pregnancies without severe maternal morbidity. 71% of the neonatal death (5/7) occurred in malformed neonates. Conclusion. MNM was associated with NNM among women with T1DM, and PLTC, paradoxically, did not increase NNM. |
| format | Article |
| id | doaj-art-a62ddef2e5a24a5a8908d9df0bfaa53c |
| institution | OA Journals |
| issn | 1687-9589 1687-9597 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obstetrics and Gynecology International |
| spelling | doaj-art-a62ddef2e5a24a5a8908d9df0bfaa53c2025-08-20T02:20:47ZengWileyObstetrics and Gynecology International1687-95891687-95972019-01-01201910.1155/2019/85941588594158Neonatal Near Miss among Newborns of Women with Type 1 Diabetes MellitusLuiza R. Morais0Beatriz C. Patz1Felipe F. Campanharo2Patricia M. Dualib3Sue Y. Sun4Rosiane Mattar5Obstetrics Department, Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina, São Paulo 04021-001, BrazilObstetrics Department, Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina, São Paulo 04021-001, BrazilObstetrics Department, Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina, São Paulo 04021-001, BrazilEndocrinology Department, Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina, São Paulo 04021-001, BrazilObstetrics Department, Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina, São Paulo 04021-001, BrazilObstetrics Department, Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina, São Paulo 04021-001, BrazilObjective. To investigate the frequency of neonatal near miss (NNM) and associate it with maternal morbidity in newborns of women with type 1 diabetes mellitus (T1DM). Methods. This was a cross-sectional retrospective study from a secondary analysis of data retrieved from medical records of pregnant women with T1DM cared at a Brazilian university hospital between 2005 and 2015. Maternal near miss (MNM) and potentially life-threatening conditions (PTLC) were classified according to the World Health Organization criteria. NNM was classified according to the Pan American Health Organization Neonatal Near Miss Working Group criteria. Association of maternal morbidity with NNM was assessed using chi-square test. Results. There were 122 newborns (NB) among 137 T1DM pregnancies. Thirty-seven NB presented NNM—incidence of 303 NNM per 1000 live births (37/122). NNM was associated with MNM (P<0.001, OR (95% CI): 17.15 (1.85–159.12)). PLTC did not increase the odds of NNM (P=0.07; OR (95% CI): 2.1281 (0.92–4.91)). Seven newborns died, six of them from pregnancies without severe maternal morbidity. 71% of the neonatal death (5/7) occurred in malformed neonates. Conclusion. MNM was associated with NNM among women with T1DM, and PLTC, paradoxically, did not increase NNM.http://dx.doi.org/10.1155/2019/8594158 |
| spellingShingle | Luiza R. Morais Beatriz C. Patz Felipe F. Campanharo Patricia M. Dualib Sue Y. Sun Rosiane Mattar Neonatal Near Miss among Newborns of Women with Type 1 Diabetes Mellitus Obstetrics and Gynecology International |
| title | Neonatal Near Miss among Newborns of Women with Type 1 Diabetes Mellitus |
| title_full | Neonatal Near Miss among Newborns of Women with Type 1 Diabetes Mellitus |
| title_fullStr | Neonatal Near Miss among Newborns of Women with Type 1 Diabetes Mellitus |
| title_full_unstemmed | Neonatal Near Miss among Newborns of Women with Type 1 Diabetes Mellitus |
| title_short | Neonatal Near Miss among Newborns of Women with Type 1 Diabetes Mellitus |
| title_sort | neonatal near miss among newborns of women with type 1 diabetes mellitus |
| url | http://dx.doi.org/10.1155/2019/8594158 |
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