Incidence of Intrapartum-Related Events at the Largest Obstetric Hospital in Hanoi, Vietnam: A Retrospective Study

Every year, 2.4 million neonates die during their first month of life and even more suffer permanent injury. The main causes are intrapartum-related events, prematurity, and infection, with sub-Saharan Africa and southern Asia being the worst affected regions. With a focus on intrapartum-related eve...

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Main Authors: Tina Dempsey (Author), Huong Lien Nguyen (Author), Huong Thu Nguyen (Author), Xuan Anh Bui (Author), Phuong Thi Thu Pham (Author), Toan K. Nguyen (Author), Francesco Cavallin (Author), Daniele Trevisanuto (Author), Susanna Myrnerts Höök (Author), Nicolas Pejovic (Author), Mats Blennow (Author), Linus Olson (Author), Hien Vu (Author), Anh Duy Nguyen (Author), Tobias Alfvén (Author)
Format: Book
Published: MDPI AG, 2022-02-01T00:00:00Z.
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Summary:Every year, 2.4 million neonates die during their first month of life and even more suffer permanent injury. The main causes are intrapartum-related events, prematurity, and infection, with sub-Saharan Africa and southern Asia being the worst affected regions. With a focus on intrapartum-related events, we aimed to assess the neonatal demographic characteristics, clinical management, and outcomes among neonates born at the largest obstetric hospital in Hanoi, Vietnam. This was a retrospective cross-sectional study that included all the inborn neonates in November 2019, which was selected as a representative month. A total of 4554 neonates were born during the study period. Of these, 1.0% (<i>n</i> = 44) were stillbirths, 0.15% (<i>n</i> = 7) died in hospital, 0.61% (<i>n</i> = 28) received positive pressure ventilation at birth, and 0.15% (<i>n</i> = 7) were diagnosed with hypoxic ischemic encephalopathy. A total of 581 (13%) neonates were admitted to the neonatal unit, among which the most common diagnoses were prematurity (37%, <i>n</i> = 217) and infection (15%, <i>n</i> = 89). Except for the intrapartum-related events, our findings are consistent with the previously documented data on neonatal morbidity. The intrapartum-related events, however, were surprisingly low in number even in comparison to high-income countries. Research on the current clinical practice at Phu San Hanoi Hospital may bring further clarity to identify the success factors.
Item Description:10.3390/children9030321
2227-9067