[Factors related to severe neonatal acidosis in planned cesarean section. A case-control study].
Facteurs liés à la survenue d’une acidose néonatale sévère en cas de césarienne programmée. Une étude cas-témoins.
Acidose néonatale
Césarienne programmée
Maternal obesity
Neonatal acidosis
Obésité maternelle
Planned caesarean section
Rachianesthésie
Spinal anesthesia
Journal
Gynecologie, obstetrique, fertilite & senologie
ISSN: 2468-7189
Titre abrégé: Gynecol Obstet Fertil Senol
Pays: France
ID NLM: 101693805
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
28
10
2019
pubmed:
18
5
2020
medline:
25
11
2021
entrez:
18
5
2020
Statut:
ppublish
Résumé
To identify factors related to the occurrence of severe neonatal acidosis in case of planned caesarean section. Case-control study conducted between 1997 and 2016 among women with planned caesarean delivery at term. Cases were women whose neonates had neonatal arterial pH<7,0. For each case, two planned caesarean sections with neonatal pH≥7,0 were selected as controls. Women whose fetus had a congenital malformation and those whose anesthesia was not spinal anesthesia were excluded. Among the 5014 planned cesarean sections of the study period, 38 severe neonatal acidosis were observed (incidence of 0,76% CI95 [0,54-1,04]). Compared to 72 controls, the 36 caesareans with severe neonatal acidosis were associated with more frequent maternal obesity (BMI≥30kg/m In case of planned cesarean section, the main risk factor for severe neonatal acidosis is the existence of maternal obesity.
Identifiants
pubmed: 32417399
pii: S2468-7189(20)30185-9
doi: 10.1016/j.gofs.2020.05.005
pii:
doi:
Types de publication
Journal Article
Langues
fre
Sous-ensembles de citation
IM
Pagination
784-789Informations de copyright
Copyright © 2020 Elsevier Masson SAS. All rights reserved.