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Birth before Arrival at Faculty of Medicine Vajira Hospital,Thailand |
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| รหัสดีโอไอ | |
| Creator | Kasemsis Kaewkiattikun |
| Title | Birth before Arrival at Faculty of Medicine Vajira Hospital,Thailand |
| Publisher | Text and Journal Publication |
| Publication Year | 2561 |
| Journal Title | Vajira Medical Journal |
| Journal Vol. | 62 |
| Journal No. | 4 |
| Keyword | Birth before arrival, BBA, neonatal morbidity, neonatal mortality, maternal morbidity. |
| URL Website | https://tci-thaijo.org/index.php/VMED |
| Website title | Vajira Medical Journal (วชิรเวชสาร) |
| ISSN | 0125-1252 |
| Abstract | Abstract Objective: To discover prevalence of BBA and to compare maternal and neonatal complications of birth before arrival (BBA) with birth in hospital (BIH). Moreover, to analyze risk factors and predictive factors of BBA in urban setting. Method: A retrospective cohort study was conducted by reviewing medical records of postpartum BBA mother-infant dyads compare with BIH mother-infant dyads. Result: Prevalence of BBA was 1.14%. BBA was significant associated with neonatal morbidities. Significant maternal morbidity in BBA was birth canal tear. Risk factors of BBA were teenage, low education, multiparity, ANC less than or equal to 4, preterm birth and precipitated labor. Transportation barriers (home-hospital distance, transportation time and timing of transportation) were not significantly different between groups, but delayed transportation was significant risk in BBA. Significant predictors for BBA were multiparity, ANC less than or equal to 4, preterm birth, precipitate labor and delayed transportation > 60 minutes. Conclusion: BBA was significant associated with maternal and neonatal morbidity. Transportation barriers (distance, time and timing) were not risk factor of BBA in urban area; but delayed transportation from home was a significant risk. Significant predictors of BBA for urban setting were multiparity, poor ANC, preterm labor, precipitate labor and delayed transportation. |
