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, Huong Lien Nguyen, Huong Thu Nguyen, Xuan Anh Bui, Phuong Thi Thu Pham, Toan K. Nguyen, Francesco Cavallin, Daniele Trevisanuto, Susanna Myrnerts Höök, Nicolas Pejovic, Mats Blennow, Linus Olson, Hien Vu, Anh Duy Nguyen, Tobias Alfvén
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/9/3/321
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author Tina Dempsey
Huong Lien Nguyen
Huong Thu Nguyen
Xuan Anh Bui
Phuong Thi Thu Pham
Toan K. Nguyen
Francesco Cavallin
Daniele Trevisanuto
Susanna Myrnerts Höök
Nicolas Pejovic
Mats Blennow
Linus Olson
Hien Vu
Anh Duy Nguyen
Tobias Alfvén
author_facet Tina Dempsey
Huong Lien Nguyen
Huong Thu Nguyen
Xuan Anh Bui
Phuong Thi Thu Pham
Toan K. Nguyen
Francesco Cavallin
Daniele Trevisanuto
Susanna Myrnerts Höök
Nicolas Pejovic
Mats Blennow
Linus Olson
Hien Vu
Anh Duy Nguyen
Tobias Alfvén
author_sort Tina Dempsey
collection DOAJ
description 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.
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spelling doaj.art-eee99d3cef4c4e109d371af8cfdd10a72023-11-24T00:46:29ZengMDPI AGChildren2227-90672022-02-019332110.3390/children9030321Incidence of Intrapartum-Related Events at the Largest Obstetric Hospital in Hanoi, Vietnam: A Retrospective StudyTina Dempsey0Huong Lien Nguyen1Huong Thu Nguyen2Xuan Anh Bui3Phuong Thi Thu Pham4Toan K. Nguyen5Francesco Cavallin6Daniele Trevisanuto7Susanna Myrnerts Höök8Nicolas Pejovic9Mats Blennow10Linus Olson11Hien Vu12Anh Duy Nguyen13Tobias Alfvén14Department of Global Public Health, Karolinska Institutet, 17177 Solna, SwedenNeonatal Department, Phu San Hanoi Hospital, Hanoi 100000, VietnamNeonatal Department, Phu San Hanoi Hospital, Hanoi 100000, VietnamDepartment of Information Technology, Phu San Hanoi Hospital, Hanoi 100000, VietnamNeonatal Department, Phu San Hanoi Hospital, Hanoi 100000, VietnamDepartment of Gynecological Oncology, Phu San Hanoi Hospital, Hanoi 100000, VietnamIndependent Researcher, 36020 Solagna, ItalyDepartment of Woman’s and Child’s Health, University Hospital of Padova, 35128 Padova, ItalyDepartment of Global Public Health, Karolinska Institutet, 17177 Solna, SwedenDepartment of Global Public Health, Karolinska Institutet, 17177 Solna, SwedenDepartment of Clinical Science Intervention and Technology, Karolinska Institutet, 14152 Huddinge, SwedenDepartment of Global Public Health, Karolinska Institutet, 17177 Solna, SwedenDepartment of International Collaboration, Phu San Hanoi Hospital, Hanoi 100000, VietnamUniversity of Medicine and Pharmacy, Hanoi 100000, VietnamDepartment of Global Public Health, Karolinska Institutet, 17177 Solna, SwedenEvery 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.https://www.mdpi.com/2227-9067/9/3/321neonatal careincidenceintrapartum-related eventsbirth asphyxianeonatal morbidityneonatal resuscitation
spellingShingle Tina Dempsey
Huong Lien Nguyen
Huong Thu Nguyen
Xuan Anh Bui
Phuong Thi Thu Pham
Toan K. Nguyen
Francesco Cavallin
Daniele Trevisanuto
Susanna Myrnerts Höök
Nicolas Pejovic
Mats Blennow
Linus Olson
Hien Vu
Anh Duy Nguyen
Tobias Alfvén
Incidence of Intrapartum-Related Events at the Largest Obstetric Hospital in Hanoi, Vietnam: A Retrospective Study
Children
neonatal care
incidence
intrapartum-related events
birth asphyxia
neonatal morbidity
neonatal resuscitation
title Incidence of Intrapartum-Related Events at the Largest Obstetric Hospital in Hanoi, Vietnam: A Retrospective Study
title_full Incidence of Intrapartum-Related Events at the Largest Obstetric Hospital in Hanoi, Vietnam: A Retrospective Study
title_fullStr Incidence of Intrapartum-Related Events at the Largest Obstetric Hospital in Hanoi, Vietnam: A Retrospective Study
title_full_unstemmed Incidence of Intrapartum-Related Events at the Largest Obstetric Hospital in Hanoi, Vietnam: A Retrospective Study
title_short Incidence of Intrapartum-Related Events at the Largest Obstetric Hospital in Hanoi, Vietnam: A Retrospective Study
title_sort incidence of intrapartum related events at the largest obstetric hospital in hanoi vietnam a retrospective study
topic neonatal care
incidence
intrapartum-related events
birth asphyxia
neonatal morbidity
neonatal resuscitation
url https://www.mdpi.com/2227-9067/9/3/321
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