A Method on Assessing Complication-Base Risk Factors for Neonatal Morbidity: Application for Pattani Hospital Delivery


  •  Orasa Rachatapantanakorn    
  •  Phattrawan Tongkumchum    
  •  Nittaya McNeil    

Abstract

We investigated risk factors for neonatal morbidity based on a database of 19,268 singleton maternal deliveries at
Pattani Hospital during the period from 1 October 1996 to 30 September 2005 inclusive. This database includes
demographics of the mother and delivery outcomes including birth weight, one- and five-minute Apgar scores, and at
most one complication selected from a list of 62 by the deliverer. In our study the neonatal risk associated with a
complication was defined by averaging the results given by 11 obstetricians who independently scored each
complication on a scale from 0 to 9 (highest risk to baby). Using logistic regression to adjust for demographic and
pregnancy-history factors, we found risk that Muslim women have higher neonatal morbidity risks, particularly those
associated with severe pregnancy-induced hypertension, eclampsia and thick mecomium stain.


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