Clinics in Mother and Child Health

Maternal risk factors associated with retinopathy of prematurity among patients in East Avenue Medical Center from 2010 to 2015

28^th World Congress on Neonatology & Diagnosis

December 06-07, 2018 | Amsterdam, Netherlands

Ida Fidelis Denosta and Carina Cruz-Quimbo

East Avenue Medical Center, Philippines

Posters & Accepted Abstracts: Clinics Mother Child Health

Abstract:

Objectives: This study aims to determine the maternal risk factors associated with the development of retinopathy of prematurity (ROP). Design: A retrospective cohort study. Setting: The study was done in a tertiary government hospital. Patients: This study included admitted premature neonates in neonatal intensive care unit (NICU), who underwent ROP screening. All patients with congenital abnormality of the eyes were excluded in the study. Methodology: List of admitted premature patients who underwent ROP screening was collected within the study period. Demographic data was collected from the patient???s medical records. Statistical Analysis: Descriptive statistics were presented for categorical outcome measures. Wilcoxon rank-sum test was used to compare two averages. Chi-square test, Yates??? chi-square test and Fisher???s exact test were used to compare proportions. Univariate and multivariate regression analyses were used to estimate crude and adjusted odds-ratios, corresponding 95% CI and based on p-value???0.05 indicates statistical significance. Result: This study showed 57% cases of ROP, majority with Stage 1 (66%), mostly female infants (53.4%; p<0.001), mildly asphyxiated (51.2%, p=0.290; 77.2%, p=0.117) and were small for gestational age (57.3%; p<0.001). On the average, these infants underwent one day of either invasive or non-invasive mechanical ventilation, two days with FiO2 of >0.5 liters per minute, had two blood transfusions, and with shorter hospital stay (17 vs. 26 days; p<0.001). The average age of mothers who delivered infants with ROP was 26 years old, multipara (59.2%), and underwent normal spontaneous delivery (67%). About half reported adequate prenatal check-ups (53.8%), and diagnosed with urinary tract infection (40.1%). Conclusion: Data showed that mothers with urinary tract infection and preeclampsia are more likely to deliver infants with retinopathy of prematurity thus significant maternal risk factors of ROP.

Biography :

E-mail: idadenosta@yahoo.com.ph