Incidence and Factors Associated with Persistent Pulmonary Hypertension of The Newborn in Hua Hin Hospital
Keywords:
Persistent pulmonary hypertension of the newborn, incidence, factorAbstract
Background: Persistent pulmonary hypertension of the newborn is a severe condition and has a high mortality rate. It is one of the leading causes of newborn death in Hua Hin Hospital. The incidence of persistent pulmonary hypertension of the newborn has never been collected. Reducing the effect factors can reduce neonatal mortality.
Objective: The purpose was to study the incidence and factors associated with persistent pulmonary hypertension of the newborn in Hua Hin Hospital
Methods: This is a retrospective analytic study. Data were collected from newborns who were born or treated in Hua Hin Hospital Prachuap Khiri Khan Province from electronic medical records from October 1, 2016 to September 30, 2021 for a period of 5 years. The data were presented in percentage, average, and standard deviation; t-test independent and chi-square tests were implemented for the analysis of incidence and factors associated with persistent pulmonary hypertension of the newborn in Hua Hin Hospital
Results: Based on 4409 live births, Persistent pulmonary hypertension of the newborn in 34 neonates, representing an incidence of 7.7 per 1000 live births. It was found that maternal age, chronic hypertension, Pregnancy induce hypertension, oligohydramnios, meconium-stained amniotic fluid, mode of delivery by cesarean section, birth asphyxia, meconium aspiration syndrome, transient tachypnea of newborn, neonatal sepsis and another diagnosis (congenital pneumonia, Respiratory distress syndrome) had statistically significant effects on persistent pulmonary hypertension of the newborn (p<0.05) The other factors i.e., overt diabetes, asthma, other chronic diseases, medicines to use during pregnancy, gestational diabetes, and baby sex had no effect on the incidence of persistent pulmonary hypertension of the newborn
Conclusion: The incidence of persistent pulmonary hypertension of the newborn in Hua Hin Hospital is quite high. Prevention is therefore very important. Monitoring newborns born to mothers with risk factors and close monitoring of neonates with factors associated with persistent pulmonary hypertension of the newborn is important.
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