alexa Maternal Risk Factors Associated With Retinopathy Of Prematurity Among Patients In East Avenue Medical Center From 2010 To 2015
ISSN: 2572-0775

Clinical Pediatrics: Open Access
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13th European Pediatrics & Pediatric Neurology Conference
August 31-September 02, 2017 | Prague, Czech Republic

Ida Fidelis Denosta and Carina Cruz-Quimbo
East Avenue Medical Center, Philippines
Posters & Accepted Abstracts: Clin Pediatr
DOI: 10.4172/2572-0775-C1-003
Abstract
Objectives: This study aims to determine the maternal risk factors associated with the development of retinopathy of prematurity (ROP). A retrospective cohort study which 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 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 1 day of either invasive or non-invasive mechanical ventilation, 2 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 a significant maternal risk factors of ROP.
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