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Neonatal morbidity and outcome of live born premature babies after attempted illegal abortion with misoprostol.

dc.contributor.authorEscumalha, M
dc.contributor.authorCunha, M
dc.contributor.authorMachado, MC
dc.contributor.authorGouveia, C
dc.contributor.authorVale, F
dc.date.accessioned2012-08-10T13:23:25Z
dc.date.available2012-08-10T13:23:25Z
dc.date.issued2005
dc.description.abstractMisoprostol is a synthetic prostaglandin currently employed to induce labor. Association with illegal abortion has been reported; however, neonatal outcome and morbidity after a failed attempt of abortion has not been described. OBJECTIVES: To report the association between misoprostol self-medication and preterm labor and to assess perinatal risk factors, morbidity and early outcomes. METHODS: We conducted a prospective study of all very low birth weight (VLBW) infants delivered in Hospital Fernando Fonseca, during a 5-year period. VLBW infants were assigned to misoprostol group (MG) when preterm delivery was attributed to misoprostol and matched with newborns with similar gestational age, birth- weight, and gender. RESULTS: During the study period 311 VLBW infants were born. Nineteen belonged to misoprostol group (MG) and 58 were selected for controls. Mothers from MG were significantly younger (21.5 vs 27.5, p = 0.001) and from African origin (74 vs 31%, p = 0.006), had significantly less prenatal care (21 vs 67%, p = 0.000), less antenatal steroids (5 vs 50%, p = 0.001), and were delivered less often by C-section (11 vs 60%, p = 0.000). MG infants had significantly higher rates of patent ductus arteriosus (58 vs 29%, p = 0.031) and chronic lung disease (47 vs 14%, p = 0.026). Mortality rate at 3 months was similar in both groups, but the incidence of abnormal neurodevelopment at 1 year of age was significantly higher in the MG (50 vs 16%, p= 0.02).por
dc.identifier.citationPediatr Nurs. 2005 May-Jun; 31(3):228-31por
dc.identifier.issn0097-9805
dc.identifier.urihttp://hdl.handle.net/10400.10/648
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherJannetti and Associatespor
dc.subjectAborto induzidopor
dc.subjectPerturbações do desenvolvimentopor
dc.subjectPrematuropor
dc.subjectMorbilidadepor
dc.subjectIllegal abortionpor
dc.subjectMorbiditypor
dc.subjectPremature infantpor
dc.subjectPortugalpor
dc.titleNeonatal morbidity and outcome of live born premature babies after attempted illegal abortion with misoprostol.por
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlacePitman, NJpor
oaire.citation.endPage231por
oaire.citation.startPage228por
oaire.citation.titlePediatric Nursingpor
oaire.citation.volume31por
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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