| Author | Guinsburg, Ruth | |
| Author | Almeida, M. F. Branco de | |
| Author | Sadeck, L dos Santos Rodrigues | |
| Author | Marba, S. T. M. | |
| Author | Rugolo, L. M. Suppo de Souza | |
| Author | Luz, J. H. | |
| Author | Lopes, J. M. de Andrade | |
| Author | Martinez, F. E. | |
| Author | Procianoy, R. S. | |
| Access date | 2014-11-17T11:43:17Z | |
| Available date | 2014-11-17T11:43:17Z | |
| Document date | 2012 | |
| Citation | GUINSBURG, R. et al. Proactive management of extreme prematurity: disagreement between obstetricians and neonatologists. J. perinatol., Philadelphia, v. 32, p. 913-919, 2012. | pt_BR |
| ISSN | 0743-8346 | |
| URI | https://www.arca.fiocruz.br/handle/icict/8874 | |
| Language | eng | pt_BR |
| Publisher | Mosby-Yearbook | pt_BR |
| Rights | restricted access | |
| Title | Proactive management of extreme prematurity: disagreement between obstretricians and neonatologists | pt_BR |
| Type | Article | |
| Abstract | Objective: To verify, in extremely preterm infants, if disagreement between obstetricians and neonatologists regarding proactive management is associated with early death.
Study Design: Prospective cohort of 484 infants with [23.sup.0/7] to [26.sup.6/7] weeks, without malformations, born from January 2006 to December 2009 in eight Brazilian hospitals. Pro-active management was defined as indication of [greater than or equal to] dose of antenatal steroid or cesarean section (obstetrician) and resuscitation at birth according to the international guidelines (neonatologist). Main outcome was neonatal death in the first 24 h of life.
Result: Obstetricians and neonatologists disagreed in 115 (24%) patients: only neonatologists were proactive in 107 of them. Disagreement between professionals increased 2.39 times the chance of death in the first day (95% confidence interval 1.40 to 4.09), adjusted for center and maternal/ neonatal clinical conditions.
Conclusion: In infants with 23 to 26 weeks of gestation, disagreement between obstetricians and neonatologists, translated as lack of antenatal steroids and/or vaginal delivery, despite resuscitation procedures, increases the odds of death in the first day. | pt_BR |
| Affilliation | Universidade Ferderal de São Paulo. Escola Paulista de Medicina. Departamento de Pediatria. São Paulo, SP, Brasil. | pt_BR |
| Affilliation | Universidade Ferderal de São Paulo. Escola Paulista de Medicina. Departamento de Pediatria. São Paulo, SP, Brasil. | pt_BR |
| Affilliation | Universidade de São Paulo. Faculdade de Medicina. Hospital da Clínicas. Instituto da Criança. São Paulo, SP, Brasil. | pt_BR |
| Affilliation | Universidade Estadual de Campinas. Departamento de Pediatria. Campinas, SP, Brasil. | pt_BR |
| Affilliation | Universidade Estadual de São Paulo Julio de Mesquita Neto. Faculdade de Medicina de Botucatu. Departamento de Pediatria. Botucatu, SP, Brasil. | pt_BR |
| Affilliation | Pontifícia Universidade Universidade Católica do Rio Grande do Sul. Departamento de Pediatria. Porto Alegre, RS, Brasil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Neonatalogia. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Departamento de Pediatria. Ribeirão Preto, SP, Brasil. | pt_BR |
| Affilliation | Universidade Federal do Rio Grande do Sul. Departamento de Pediatria. Porto Alegre, RS, Brasil. | pt_BR |
| Subject | Fetal Viability | pt_BR |
| Subject | Steroids | pt_BR |
| Subject | Cesarean Section | pt_BR |
| Subject | Cardiopulmonary Resuscitation | pt_BR |
| Subject | Infant Newborn | pt_BR |
| Subject | Neonatal Mortality | pt_BR |
| DeCS | Viabilidade Fetal | pt_BR |
| DeCS | Esteroides | pt_BR |
| DeCS | Cesárea | pt_BR |
| DeCS | Ressuscitação Cardiopulmonar | pt_BR |
| DeCS | Recém-Nascido | pt_BR |
| DeCS | Mortalidade Infantil | pt_BR |
| xmlui.metadata.dc.subject.ods | 03 Saúde e Bem-Estar | |
