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Table 2 Neonatal outcomes of pregnancies underwent emergency surgery compared to planned surgery in the management of placenta accreta spectrum disorders

From: Neonatal outcomes in the surgical management of placenta accreta spectrum disorders: a retrospective single-center observational study from 468 Vietnamese pregnancies beyond 28 weeks of gestation

Neonatal outcomes

Emergency surgery N = 65

Planned surgeryN = 403

Total N = 468

OR 95% CI

p-value

Gestational age (wks)

Mean (min–max)

34.02 ± 2.74

35.60 ± 1.63

35.38 (28–40.5)

 

 < 0.0001┼

 < 34

27 (41.5)

25 (6.2)

52 (11.1)

10.743 (5.675–20.338)

 < 0.0001*

 ≥ 34

38 (58.5)

378 (93.8)

416 (88.9)

Ref

Birthweight (gr)

Mean (min–max)

2203.08 ± 593.84

2624.30 ± 476.03

2565.67 ± 514.52 (800–4100)

 

 < 0.0001┼

 < 2500

43 (66.2)

136 (33.8)

179 (38.3)

3.823 (2.197–6.651)

 < 0.0001*

 ≥ 2500

22 (33.8)

266 (66.2)

288 (61.7)

Ref

APGAR score 1 min (points)

Median

5

5

5

 

0.004**

IQR

[4–6]

[5, 6]

[5, 6]

[1–3] (min–max)

(1–7)

(1–7)

(1–7)

 ≤ 3

11 (16.9)

15 (3.8)

26 (5.6)

5.215 (2.277–11.942)

 < 0.0001┼┼

 > 3

54 (83.1)

384 (96.2)

438 (94.4)

Ref

APGAR score 5 min (points)

Median

7

7

7

 

0.002**

IQR

[6, 7]

[6, 7]

[6, 7]

[1–3]

(1–9)

(1–8)

(1–9)

 < 7

29 (44.6)

105 (26.3)

134 (28.9)

2.256 (1.318–3.861)

0.003*

 ≥ 7

36 (55.4)

294 (73.7)

330 (71.1)

Ref

Requirement for oxygen support

Yes

42 (64.6)

182 (45.6)

224 (48.3)

2.177 (1.262–3.756)

 < 0.004*

No (air oxygen)

23 (35.4)

217 (54.4)

240 (51.7)

Ref

Type of ventilation

Cannula/mask

22 (33.8)

134 (33.6)

156 (33.6)

 

CPAP

10 (15.4)

24 (6.0)

34 (7.3)

Intubation

10 (7.3)

24 (6.0)

34 (7.3)

Admission at NICUa

Yes

44 (68.8)

151 (37.8)

195 (42.1)

3.613 (2.052–6.363)

 < 0.0001*

No

20 (31.2)

248 (62.2)

268 (57.9)

Ref

Length of stay at NICU (days)

Median

8.5

6

7

 

0.002**

IQR [1–3]

[6.0–14.75]

[6–9]

[5–11]

(min–max)

(3–51)

(1–56)

(1–56)

 ≥ 7

29 (65.9)

69 (45.7)

98 (50.3)

2.298 (1.140–4.630)

0.018*

 < 7

15 (34.1)

82 (54.3)

97 (49.7)

Ref

Major neonatal outcomeb

Death/Transferred hospital

0 (0.0)

6 (1.5)

6 (1.3)

NA

1.0┼┼

Alive

65 (100.0)

396 (98.5)

461 (98.7)

  1. Statistically significant p-values (< 0 .05) are written in bold
  2. IQR [1–3]: interquartile range [25%-75%]
  3. aFour neonates were death and one was transferred to pediatric hospital without admission to NICU. Missing data was calculated for in-utero fetal death before cesarean section under general anesthesia
  4. bSevere neonatal jaundice requiring phototherapy was recorded in 10 cases
  5. *Chi-squared test
  6. **Independent sample Mann Whitney test
  7. ┼Independent samples- t test,
  8. ┼┼Fisher’s exact test, p-value of exact sign (2-sided test)