Skip to main content

Table 3 Neonatal outcomes in the management of placenta accreta spectrum disorders underwent MOSCUS group compared to Cesarean hysterectomy

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

MOSCUS N = 217

HysterectomyN = 79

Total N = 296

OR 95%CI

p-value

Gestational age (weeks)

Mean ± SD (min–max)

35.32 ± 1.98

35.07 ± 1.97

35.25 ± 1.97 (28.4—40.5)

 

0.340┼

 < 34

26 (12.0)

8 (10.1)

34 (11.5)

1.208 (0.523–2.793)

0.658*

 ≥ 34

191 (88.0)

71 (89.9)

262 (88.5)

Ref

Birth weight (gram)

Mean ± SD (min–max)

2541.75 ± 527.00

2538.09 ± 498.27

2540.77 ± 518.65 (800–4100)

 

0.957┼

 < 2500

86 (39.6)

35 (44.3)

121 (40.9)

0.825 (0.490–1.389)

0.469*

 ≥ 2500

131 (60.4)

44 (55.7)

175 (59.1)

Ref

1 min APGAR score (point)

Median

5

5

5

 

0.747┼┼

IQR [1–3]

[5, 6]

[5, 6]

[5, 6]

(min–max)

(1–7)

(1–7)

(1–7)

 ≤ 3

15 (7.0)

4 (5.1)

19 (6.5)

1.388 (0.446–4.316)

0.570*

 > 3

200 (93.0)

74 (94.9)

277 (93.6)

Ref

5 min APGAR score (points)

Median

7

7

7

 

0.761┼┼

IQR [1–3]

[6, 7]

[6, 7]

[6, 7]

(min–max)

(4–8)

(3–9)

(3–9)

 < 7

73 (34.0)

25 (32.1)

98 (33.4)

1.090 (0.627–1.895)

0.760*

 ≥ 7

142 (66.0)

53 (67.9)

195 (66.6)

Ref

Oxygen support requirement

Yes

112 (51.6)

39 (49.4)

151 (51.0)

1.094 (0.654–1.831)

0.732*

No

105 (48.4)

40 (50.6)

145 (49.0)

Ref

Type of ventilation

Cannula/mask

77 (35.5)

30 (38.0)

107 (36.1)

 

CPAP

17 (7.8)

4 (5.1)

21 (7.1)

Mechanical ventilationa

18 (8.3)

5 (6.3)

23 (7.8)

Admission at NICU

Yes

94 (43.3)

36 (45.6)

130 (43.9)

0.913 (0.544–1.532)

0.73*

No

123 (56.7)

43 (54.4)

166 (56.1)

Ref

Length of stay at NICU

(days)

Median

6

7

6

 

0.646┼┼

IQR [1,–3]

[4,–10]

[4,–12]

[4,–10]

(min–max)

(1–41)

(1–50)

(1–50)

 ≥ 7

40 (42.6)

20 (55.6)

60 (46.2)

0.593 (0.273–1.285)

0.183**

 < 7

54 (57.4)

16 (44.4)

70 (53.8)

Ref

Major neonatal outcomes

Death/Transferred hospital

4b (1.8)

2c (2.5)

6 (2.0)

0.723 (0.130–4.027)

0.659**

Alive

213 (98.2)

77 (97.5)

290 (98.0)

Ref

  1. CPAP Continuous positive airway pressure, NICU Neonatal intensive care unit, Hb Hemoglobin
  2. IQR [1–3]: interquartile range [25%-75%]
  3. aMechanical ventilation including invasive and non-invasive method
  4. bintrauterine fetal demise (n = 1) and termination of pregnancy (n = 1), neonatal death due to severe pneumonia/respiratory distress syndrome (n = 1), and transferred hospital due to pulmonary effusion/pneumonia (n = 1)
  5. cin-utero fetal death (n = 1), transferred hospital due to the severe respiratory distress syndrome (n = 1). Missing data was calculated for in-utero fetal death before cesarean section under general anesthesia
  6. *Chi-square test
  7. **Fisher’s exact test
  8. ┼Independent sample-t test
  9. ┼┼Independent sample Mann Whitney test, asymptotic sig (2-sided) of p-value