Author/Authors :
-، - نويسنده Professor, Department of Perinatology, School of Medicine, Tehran University Medical of Sciences, Tehran, Iran Hantoosh Zadeh, Sedigheh , -، - نويسنده Associate Professor, Maternal, Fetal & Neonatal Research Center, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Shariat, Mamak , -، - نويسنده Graduate , Master of Physiology, Maternal, Fetal & Neonatal Research Center, School of Medicine ,Tehran University Medical of Sciences, Tehran, Iran Farahani, zahra , -، - نويسنده Medical Doctor, Breastfeeding Research Center, School of Medicine , Tehran University of Medical Sciences, Tehran, Iran Dehghan, Padideh , -، - نويسنده Medical Doctor, Department of Midwifery, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Mansory, Rodabeh , -، - نويسنده Medical Doctor, Department of Midwifery, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Chegini, Nasrin , -، - نويسنده Graduate , Bachelor of Midwifery, Department of Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Amini, Freshteh
Abstract :
Background & aim: High-risk pregnancies increase the risk of Intensive Care Unit (ICU) and Neonatal Intensive Care Unit (NICU) admission in mothers and their newborns. In this study, we aimed to identify the association between the recurrence of high-risk pregnancy and mothers’ previous experience of having an infant admitted to NICU. Methods:We performed a cohort, retrospective study to compare subsequent pregnancy outcomes among 232 control subjects and 200 female cases with a previous experience of having a newborn requiring NICU admission due to intrauterine growth retardation, preeclampsia, preterm birth, premature rupture of membranes, and asphyxia. The information about the prevalence of subsequent high-risk pregnancies was gathered via phone calls. Results: As the results indicated, heparin, progesterone, and aspirin were more frequently administered in the case group during subsequent pregnancies, compared to the control group (P<0.001). Also, pregnancy-induced hypertension, preeclampsia, preterm labor, and gestational diabetes mellitus were more frequent in the case group, compared to the control group (P<0.05). Conclusion: There was a positive correlation between recurrent high-risk pregnancy and previous experience of having a newborn requiring NICU admission. As the results indicated, mothers in the case group were at a higher risk for preeclampsia, preterm labor, and gestational diabetes mellitus, compared to the control group. Therefore, earlier diagnosis, prompt treatment, and prevention should be taken into account by physicians.
