Association between time of delivery and composite adverse outcomes in pregnancies complicated by hypertensive disorders. (3rd July 2021)

• Record Type: Journal Article
• Authors: Wagner, Stephen M.; Chen, Han-Yang; Gupta, Megha; Bicocca, Matthew J.; Mendez-Figueroa, Hector; Chauhan, Suneet P.
• Is Part Of: Hypertension in pregnancy. Volume 40:Number 3(2021)
• Page Start: 246
• Page End: 253
• Publication Date: 2021-07-03
• Subjects: Hypertensive disorders of pregnancy -- neonatal morbidity -- maternal morbidity; Hypertension in pregnancy -- Periodicals; Pregnancy -- Complications -- Periodicals; 618.3261
• DOI: 10.1080/10641955.2021.1974879
• Languages: English
• ISSNs: 1064-1955

Abstract

ABSTRACT: Introduction: A potential manner to lower the morbidity with the hypertensive disoreders of pregancy is to explore the time of day of delivery. Objective: To compare composite neonatal adverse outcomes among term women with hypertensive disorders. Methods: This population-based cohort study used the U.S. vital statistics dataset from 2013 to 2017. Time of delivery was categorized into three shifts. The primary outcome was composite neonatal adverse outcome.. Results: Compared to neonates delivered at the first shift, the risk of composite neonatal adverse outcome was higher at the third shift (aRR = 1.19, 95% CI = 1.13–1.25). Conclusion: the risk of composite neonatal adverse outcome is higher if the delivery occurs at the third (23:00–7:00) shift.