Maternal hypertensive disorders are an independent risk factor for the development of necrotizing enterocolitis in very low birth weight infants

Asher Bashiri, Ehud Zmora, Eyal Sheiner, Reli Hershkovitz, Ilana Shoham-Vardi, Moshe Mazor

    Research output: Contribution to journalArticlepeer-review

    40 Scopus citations

    Abstract

    Objective: The purpose of this study was to compare complications and outcome of preterm neonates weighing ≤1,500 g who developed necrotizing enterocolitis (NEC) to neonates without NEC. Study Design: During January, 1995 to December, 1998, 211 live preterm neonates were born with birth weight ≤1,500 g. A cross sectional prospective study was designed and two groups were defined: 17 neonates who developed NEC and 194 without NEC. Multiple logistic regression analysis was performed to determine independent risk factors for the development of NEC. Results: The prevalence of NEC was 8% (17/211). The following complications were found to be significantly higher among mothers of neonates with NEC: mild pre-eclampsia (11.8 vs. 2.6%, p = 0.04); severe pre-eclampsia (35.5 vs. 12.9%, p = 0.01); chronic hypertension (29.4 vs. 5.7%, p < 0.001) and low birth weight (968 ± 233 vs. 1,123 ± 257 g, p = 0.02). In contrast, mean maternal age, mean gestational age at delivery and parity were not significantly different between the groups. A multivariate analysis including the following factors: maternal hypertensive disorders, pre-gestational diabetes mellitus, birth weight and gestational age at delivery, found only maternal hypertensive disorders to be independent risk factors for NEC (OR = 5.21, 95% CI 1.64-16.58). Conclusions: Maternal hypertension is an independent risk factor for the development of NEC in preterm neonates weighing <1,500 g. Thus, maternal vascular disorders may play an important role in the pathophysiology of NEC.

    Original languageEnglish
    Pages (from-to)404-407
    Number of pages4
    JournalFetal Diagnosis and Therapy
    Volume18
    Issue number6
    DOIs
    StatePublished - 7 Nov 2003

    Keywords

    • Maternal hypertension
    • Necrotizing enterocolitis
    • Prematurity
    • Very low birth weight

    ASJC Scopus subject areas

    • Pediatrics, Perinatology, and Child Health
    • Embryology
    • Radiology Nuclear Medicine and imaging
    • Obstetrics and Gynecology

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