Relationships Among Intrapartum Maternal Fluid Intake,Birth Type,Neonatal Output,and Neonatal Weight Loss During the First 48 Hours After Birth |
| |
| Affiliation: | 1. Women''s Health Services, Riverside Methodist Hospital, Columbus, OH.;2. Nursing at Capital University, Columbus, OH.;1. Endocrinology Unit, Universidade Federal do Vale do São Francisco, Petrolina, Brazil;2. Department of Nursery Graduation, Universidade Federal do Vale do São Francisco, Petrolina, Brazil;3. Universidade Federal do Vale do São Francisco, Petrolina, Brazil;4. Department of Fetal Medicine, Instituto de Medicina Integral Professor, Fernando Figueira, Recife, Brazil;5. Department of Fetal Medicine, Hospital Dom Malan, Petrolina, Brazil;6. Instituto de Medicina Integral Professor, Fernando Figueira, Recife, Brazil;7. Li Ka Shing Knowledge Institute, St. Michael’s Hospital, University of Toronto, Toronto ON;8. Departments of Medicine and Obstetrics and Gynecology, St. Michael’s Hospital, University of Toronto, Toronto ON;1. University Medical Center Groningen, Department of Paediatrics, Division of Developmental Neurology, University of Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands;2. University Medical Center Groningen, Department of Epidemiology, University of Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands;3. Department of Obstetrics and Gynaecology, Academic Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands;4. Department of Department of Mathematics and Computer Science, Division of Stochastics W&I, Eindhoven University of Technology, De Rondom 70, 5612 AP Eindhoven, The Netherlands |
| |
| Abstract: | ObjectiveTo examine predictive relationships among intrapartum maternal fluid intake, birth type, neonatal output, and neonatal weight loss during the first 48 hours after birth.DesignProspective descriptive design.SettingWomen's center of a 900-bed regional acute care facility with 6,700 births per year.ParticipantsA convenience sample of 200 mother/neonate dyads. The Optimality Index of Murphy and Fullerton guided the inclusion and exclusion criteria to ensure healthy dyads.MethodsData collection began in the intrapartum period and concluded with maternal/neonatal discharge. Measures included maternal intrapartum fluid intake from admission to birth, daily neonatal weight, output, and feedings. Data were analyzed via descriptive statistics, tests of significance and multiple regression.ResultsNeonatal weight loss was not significantly related to intrapartum maternal fluid intake. Strong predictors of neonatal weight loss and significant weight loss within the first 48 hours were type of feeding (p=.000) and average number of wet diapers (p=.003).ConclusionsVariables predictive of neonatal weight loss can facilitate identification of at-risk neonates to prevent significant weight loss. Close monitoring of the number of wet diapers in the first 48 hours and accurate daily weights at birth time can lead to early detection and preventive interventions. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
