Maternal risk factors for ''adverse neonatal outcome” after term deliveries in Sri Lanka

Background: Even though forty to seventy percent of neonatal mortality are recorded among term neonates, information on outcomes neonates is scarce. The high volume admissions care units(NCU)signifies the importance studying maternal risk factors for such outcomes. Objectives:The present study aims identify for' “adverse outcome'' (ANO) following deliveries at Teaching Hospital Kandy. Methods:An unmatched case-control was nested within a descriptive follow-up study. A sample 1105 delivered termat Kandy, followed up until their initial discharge point. Results:Multivariate analysis, found that caesarean section with labour increases ANOamong by 3.37 ( CI- 2.13-5.33) times compared normal vaginal delivery. Further, 37 completed weeks Period Amenorrhea (POA) (OR-2.91,1.57-5.42), Pregnancy Induced Hypertension (PIH) (OR-2.46, 1.27-4.75), Gestational Diabetes Mellitus (GDM) (OR-2.33, 1.0-5.15), primiparity (OR-1.53, 1.02-2.30) and occupation as professionals (OR-3.45, 1.46-8.13) identified independent ANO neonates. Conclusions: Caesarean labour, POA, PIH, GDM, professional ANOin