Complications of Birth Before Arrival at Samut Sakhon Hospital

Authors

  • Tatchamon Liangpanich Emergency Department Samutsakhon Hospital

Keywords:

Birth Before Arrival (BBA), Maternal Complications, Neonatal Complications

Abstract

Objective : To investigate complications related to births occurring before arrival at the hospital (Born Before Arrival: BBA)
Methods : This study was a retrospective case-control study involving 354 mothers and newborns, divided into 177 cases of hospital deliveries and 177 cases of BBA. Data were analyzed using logistic regression.
Results : Among the BBA cases, the majority (64.4%) arrived at the hospital via the emergency medical service and 70.06% delivered at home. Maternal with Myanmar nationality had a higher risk of BBA than Maternal with Thai nationality. (Adj. OR = 1.94, p < 0.01) Maternal complications were found in 9 cases (5.08%), while neonatal complications occurred in 127 cases (71.75%). Significant complications included neonatal sepsis in 29 cases (16.38%), polycythemia in 22 cases (12.43%), and hypothermia in 100 cases (56.50%). Additionally, 12 neonates (6.78%) required admission to the Neonatal Intensive Care Unit (NICU). Logistic regression analysis indicated that BBA (Adj. OR = 4.91, p < 0.01) and maternal underlying conditions (Adj. OR = 3.14, p = 0.02) were significantly associated with neonatal complications.
Conclusion : The BBA group were at significantly higher risk for neonatal complications, particularly infections, hypothermia, and the need for NICU admission.

References

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Published

2026-03-31

How to Cite

Liangpanich, T. (2026). Complications of Birth Before Arrival at Samut Sakhon Hospital. Health Science and Nursing Samutsakhon Hospital Journal, 1(2), 183–194. retrieved from https://he05.tci-thaijo.org/index.php/HSN_SKHJ/article/view/7679

Issue

Vol. 1 No. 2 (2024): July-December 2024

Section

Original Article

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