Nadia Diamond-Smith, Lakshmi Gopalakrishnan, Hannah Leslie, Elizabeth Katz, Cynthia Harper, Sheri Weiser, Sumeet R Patil
Life skills and reproductive health empowerment intervention for newly married women and their families to reduce unintended pregnancy in India: protocol for the TARANG cluster randomised controlled trial
BMJ open
micrognathia congenital anomaly may pose breathing feeding limitations newborns sometimes necessitating invasive management present study aims identify complications associated receiving mandibular surgery birth stay order better predict patients may benefit early surgical intervention retrospective cohort study performed using 2000 2012 kids inpatient databases included live newborn infants born hospital vaginal delivery caesarean section used multivariate logistic regression investigate demographic clinical factors associated receiving mandibular surgery micrognathia birth stay 19638453 births 999 diagnosed micrognathia 0005 forty 4 patients micrognathia underwent mandibular surgery initial admission univariate analysis newborns micrognathia mandibular surgery birth stay associated cleft palate apnea intubation tracheostomy obstructive sleep apnea osa long mechanical ventilation multivariate analysis supported association mandibular surgery initial admission long mechanical ventilation odds ratio 246 95 confidence interval ci 77785 osa 249 95 ci 252618 apnea 42 95 ci 15113 cleft palate 46 95 ci 20106 however intubation tracheostomy found associated early mandibular surgery birth stay present study identified long mechanical ventilation apnea cleft palate osa factors indicating patients may benefit early mandibular surgery mandibular distraction osteogenesis findings may bring clinician closer standardizing indications early mandibular distraction osteogenesis