Clinical Features of Late-preterm vs. Term Newborns:A Case-control Study

Ustabaş Kahraman, Feyza; say, zuleyha aysu; Ovalı, Hüsnü Fahri

Clinical Features of Late-preterm vs. Term Newborns:A Case-control Study

Feyza USTABAŞ KAHRAMAN, (Bezmialem Vakıf Üniversitesi Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları Anabilim Dalı)

Fahri OVALI, (Medeniyet Üniversitesi Pediatri Bölümü, İstanbul, Türkiye)

Zeliha Aysu SAY (Çocuk Sağlığı ve Hastalıkları Kliniği, Yenidoğan Yoğun Bakım Ünitesi, Zeynep Kamil Doğum ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi, İstanbul, Türkiye)

Kafkas Tıp Bilimleri Dergisi

2 0

Yıl: 2020 Cilt: 10 Sayı: 1 Sayfa Aralığı: 8 - 14 Metin Dili: İngilizce İndeks Tarihi: 26-05-2021

Clinical Features of Late-preterm vs. Term Newborns:A Case-control Study

Öz:

Aim: This study aimed to compare the morbidity and mortality of preterm and term neonates who were admitted to the neonatal intensive care unit.Material and Method: In this study, we compared the neonatal problems and mortality rates of 250 late-preterm newborns (gesta-tional age: 34 0/7 – 36 6/7 weeks) and 250 term newborns (gestation-al age: 37–42 weeks) who were admitted to the Neonatal Intensive Care Unit of Zeynep Kamil Women and Children’s Diseases Training and Research Hospital from 01.05.2009 to 01.05.2010.Results: Respiratory distress, feeding problems, hypoglycemia, hypothermia, necrotizing enterocolitis, jaundice, and sepsis were significantly more frequent in late-preterms compared to term new-borns. While respiratory distress was observed in 25.2% of late-pre-terms, only 7.2% of terms had respiratory distress. Cesarean deliv-ery, male gender, LGA status, and late-prematurity were statistically significant risk factors for respiratory distress. The late-preterm new-borns were 2.96 times more likely than term newborns to experi-ence feeding problems, 1.12 times more likely to exhibit hypoglyce-mia, and 2.24 times more likely to have indirect hyperbilirubinemia.Conclusion: We conclude that late-preterm newborns have a significantly higher risk of morbidity and mortality than term new-borns. We believe clinicians should be aware of this fact, and the evaluation and follow-up of these newborns, which are usually considered to be ‘term’ for all intents and purposes, should be carried out with greater case.

Anahtar Kelime:

Geç Preterm ve Term Yenidoğanların Klinik Özellikleri: Bir Vaka Kontrol Çalışması

Öz:

Amaç:Bu çalışmada yenidoğan yoğun bakım ünitesine başvuran erken doğmuş yenidoğanların morbidite ve mortalite oranlarının karşılaştırılması amaçlandı.Materyal ve Metot:Bu çalışmada Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi Yenidoğan Yoğun Bakım Birimi’ne 01.05.2009 ile 01.05.2010 tarihleri arasında başvuru 250 eç preterm yenidoğan (gebelik yaşı: 34 0/7 – 36 6/7 hafta) ve 250 term yenidoğan (gebelik yaşı: 37–42 hafta) yenidoğan sorunları ve ölüm oranları açısından karşılaştırıldı.Bulgular:Solunum sıkıntısı, beslenme sorunları, hipoglisemi, hi-potermi, nekrotizan enterokolit, sarılık ve sepsis geç preterm ye-nidoğanlarda term yenidoğanlara göre anlamlı olarak daha sık görülmüştür.Geçpretermlerin%25,2’sindesolunumsıkıntısıgörülürken, termlerin yalnızca %7,2’sinde solunum sıkıntısı vardı. Sezaryen doğum, erkek cinsiyeti, gebelik yaşına göre ağır olma durumu ve prematürite solunum sıkıntısı için istatistiksel olarak an-lamlı risk faktörleriydi. Geç pretermler, term yenidoğana göre bes-lenme problemlerinin 2,96 kat, hipogliseminin 1,12 kat ve indirekt hiperbilirubineminin 2,24 kat daha fazla olduğu görülmüştür.Sonuç:Geç preterm yenidoğanların morbidite ve mortalite riskinin term yenidoğanlara göre anlamlı derecede yüksek olduğu sonucu-na vardık. Klinisyenlerin bu gerçeğin farkında olarak genellikle term gibi kabul edilen geç preterm yenidoğanların değerlendirilmesi ve takibinin daha dikkatli yapılması gerektiğine inanıyoruz.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Ustabaş Kahraman F, Ovalı H, say z (2020). Clinical Features of Late-preterm vs. Term Newborns:A Case-control Study. , 8 - 14.
Chicago	Ustabaş Kahraman Feyza,Ovalı Hüsnü Fahri,say zuleyha aysu Clinical Features of Late-preterm vs. Term Newborns:A Case-control Study. (2020): 8 - 14.
MLA	Ustabaş Kahraman Feyza,Ovalı Hüsnü Fahri,say zuleyha aysu Clinical Features of Late-preterm vs. Term Newborns:A Case-control Study. , 2020, ss.8 - 14.
AMA	Ustabaş Kahraman F,Ovalı H,say z Clinical Features of Late-preterm vs. Term Newborns:A Case-control Study. . 2020; 8 - 14.
Vancouver	Ustabaş Kahraman F,Ovalı H,say z Clinical Features of Late-preterm vs. Term Newborns:A Case-control Study. . 2020; 8 - 14.
IEEE	Ustabaş Kahraman F,Ovalı H,say z "Clinical Features of Late-preterm vs. Term Newborns:A Case-control Study." , ss.8 - 14, 2020.
ISNAD	Ustabaş Kahraman, Feyza vd. "Clinical Features of Late-preterm vs. Term Newborns:A Case-control Study". (2020), 8-14.

APA	Ustabaş Kahraman F, Ovalı H, say z (2020). Clinical Features of Late-preterm vs. Term Newborns:A Case-control Study. Kafkas Tıp Bilimleri Dergisi, 10(1), 8 - 14.
Chicago	Ustabaş Kahraman Feyza,Ovalı Hüsnü Fahri,say zuleyha aysu Clinical Features of Late-preterm vs. Term Newborns:A Case-control Study. Kafkas Tıp Bilimleri Dergisi 10, no.1 (2020): 8 - 14.
MLA	Ustabaş Kahraman Feyza,Ovalı Hüsnü Fahri,say zuleyha aysu Clinical Features of Late-preterm vs. Term Newborns:A Case-control Study. Kafkas Tıp Bilimleri Dergisi, vol.10, no.1, 2020, ss.8 - 14.
AMA	Ustabaş Kahraman F,Ovalı H,say z Clinical Features of Late-preterm vs. Term Newborns:A Case-control Study. Kafkas Tıp Bilimleri Dergisi. 2020; 10(1): 8 - 14.
Vancouver	Ustabaş Kahraman F,Ovalı H,say z Clinical Features of Late-preterm vs. Term Newborns:A Case-control Study. Kafkas Tıp Bilimleri Dergisi. 2020; 10(1): 8 - 14.
IEEE	Ustabaş Kahraman F,Ovalı H,say z "Clinical Features of Late-preterm vs. Term Newborns:A Case-control Study." Kafkas Tıp Bilimleri Dergisi, 10, ss.8 - 14, 2020.
ISNAD	Ustabaş Kahraman, Feyza vd. "Clinical Features of Late-preterm vs. Term Newborns:A Case-control Study". Kafkas Tıp Bilimleri Dergisi 10/1 (2020), 8-14.