Doğum Şekli Ve Anneye Uygulanan Anestezi Tipinin Postnatal Erken Dönemde Yeni Doğanlarda Görülen Tartı Kaybına Etkileri

Year 2009, Volume: 3 Issue: 1, 31 - 40, 01.12.2009

Nurullah Okumuş Eray Esra Önal Canan Türkyılmaz Selda Demirci Esin Koç Yıldız Atalay Ebru Ergenekon Berrin Günaydın

Abstract

Amaç: Bu çalışmada, doğum şekli ve anneye uygulanan anestezinin, yenidoğanlarda, erken postnatal dönemde görülen tartı kaybına etkisi olup olmadığını belirlemek amaçlandı. Materyal ve Metod: Retrospektif olarak gerçekleştirilen bu çalışmaya, Gazi Üniversitesi Tıp Fakültesi’nde doğan ve herhangi bir nedenle yenidoğan yoğun bakım ünitesine yatırılmayan, konjenital anomalisi olmayan, formula desteği almayan ve sadece anne sütü ile beslenen 1463 yenidoğan dahil edildi. Yenidoğanlar, doğum şekli ve anneye uygulanan anestezi tipine göre; normal spontan vajinal yolla doğup annesine anestezi uygulanmayan, annesine epidural anestezi uygulanan, sezaryenle doğup annesine genel anestezi veya epidural anestezi uygulanan olmak üzere 4 alt gruba ayrıldılar. Çalışmaya alınan tüm yenidoğanlar, postnatal 2., 3., 5. ve 7. günlerde tartıldı ve tartı alımı ve kayıpları (% olarak) kaydedildi. Bulgular: Yenidoğanlarda postnatal 2., 3., 5. ve 7. günlerdeki tartı kayıpları sırasıyla %5.3±2.7, %5.8±3.0, %4.6±3.2 and %2.2±2.4 olarak bulundu. Maksimum tartı kaybı postnatal 3. günde (%5.8) gerçekleşti. Sezaryen ile doğan yenidoğanlarda tartı kaybı, vajinal yolla doğanlara göre (p<0.05) ve annesine epidural anestezi uygulananlarda, genel anestezi uygulananlara göre (p<0.05) daha fazla bulundu. Sonuç: Yenidoğanlarda postnatal tartı kaybı, doğum şekli ve anneye uygulanan anestezi tipine göre farklılık göstermektedir. Bildirilen bu sonuçlar ışığında, yenidoğanlarda postnatal erken dönemde tartı kaybı değerlendirilirken, doğum şekli ve anestezi tipinin de gözönünde bulundurulması gerekmektedir.

Keywords

Yenidoğan, tartı kaybı, epidural anestezi

EFFECTS OF BIRTH ROUTE AND TYPE OF MATERNAL ANESTHE- SIA ON WEIGHT LOSS IN NEWBORNS IN EARLY POSTNATAL PERIOD

Abstract

Aim: Our objective was to evaluate the effects of birth route and type of maternal anesthesia on weight loss in newborns in the early postnatal period. Material and Methods: All newborns who were born in Gazi University Medical Faculty in the study period without any congenital anomalies, completely breastfed and who were not hospitalized in neonatal intensive care unit were included in this retrospective study.Newborns were grouped according to mode of delivery (vaginal delivery or cesarean section) and type of maternal anesthesia (no anesthesia, epidural anesthesia, general anesthesia). All newborns who included in the study were evaluated for the postnatal weight loss (% of birth weight) at least once on the 2nd, 3rd, 5th and/or 7th day of life. Results: There were 1463 newborns who met the inclusion criteria. Average weight losses on the 2nd, 3rd, 5th and 7th days of life were 5.3±2.7%, 5.8±3.0%, 4.6±3.2% and 2.2±2.4%, respectively. Maximum weight loss (5.8%) occured on postnatal 3rd day. Newborns born by cesarean section lost more weight than those born vaginally (p<0.05) and newborns whose mothers were applied epidural anesthesia lost more weight than those whose mothers were applied general anesthesia (p<0.05). Conclusion: Postnatal weight loss pattern is different among newborns, according to mode of delivery and type of maternal anesthesia. According to our results, in evaluating early postnatal weight loss in newborns, mode of delivery an type of maternal anesthesia must be kept in mind

Keywords

Newborn, weight loss, epidural anesthesia

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