COVID-19 PANDEMİSİ SIRASINDA ÜÇÜNCÜ BASAMAK REFERANS BİR YENİDOĞAN YOĞUN BAKIM ÜNİTESİNDE ÇOK PRETERM DOĞUM ORANLARI

Yıl 2025, Cilt: 58 Sayı: 2, 76 - 80, 29.08.2025

Gökçe Çıplak , Nazlı Tekeli , Eda Ozden Tokalıoglu , Dilek Sahin , Cüneyt Tayman , Hayriye Gözde Kanmaz Kutman

https://doi.org/10.20492/aeahtd.1378815

Öz

Amaç: Viral hastalıkların gebelik ve fetüs üzerine önemli etkilerinden birinin preterm doğum olduğu bilinmektedir. Amacımız COVID 19 pandemisinin Türkiye’de yoğun bir üçüncü basamak referans yenidoğan yoğun bakım ünitesine <32 hafta preterm bebek yatış sıklığı üzerine etkisinin araştırılmasıdır.
Gereç ve Yöntem: Yenidoğan Yoğun Bakım Ünitesine (YYBÜ) pandemi öncesi Eylül 2019-Şubat 2020 ve pandemi sonrası yılın aynı dönemi (Eylül 2020-Şubat 2021) çok preterm (<32 hafta) bebek yatış oranı retrospektif olarak karşılaştırıldı.
Maternal/ neonatal özellikler ve perinatal risk faktörleri hasta kayıtlarından elde edildi.
Bulgular: Pandemi öncesi 6 aylık dönemde yenidoğan yoğun bakım ünitesine toplam 1687 bebek yatışı olduğu ve 266’sının (%15.7) <32 hafta preterm olduğu görüldü. Pandemi sonrası dönemde ise toplam yatış sayısı 1648, preterm yatış sayısı 230 (%13.9) idi. Yatış sıklığında yaklaşık %2’lik düşüşün istatiksel olarak anlamlı olmadığı görüldü. Her iki dönemde gestasyon haftası (28± 2,7 ve 29± 2.8 hafta), doğum ağırlığı (1370±531 ve 1327±517 g) , ve diğer temel maternal ve neonatal özellikler benzerdi (p>0.01).
Sonuç: Pandemi ve getirmiş olduğu kısıtlamalar gebelik sonuçlarını; günlük aktivitelerde değişme, sosyal ve ekonomik etkiler, sağlık hizmetlerinden faydalanma gibi endirekt mekanizmalarla etkilemiş olabilir. Kısa dönemde ve kısıtlı bir kohort değerlendirildiğinde preterm yatış sayısı azalmış gibi görünse de bu bulguların ulusal veriler ile desteklenmesi gerekir.

Anahtar Kelimeler

COVID-19 , preterm doğum , pandemi , gebelik

VERY PRETERM BIRTH RATES AT A REFERRAL TERTIARY NEONATAL INTENSIVE CARE UNIT DURING COVID-19 PANDEMIC

Öz

Aim: It is known that one of the important effects of viral diseases on pregnancy and fetus is preterm delivery. We aim to evaluate the impact of the COVID-19 pandemic on the frequency of very preterm (<32 weeks gestational age) infant admission at a referral tertiary neonatal intensive care unit in Turkey.
Material and Method: Very preterm infant admission rates to Neonatal Intensive Care Unit from September 2019-February 2020 before the pandemic and the same period of the year after the pandemic (September 2020-February 2021) were retrospectively compared. Maternal/ neonatal characteristics and perinatal risk factors were collected from patient records.
Results: A total of 1687 infants were admitted to the NICU during the 6 months before the pandemic, 266 (15.7%) of them were very preterm infants. The number of total admissions was 1648 and 230 (13.9%) of them were very preterm during the pandemic. About a 2% decrease in admission rates was not statistically significant. Mean gestational age (28± 2,7 and 29± 2.8 weeks), mean birth weight (1370± 531 and 1327± 517 g), and other basic maternal and neonatal characteristics were similar (p>0.01).
Conclusion: Pandemic and its restrictions may have affected to outcomes of pregnancy by indirect mechanisms such as changes in daily activities, social and economic effects, benefiting of health services. Although the number of preterm admission between the two periods seems to have no difference considering a limited cohort and short-term evaluation, these results should be supported by national data.

Anahtar Kelimeler

COVID-19 , preterm births , pandemic , pregnancy

Kaynakça

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