Gebelik haftasına göre küçük olmanın prematüre morbiditelerine etkisi

Yıl 2022, Cilt: 27 Sayı: 3, 287 - 292, 27.09.2022

Duran Yıldız Burak Ceran Ufuk Çakır Ali Ulaş Tuğcu Cüneyt Tayman

https://doi.org/10.21673/anadoluklin.1096789

Öz

Amaç: Gebelik yaşına göre düşük doğum ağırlığı (small for gestational age: SGA) olan prematüre bebeklerin prematüreliğe ek olarak hangi morbiditeler açısından daha riskli olduğu konusundaki kanıtlar yetersizdir. Çalışmamızda gebelik haftası <32 hafta olan SGA prematüre bebeklerin morbidite ve mortalite açısından risklerinin değerlendirilmesi amaçlanmıştır.

Yöntemler: Gebelik haftası <32 hafta olup SGA olan bebeklerin morbiditeleri ve mortalite verileri, <32 gebelik haftasında doğan gebelik haftasına uygun doğum ağırlığı ile doğan (appropriate for gestational age: AGA) bebekler ile karşılaştırıldı.

Bulgular: Çalışmaya 122 (%24,6) SGA ve 372 (%75,4) AGA bebek olmak üzere toplam 494 prematüre bebek dâhil edildi. Doğumda SGA olan bebeklerde AGA olanlara göre annede preeklampsi, nekrotizan enterokolit (NEK), prematüre retinopatisi (ROP), intraventiküler kanama (İVK) oranı daha yüksekti. Ayrıca SGA olanlarda AGA olanlara göre tam enteral beslenmeye geçiş zamanı, yoğun bakımda yatış süresi anlamlı olarak daha yüksekti (p<0,05).

Sonuç: Gebelik haftaları benzer olsa da SGA ve prematüre olan bebeklerde, AGA olan bebeklere göre İVK, ROP ve NEK gibi prematüre morbiditeleri daha yüksekti.

Anahtar Kelimeler

morbidite, mortalite, yenidoğan

Destekleyen Kurum

yok

Proje Numarası

yok

Teşekkür

yok

Effects of being small for gestational age on morbidities of prematurity

Öz

Aim: There is insufficient evidence on which morbidities are more risky for premature babies with small for gestational age (SGA) in addition to prematurity. In our study, it was aimed to evaluate the risks of SGA premature babies with a gestational age of <32 weeks, in terms of morbidities and mortality.

Methods: The morbidity and mortality data of SGA infants with a gestational age <32 weeks were compared with infants born at <32 gestational weeks with appropriate birth weight (appropriate for gestational age: AGA).

Results: A total of 494 premature infants, including 122 (24.6%) SGA and 372 (75.4%) AGA infants, were enrolled into the study. Infants with SGA had a higher rate of maternal preeclampsia, necrotizing enterocolitis (NEC), retinopathy of prematurity (ROP), and intraventricular bleeding (IVH) than those with AGA. Additionally, the transition time to full enteral nutrition and the length of stay in the intensive care unit were significantly higher in infants with SGA compared to those with AGA (p<0.05).

Conclusion: Although the gestational weeks are similar, morbidities of prematurity such as IVH, ROP and NEC are higher in SGA and premature infants, compared to infants with AGA.

Anahtar Kelimeler

morbidity, mortality, newborn

Proje Numarası

yok

Kaynakça

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