Effects of Breastfeeding and Perinatal Factors on Development of Retinopathy of Prematurity

Yıl 2019, Cilt: 46 Sayı: 1, 91 - 96, 03.03.2019

Sabit Kimyon Alper Mete

https://doi.org/10.5798/dicletip.534838

Öz

Objective:
Breastfeeding is very important for the development and well-being of an
infant. Other perinatal factors also influence the well-being of the infant
like the method of conception, delivery method and multiple pregnancy. Our aim
in this study is to investigate the effects of these factors on the development
of retinopathy of prematurity (ROP).

Methods:
The records of premature infants who were screened for ROP between 2015 and
2018. Gestational age (GA), birth weight (BW), sex, time spent in neonatal
intensive care unit (NICU), assisted reproduction method, method of delivery,
breastfeeding and multiple births were noted. The presence of ROP, stage and
zone of the disease, treatment for ROP were recorded.

Results: GA
and BW were significantly lower and time spent in NICU was significantly longer
in infants with ROP (p<0.001). Only breastfed patients had a lower rate of
ROP than other groups, however they had significantly higher GA, BW and lower
time in NICU. Assisted conception significantly decreased the presence of any
stage ROP (p=0.037). Delivery method and multiple pregnancy didn’t have an
effect on the presence of ROP.

Conclusion:
Low GA, low BW and more time spent in NICU are the major risk factors for
development of ROP. The relation between ROP and breastfeeding is not reliable
because of the significant difference of BW, GA and time spent in NICU that
exists between the only breastfed group and others. Assisted reproductive techniques
decreased the incidence of ROP which might be due to the advances in the
assisted reproduction methods.

Anahtar Kelimeler

Retinopathy of prematurity, breastfeeding, assisted reproduction, delivery method

Kaynakça

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