Yenidoğan Yoğun Bakım Ünitesinde Yatan Prematüre Bebeklerde Ekstrauterin Büyüme Geriliği ve Etki Eden Faktörler

Ebru Şenol; Şükrü Aydemir; Serdar Cömert; Müjde Tuba Çöğürlü; Tutku Özdoğan

doi:10.5222/j.child.2017.107

Yenidoğan Yoğun Bakım Ünitesinde Yatan Prematüre Bebeklerde Ekstrauterin Büyüme Geriliği ve Etki Eden Faktörler

Yıl 2017, Cilt: 17 Sayı: 3, 107 - 113, 01.07.2017

Ebru Şenol Şükrü Aydemir Serdar Cömert Müjde Tuba Çöğürlü Tutku Özdoğan

https://doi.org/10.5222/j.child.2017.107

Öz

Amaç: Ekstrauterin büyüme geriliği EUBG prematüre bebeklerde görülen en sık morbidite olarak kabul edilmektedir. Bu çalışmada amacımız ünitemizde izlenen prematüre bebeklerde EUBG sıklığını ve etki eden risk faktörlerini saptamaktı.Gereç ve Yöntem: Çalışmamıza, yenidoğan yoğun bakım ünitesinde izlenen ve taburcu edilen, doğum ağırlığı 1500 gr’ın altında, doğum haftası 33 haftadan küçük olan çok düşük doğum ağırlıklı ÇDDA 108 bebek dahil edildi. Hastaların demografik özellikleri, tartı takipleri, ek morbiditeleri incelendi; günlük kalori alımları, doğum ve taburculuk tartı persentilleri hesaplandı ve değerlendirildi. Bulgular: Hastalarımızın ortalama gestasyon haftası 29,0±2,4 hafta; ortalama doğum tartıları 1094±279 gramdı. Çalışmamızda %26,9 hastada intrauterin büyüme kısıtlılığı İUBK tespit edildi, EUBG oranı ise %75 olarak saptandı. EUBG olan ve olmayan bebeklerin doğum tartıları veya gestasyon haftaları arasında istatistiksel olarak anlamlı farklılık görülmedi ancak EUBG olan bebeklerde İUBK oranı EUBG olmayanlardan anlamlı p

Anahtar Kelimeler

Preterm, ekstrauterin, büyüme geriliği

Kaynakça

1. Ziegler EE. Nutrient requirements of premature infants. Nutrition Support for Infants and Children at Risk, Nestle Nutrition Workshop Series Pediatric Program 2007; 59:161-76. https://doi.org/10.1159/000098534
2. American Academy of Pediatrics Committee on Nutrition: Nutritional needs of low-birth-weight infants. Pediatrics 1985; 75:976-86.
3. Cooke RJ, Ainsworth SB, Fenton AC. Postnatal growth retardation: a universal problem in preterm infants. Arch Dis Child Fetal Neonatal Ed 2004; 89(5):428-30. https://doi.org/10.1136/adc.2001.004044
4. Ehrenkranz RA, Younes N, Lemons JA, et al. Longitudinal growth of hospitalized very low birth weight infants. Pediatrics 1999; 104:280-89. https://doi.org/10.1542/peds.104.2.280
5. Mathew G, Gupta V, Santhanam S, Rebekah G. Postnatal Weight Gain Patterns in Preterm Very-LowBirth-Weight Infants Born in a Tertiary Care Center in South India. J Trop Pediatr 2017 Jun 3. https://doi.org/10.1093/tropej/fmx038
6. Japakasetr S, Sirikulchayanonta C, Suthutvoravut U, Chindavijak B, Kagawa M, Nokdee S. Implementation of a Nutrition Program Reduced PostDischarge Growth Restriction in Thai Very Low Birth Weight Preterm Infants. Nutrients. 2016 Dec 17;8(12). https://doi.org/10.3390/nu8120820
7. Martin CR, Brown YF, Ehrenkranz RA, et al. Nutritional practices and growth velocity in the first month of life in extremely low gestational age newborns. Pediatrics 2009; 124:649-57. https://doi.org/10.1542/peds.2008-3258
8. Radmacher PG, Looney SW, Rafail AT, et al. Prediction of extrauterine growth retardation in VLBW infants. Journal of Perinatology 2003; 23:392-95. https://doi.org/10.1038/sj.jp.7210947
9. Raaijmakers A, Allegaert K. Catch-Up Growth in Former Preterm Neonates: No
10. Stephens BE, Walden RV, Gargus RA, Tucker R, McKinley L, Mance M, Nye J, Vohr BR. First-week protein and energy intakes are associated with 18-month developmental outcomes in extremely low birth weight infants. Pediatrics 2009; 123(5):1337-43. https://doi.org/10.1542/peds.2008-0211
11. Rudolph AJ, Smith CA. Idiopathic RDS of the newborn. J Pediatrics 1960; 57:905-21. https://doi.org/10.1016/S0022-3476(60)80143-6
12. Ehrenkranz RA, Walsh MC, Vohr BR, et al. Validation of National Institution of Health Consensus Definition of Bronchopulmonary Dysplasia. Pediatrics 2005; 116:1353-60. https://doi.org/10.1542/peds.2005-0249
13. Papile LA, Munsick-Bruno G, Schaefer A. Relationship of cerebral intraventricular hemorrhage and early childhood neurologic handicaps. J Pediatr 1983; 103:273-77. https://doi.org/10.1016/S0022-3476(83)80366-7
14. Bell MJ, Ternberg JL, Feigin RD, et al. Neonatal necrotizing enterocolitis. Therapeutic decisions based upon clinical staging. Ann Surg 1978; 187:1-7.
15. Lemons JA, Bauer CR, Oh W, et al. Very Low Birth Weight Outcomes of the National Institute of Child Health and Human Development Neonatal Research Network, January 1995 Through December 1996. Pediatrics 2001; 107:e1. https://doi.org/10.1542/peds.107.1.e1
16. Shan HM, Cai W, Cao Y. Extrauterine growth retardation in premature infants in Shanghai: a multicenter retrospective review. European Journal of Pediatrics 2009; 168:1055-59. https://doi.org/10.1007/s00431-008-0885-9
17. Sakurai M, Itabashi K, Sato Y, et al. Extrauterine Growth Restriction in Preterm Infants of Gestational age ≤32 weeks. Pediatrics International 2008; 50:70- 75. https://doi.org/10.1111/j.1442-200X.2007.02530.x
18. Blackwell T, Eichenwald EC, McAlmon K, et al. Interneonatal intensive care unit variation in growth rates and feeding practices in healthy moderately premature infants. Journal of Perinatology 2005; 25:478- 85. https://doi.org/10.1038/sj.jp.7211302
19. Sauer PJJ. Can extrauterine growth approximate intrauterine growth? Should it? Am J Clin Nutr 2007; 85:608-13.
20. Curtis MD, Rigo J. Extrauterine growth restriction in very-low-birth weight infants. Acta Pediatrica 2004; 93:1563-68. https://doi.org/10.1111/j.1651-2227.2004.tb00844.x
21. Clark RH, Thomas P, Peabody J. Extrauterine Growth Restriction remains a serious problem in prematurely born neonates. Pediatrics 2003; 111:986-90. https://doi.org/10.1542/peds.111.5.986
22. Dusick AM, Poindexter BB, Ehrenkranz RA, Lemons JA. Growth failure in the preterm infant: Can we catch up? Seminars in Perinatology 2003; 27:302- 10. https://doi.org/10.1016/S0146-0005(03)00044-2
23. Shan HM, Cai W, Sun JH, et al. Extrauterine Growth Retardation and correlated factors in premature neonates. Chinese Journal of Pediatrics 2007; 45:183-88.
24. Cai YJ, Song YY, Huang ZJ, Li J, Xiao XW, Qi JY, Wang LX. Risk factors for extrauterine growth retardation at discharge in premature infants. Zhongguo Dang Dai Er Ke Za Zhi 2015; 17(7):659-62.
25. Grover A, Khashu M, Mukherjee A, Kairamkonda V. Iatrogenic malnutrition in neonatal intensive care units: Urgent need to modify practice. Journal of Parenteral and Enteral Nutrition 2008; 32:140-44. https://doi.org/10.1177/0148607108314373

Extrauterine Growth Retardation in Preterm Infants Hospitalized in A Neonatal Intensive Care Unit and Identification of Contributing Factors

Yıl 2017, Cilt: 17 Sayı: 3, 107 - 113, 01.07.2017

Ebru Şenol Şükrü Aydemir Serdar Cömert Müjde Tuba Çöğürlü Tutku Özdoğan

https://doi.org/10.5222/j.child.2017.107

Öz

Objective: Extrauterine growth retardation is now accepted as the most common morbidity of premature infants worldwide. The aim of the present study was to determine the frequency and contributing factors of EUGR in preterms.Material and Methods: The sample included 108 VLBW infants born at

Anahtar Kelimeler

Preterm, extrauterine, growth retardation

Kaynakça

1. Ziegler EE. Nutrient requirements of premature infants. Nutrition Support for Infants and Children at Risk, Nestle Nutrition Workshop Series Pediatric Program 2007; 59:161-76. https://doi.org/10.1159/000098534
2. American Academy of Pediatrics Committee on Nutrition: Nutritional needs of low-birth-weight infants. Pediatrics 1985; 75:976-86.
3. Cooke RJ, Ainsworth SB, Fenton AC. Postnatal growth retardation: a universal problem in preterm infants. Arch Dis Child Fetal Neonatal Ed 2004; 89(5):428-30. https://doi.org/10.1136/adc.2001.004044
4. Ehrenkranz RA, Younes N, Lemons JA, et al. Longitudinal growth of hospitalized very low birth weight infants. Pediatrics 1999; 104:280-89. https://doi.org/10.1542/peds.104.2.280
5. Mathew G, Gupta V, Santhanam S, Rebekah G. Postnatal Weight Gain Patterns in Preterm Very-LowBirth-Weight Infants Born in a Tertiary Care Center in South India. J Trop Pediatr 2017 Jun 3. https://doi.org/10.1093/tropej/fmx038
6. Japakasetr S, Sirikulchayanonta C, Suthutvoravut U, Chindavijak B, Kagawa M, Nokdee S. Implementation of a Nutrition Program Reduced PostDischarge Growth Restriction in Thai Very Low Birth Weight Preterm Infants. Nutrients. 2016 Dec 17;8(12). https://doi.org/10.3390/nu8120820
7. Martin CR, Brown YF, Ehrenkranz RA, et al. Nutritional practices and growth velocity in the first month of life in extremely low gestational age newborns. Pediatrics 2009; 124:649-57. https://doi.org/10.1542/peds.2008-3258
8. Radmacher PG, Looney SW, Rafail AT, et al. Prediction of extrauterine growth retardation in VLBW infants. Journal of Perinatology 2003; 23:392-95. https://doi.org/10.1038/sj.jp.7210947
9. Raaijmakers A, Allegaert K. Catch-Up Growth in Former Preterm Neonates: No
10. Stephens BE, Walden RV, Gargus RA, Tucker R, McKinley L, Mance M, Nye J, Vohr BR. First-week protein and energy intakes are associated with 18-month developmental outcomes in extremely low birth weight infants. Pediatrics 2009; 123(5):1337-43. https://doi.org/10.1542/peds.2008-0211
11. Rudolph AJ, Smith CA. Idiopathic RDS of the newborn. J Pediatrics 1960; 57:905-21. https://doi.org/10.1016/S0022-3476(60)80143-6
12. Ehrenkranz RA, Walsh MC, Vohr BR, et al. Validation of National Institution of Health Consensus Definition of Bronchopulmonary Dysplasia. Pediatrics 2005; 116:1353-60. https://doi.org/10.1542/peds.2005-0249
13. Papile LA, Munsick-Bruno G, Schaefer A. Relationship of cerebral intraventricular hemorrhage and early childhood neurologic handicaps. J Pediatr 1983; 103:273-77. https://doi.org/10.1016/S0022-3476(83)80366-7
14. Bell MJ, Ternberg JL, Feigin RD, et al. Neonatal necrotizing enterocolitis. Therapeutic decisions based upon clinical staging. Ann Surg 1978; 187:1-7.
15. Lemons JA, Bauer CR, Oh W, et al. Very Low Birth Weight Outcomes of the National Institute of Child Health and Human Development Neonatal Research Network, January 1995 Through December 1996. Pediatrics 2001; 107:e1. https://doi.org/10.1542/peds.107.1.e1
16. Shan HM, Cai W, Cao Y. Extrauterine growth retardation in premature infants in Shanghai: a multicenter retrospective review. European Journal of Pediatrics 2009; 168:1055-59. https://doi.org/10.1007/s00431-008-0885-9
17. Sakurai M, Itabashi K, Sato Y, et al. Extrauterine Growth Restriction in Preterm Infants of Gestational age ≤32 weeks. Pediatrics International 2008; 50:70- 75. https://doi.org/10.1111/j.1442-200X.2007.02530.x
18. Blackwell T, Eichenwald EC, McAlmon K, et al. Interneonatal intensive care unit variation in growth rates and feeding practices in healthy moderately premature infants. Journal of Perinatology 2005; 25:478- 85. https://doi.org/10.1038/sj.jp.7211302
19. Sauer PJJ. Can extrauterine growth approximate intrauterine growth? Should it? Am J Clin Nutr 2007; 85:608-13.
20. Curtis MD, Rigo J. Extrauterine growth restriction in very-low-birth weight infants. Acta Pediatrica 2004; 93:1563-68. https://doi.org/10.1111/j.1651-2227.2004.tb00844.x
21. Clark RH, Thomas P, Peabody J. Extrauterine Growth Restriction remains a serious problem in prematurely born neonates. Pediatrics 2003; 111:986-90. https://doi.org/10.1542/peds.111.5.986
22. Dusick AM, Poindexter BB, Ehrenkranz RA, Lemons JA. Growth failure in the preterm infant: Can we catch up? Seminars in Perinatology 2003; 27:302- 10. https://doi.org/10.1016/S0146-0005(03)00044-2
23. Shan HM, Cai W, Sun JH, et al. Extrauterine Growth Retardation and correlated factors in premature neonates. Chinese Journal of Pediatrics 2007; 45:183-88.
24. Cai YJ, Song YY, Huang ZJ, Li J, Xiao XW, Qi JY, Wang LX. Risk factors for extrauterine growth retardation at discharge in premature infants. Zhongguo Dang Dai Er Ke Za Zhi 2015; 17(7):659-62.
25. Grover A, Khashu M, Mukherjee A, Kairamkonda V. Iatrogenic malnutrition in neonatal intensive care units: Urgent need to modify practice. Journal of Parenteral and Enteral Nutrition 2008; 32:140-44. https://doi.org/10.1177/0148607108314373

Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil	Türkçe
Bölüm	Araştırma Makaleleri
Yazarlar	Ebru Şenol Bu kişi benim Şükrü Aydemir Bu kişi benim Serdar Cömert Bu kişi benim Müjde Tuba Çöğürlü Bu kişi benim Tutku Özdoğan Bu kişi benim
Yayımlanma Tarihi	1 Temmuz 2017
Yayımlandığı Sayı	Yıl 2017 Cilt: 17 Sayı: 3

Kaynak Göster

APA	Şenol, E., Aydemir, Ş., Cömert, S., Çöğürlü, M. T., vd. (2017). Yenidoğan Yoğun Bakım Ünitesinde Yatan Prematüre Bebeklerde Ekstrauterin Büyüme Geriliği ve Etki Eden Faktörler. Çocuk Dergisi, 17(3), 107-113. https://doi.org/10.5222/j.child.2017.107
AMA	Şenol E, Aydemir Ş, Cömert S, Çöğürlü MT, Özdoğan T. Yenidoğan Yoğun Bakım Ünitesinde Yatan Prematüre Bebeklerde Ekstrauterin Büyüme Geriliği ve Etki Eden Faktörler. Çocuk Dergisi. Temmuz 2017;17(3):107-113. doi:10.5222/j.child.2017.107
Chicago	Şenol, Ebru, Şükrü Aydemir, Serdar Cömert, Müjde Tuba Çöğürlü, ve Tutku Özdoğan. “Yenidoğan Yoğun Bakım Ünitesinde Yatan Prematüre Bebeklerde Ekstrauterin Büyüme Geriliği Ve Etki Eden Faktörler”. Çocuk Dergisi 17, sy. 3 (Temmuz 2017): 107-13. https://doi.org/10.5222/j.child.2017.107.
EndNote	Şenol E, Aydemir Ş, Cömert S, Çöğürlü MT, Özdoğan T (01 Temmuz 2017) Yenidoğan Yoğun Bakım Ünitesinde Yatan Prematüre Bebeklerde Ekstrauterin Büyüme Geriliği ve Etki Eden Faktörler. Çocuk Dergisi 17 3 107–113.
IEEE	E. Şenol, Ş. Aydemir, S. Cömert, M. T. Çöğürlü, ve T. Özdoğan, “Yenidoğan Yoğun Bakım Ünitesinde Yatan Prematüre Bebeklerde Ekstrauterin Büyüme Geriliği ve Etki Eden Faktörler”, Çocuk Dergisi, c. 17, sy. 3, ss. 107–113, 2017, doi: 10.5222/j.child.2017.107.
ISNAD	Şenol, Ebru vd. “Yenidoğan Yoğun Bakım Ünitesinde Yatan Prematüre Bebeklerde Ekstrauterin Büyüme Geriliği Ve Etki Eden Faktörler”. Çocuk Dergisi 17/3 (Temmuz 2017), 107-113. https://doi.org/10.5222/j.child.2017.107.
JAMA	Şenol E, Aydemir Ş, Cömert S, Çöğürlü MT, Özdoğan T. Yenidoğan Yoğun Bakım Ünitesinde Yatan Prematüre Bebeklerde Ekstrauterin Büyüme Geriliği ve Etki Eden Faktörler. Çocuk Dergisi. 2017;17:107–113.
MLA	Şenol, Ebru vd. “Yenidoğan Yoğun Bakım Ünitesinde Yatan Prematüre Bebeklerde Ekstrauterin Büyüme Geriliği Ve Etki Eden Faktörler”. Çocuk Dergisi, c. 17, sy. 3, 2017, ss. 107-13, doi:10.5222/j.child.2017.107.
Vancouver	Şenol E, Aydemir Ş, Cömert S, Çöğürlü MT, Özdoğan T. Yenidoğan Yoğun Bakım Ünitesinde Yatan Prematüre Bebeklerde Ekstrauterin Büyüme Geriliği ve Etki Eden Faktörler. Çocuk Dergisi. 2017;17(3):107-13.

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