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- Title
Gestasyon haftası <30 hafta olan prematüre bebeklerde doğum şekli neonatal sonuçları etkiler mi?
- Authors
AKIN, Mustafa Şenol; SARI, Fatma Nur; BÜYÜKTİRYAKİ, Mehmet; ERTEKİN, Ömer; ALYAMAÇ DİZDAR, Evrim; OĞUZ, Şerife Suna
- Abstract
Introduction: In recent years, cesarean delivery rates have been increasing in the world and in our country. This situation causes some negative effects on infant and child health in the early neonatal period and later childhood. In this study, we aimed to examine the effect of delivery method on neonatal outcomes in very premature infants. Materials and Methods: Premature infants with a gestational age of <30 weeks and a birth weight of 1000-1500 g who were followed ata tertiary neonatal intensive care unit between 2015-2019 were evaluated retrospectively. In order to assess the effects of delivery mode on neonatal outcomes, the study population was divided into 2 groups as those born by vaginal route or cesarean section. Neonatal outcomes of infants were compared according to delivery type. Results: Data of 404 infants were analyzed. The median (min-max) gestational age and birth weight of the study group were 28 (25-29) weeks and 1200 (1000-1500) g, respectively. Seventy (17.3%) infants were born with vaginal route. Demographic characteristics including median gestational age (28 vs 29 weeks) and birth weight (1200 vs 1195 g) were respectively similar in infants delivered by vaginal route or cesarean section. However, preeclampsia and multiple pregnancy were higher in infants born by cesarean section, (p <0.001, p <0.001) Surfactant use was significantly higher in infants born by cesarean section. (55% vs 28.6%; p<0.001). In addition, it was observed that the use of inotropes in the first week of life was more frequent in infants born by cesarean section. (p=0.001). The need for resuscitation in the delivery room was higher in infants born by cesarean (p=0,021). Also, duration of non-invasive or mechanical ventilation were higher in infants born by cesarean section (p = 0.002, p = 0.001, respectively). Conclusion: Caesarean delivery increases the risk of neonatal morbidity and mortality in very premature infants.
- Publication
Jinekoloji-Obstetrik & Neonatoloji Tip Dergisi, 2022, Vol 19, Issue 2, p1272
- ISSN
1304-5512
- Publication type
Article
- DOI
10.38136/jgon.904134