Risk Factors and Morbidity in Late-preterm Infants: A Comparison with Early-term and Full-term Infants Geç Preterm Bebeklerde Risk Faktörleri ve Morbidite: Erken Dönem ve Tam Dönem Bebeklerle ile Karşılaştırılması
Anatolian Journal of General Medical Research, cilt.33, sa.3, ss.349-356, 2023 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 33 Sayı: 3
- Basım Tarihi: 2023
- Doi Numarası: 10.4274/anatoljmed.2023.40799
- Dergi Adı: Anatolian Journal of General Medical Research
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.349-356
- Anahtar Kelimeler: Cesarean section, indirect hyperbilirubinemia, premature rupture of membrane, respiratory distress syndrome, transient tachypnea of the newborn
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Although late-preterm infants tend to be considered term infants, they are at risk for postnatal morbidities and mortality. We aimed to identify prenatal and obstetric risk factors with postnatal morbidity and mortality in late-preterm infants. Methods: We conducted a retrospective study on late-preterm infants (340/7-366/7 weeks) and term infants (370/7-416/7) born in a tertiary hospital between January and December 2012. Term infants were classified as early-(370/7-386/7 weeks) and full-term infants (390/7-416/7 weeks). Data on demographic characteristics, risk factors, morbidity, and mortality were collected from medical records. Results: There were 468 babies in the study, and 156 (33.3%) were late-preterm infants. Rates of maternal smoking, premature rupture of membranes, in vitro fertilization, and caesarian section were significantly higher in late-preterm infants than in full-term infants. Compared to full-term infants, admission to the intensive care unit was more common in late-preterm and early-term infants (11.9 and 1.6 times, respectively). Transient tachypnea of the newborn, pneumonia, hypocalcemia, hypoglycemia, feeding problems, sepsis, and indirect hyperbilirubinemia was statistically more frequent in late-preterm than early-term and full-term infants. Late-preterm infants (12.2%) had a higher rehospitalization rate after discharge than full-term infants (2.9%). While two late-preterm infants died, no death in early-and full-term infants. Conclusion: Late-preterm infants have an increased risk of respiratory, metabolic, gastrointestinal, and infectious problems, as well as higher rates of hospital readmissions and mortality. This study emphasizes the importance of obstetric decision-making when considering late-preterm delivery and the need to establish better strategies to improve the outcomes of these newborns.