The association of serum 25-hydroxyvitamin D levels with early neonatal morbidity and mortality in late preterm infants monitored in the neonatal intensive care unit


Turkoglu Cetin E., SALİHOĞLU Ö., Gonen M., Dogan N. N.

Marmara Medical Journal, cilt.37, sa.1, ss.45-52, 2024 (ESCI, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 37 Sayı: 1
  • Basım Tarihi: 2024
  • Doi Numarası: 10.5472/marumj.1380019
  • Dergi Adı: Marmara Medical Journal
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
  • Sayfa Sayıları: ss.45-52
  • Anahtar Kelimeler: Late preterm, Mortality, Early morbidity, Vitamin D deficiency
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Objective: We aimed to determine the association of serum vitamin D levels with early neonatal mortality/morbidity in late-preterm (LP) infants (born between 34 0/7 and 36 6/7 weeks of gestational age) monitored in the neonatal intensive care unit (NICU). Patients and Methods: This retrospective study was conducted by reviewing live-born LP neonates from singleton pregnancies. The infants were monitored and treated in our hospital’s NICU between June 2016 and June 2019. Results: Maternal age at delivery was higher among infants with adequate vitamin D levels than among those with deficient vitamin D levels (P=0.007). A weak positive correlation was found between maternal age at childbirth and neonates’ vitamin D levels (r=0.296). The rate of low-birth-weight deliveries was greater in babies with sufficient vitamin D levels than in those with deficient levels. There was a weak negative association between the number of stools on the day that the infants’ serum 25-hydroxyvitamin D (25-OHD) levels were taken and their vitamin D level (P=0.027, r=-0.244). Conclusions: A significant correlation was shown between serum 25-OHD levels and maternal age and low birth weight in LP neonates. Upon examining the influence of vitamin D levels on the number of defecations per day, no significant difference was detected; however, a weak negative association was identified between them.