Yıl: 2022 Cilt: 27 Sayı: 2 Sayfa Aralığı: 242 - 249 Metin Dili: İngilizce DOI: 10.5505/ejm.2022.87360 İndeks Tarihi: 26-09-2022

Comparison of Short-Term Outcome of Late Preterm and Term Infants

Öz:
We aimed to compare the rate of morbidity and mortality of late preterm and term infants during hospitalization in the third-level neonatal intensive care unit (NICU). 743 late preterm and 489 term infants who were born and followed up in the third level NICU were evaluated retrospectively. The birth weight, mode of delivery, gestational week, gender, duration of hospitalization, problems in neonatal and post-discharge period, and rate of mortality were investigated. The rate of mortality and morbidity were compared between the groups. Respiratory distress syndrome (RDS) was the most common (40.3%) cause of hospitalization. The rate of necrotizing enterocolitis, RDS and bronchopulmonary dysplasia was significantly higher in late preterms. Sixty-two (8.3%) of the late preterms and 88 (18%) of the term babies died. Congenital anomalies (55%) were the major cause of mortality in the term group, whereas RDS (35%), surgical interventions, long-term hospitalization, and infection were the main causes of mortality in the late preterm group. The high mortality rate in our study was because our study included only the babies hospitalized in the 3rd level NICU. It must be kept in mind that late preterms experience most of the problems of ongoing prematurity; therefore, they should not be delivered unless there is absolute obstetric and/or fetal indication.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Newborns: improving survival and well-being 2020 [Available from: https://www.who.int/news-room/fact sheets/detail/newborns-reducing-mortality.
  • Maternal, Newborn, Child and Adolescent Health and Ageing Data Portal 2020 [Available from: https://www.who.int/data/maternal-newborn child-adolescent-ageing/indicator-explorer new/mca/neonatal-mortality-rate-(per-1000-live births).
  • Liu L, Oza S, Hogan D, et al. Global, regional, and national causes of under-5 mortality in 2000- 15: an updated systematic analysis with implications for the Sustainable Development Goals. Lancet 2016; 388: 3027 - 3035.
  • Lewis DF, Futayyeh S, Towers CV, Asrat T, Edwards MS, Brooks GG. Preterm delivery from 34 to 37 weeks of gestation: is respiratory distress syndrome a problem? Am J Obstet Gynecol 1996; 174: 525 - 528.
  • Raju TN, Higgins RD, Stark AR, Leveno KJ. Optimizing care and outcome for late-preterm (near-term) infants: a summary of the workshop sponsored by the National Institute of Child Health and Human Development. Pediatrics 2006; 118: 1207 - 1214.
  • Shapiro-Mendoza CK, Tomashek KM, Kotelchuck M, Barfield W, Weiss J, Evans S. Risk factors for neonatal morbidity and mortality among "healthy," late preterm newborns. Semin Perinatol 2006; 30: 54 - 60.
  • Koc E, Demirel N, Bas AY, et al. Early neonatal outcomes of very-low-birth-weight infants in Turkey: A prospective multicenter study of the Turkish Neonatal Society. PLoS One. 2019;14:e0226679.
  • Türkiye’deki yenidoğan merkezlerinde mortalite. Türk Neonatoloji Derneği Bülteni. 2018;30:33.
  • Hauth JC. Spontaneous preterm labor and premature rupture of membranes at late preterm gestations: to deliver or not to deliver. Semin Perinatol 2006; 30: 98 - 102.
  • Wang ML, Dorer DJ, Fleming MP, Catlin EA. Clinical outcomes of near-term infants. Pediatrics 2004; 114: 372 - 376.
  • Ballard JL, Khoury JC, Wedig K, Wang L, Eilers Walsman BL, Lipp R. New Ballard Score, expanded to include extremely premature infants. J Pediatr 1991; 119: 417 - 423.
  • Jobe AH, Bancalari E. Bronchopulmonary dysplasia. Am J Respir Crit Care Med. 2001; 163: 1723 - 1729.
  • Haque KN. Definitions of bloodstream infection in the newborn. Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies 2005; 6: 45 - 49.
  • International Committee for the Classification of Retinopathy of Prematurity. The International Classification of Retinopathy of Prematurity revisited. Arch Ophthalmol 2005; 123: 991 - 999.
  • Walsh MC, Kliegman RM. Necrotizing enterocolitis: treatment based on staging criteria. Pediatr Clin North Am 1986; 33: 179 - 201.
  • Papile LA, Burstein J, Burstein R, Koffler H. Incidence and evolution of subependymal and intraventricular hemorrhage: a study of infants with birth weights less than 1,500 gm. J Pediatr 1978; 92: 529 - 534.
  • Pulver LS, Guest-Warnick G, Stoddard GJ, Byington CL, Young PC. Weight for gestational age affects the mortality of late preterm infants. Pediatrics 2009; 123: e1072 - 1077.
  • McIntire DD, Leveno KJ. Neonatal mortality and morbidity rates in late preterm births compared with births at term. Obstet Gynecol 2008; 111: 35 - 41.
  • Kalyoncu O, Aygun C, Cetinoglu E, Kucukoduk S. Neonatal morbidity and mortality of late preterm babies. The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstet 2010; 23: 607 - 612.
  • Refuerzo JS, Momirova V, Peaceman AM, et al. Neonatal outcomes in twin pregnancies delivered moderately preterm, late preterm, and term. Am J Perinatol 2010; 27: 537 - 542.
  • Offermann H, Gebauer C, Pulzer F, Blaser A, Thome U, Knupfer M. Cesarean section increases the risk of respiratory adaptive disorders in healthy late preterm and two groups of mature newborns. Zeitschrift fur Geburtshilfe und Neonatologie 2015; 219: 259 - 265.
  • Escobar GJ, Clark RH, Greene JD. Short-term outcomes of infants born at 35 and 36 weeks gestation: we need to ask more questions. Semin Perinatol 2006; 30: 28 - 33.
  • Bastek JA, Sammel MD, Pare E, Srinivas SK, Posencheg MA, Elovitz MA. Adverse neonatal outcomes: examining the risks between preterm, late preterm, and term infants. Am J Obstet Gynecol 2008; 199: 367 e1-8.
  • Yurdakök M. Türkiye’de Yenidoğan Bakım Ünitelerinde Mortalite. Türk Neonatoloji Derneği Bülteni 2009; 4: 10-14.
  • Arnon S, Dolfin T, Litmanovitz I, Regev R, Bauer S, Fejgin M. Preterm labour at 34--36 weeks of gestation: should it be arrested? Paediatr Perinat Epidemiol 2001; 15: 252 - 256.
  • Yoder BA, Gordon MC, Barth WH, Jr. Late preterm birth: does the changing obstetric paradigm alter the epidemiology of respiratory complications? Obstet Gynecol 2008; 111: 814 - 822.
  • Payne NR, LaCorte M, Karna P, et al. Reduction of bronchopulmonary dysplasia after participation in the Breathsavers Group of the Vermont Oxford Network Neonatal Intensive Care Quality Improvement Collaborative. Pediatrics 2006; 118 Suppl 2: 73 -77.
  • Aldemir EY, Kavuncuoğlu S, Özbek S, Altuncu E, Çizmeci N. Evaluation of very-low-birth weight preterm infants with bronchopulmonary dysplasia. Turkish Archieves of Pediatrics 2010; 45: 25 - 30
  • Wilson R, Kanto WP, Jr., McCarthy BJ, et al. Epidemiologic characteristics of necrotizing enterocolitis: a population-based study. Am J Epidemiol 1981; 114: 880 - 887.
  • Kavuncuoğlu S, Aldemir E, Çelik N, et al. Prematüre bebeklerde önemli bir morbidite nedeni; nekrotizan enterokolit, dokuz yıllık çalışmanın sonuçları. JOPP 2013; 5: 13 - 20.
  • Melamed N, Klinger G, Tenenbaum-Gavish K, et al. Short-term neonatal outcome in low-risk, spontaneous, singleton, late preterm deliveries. Obstet Gynecol 2009; 114: 253 - 260.
  • Thaver D, Zaidi AK. Burden of neonatal infections in developing countries: a review of evidence from community-based studies. Pediatr Infect Dis J 2009; 28: 3 - 9.
  • Stoll BJ, Hansen NI, Sanchez PJ, et al. Early onset neonatal sepsis: the burden of group B Streptococcal and E. coli disease continues. Pediatrics 2011; 127: 817 - 826.
  • Srinivasan L, Harris MC. New technologies for the rapid diagnosis of neonatal sepsis. Curr Opin Pediatr 2012; 24: 165 - 171.
  • Sinha SK, Donn SM. Fetal-to-neonatal maladaptation. Semin Fetal Neonatal Med 2006; 11: 166 - 173.
  • Graziani LJ, Mitchell DG, Kornhauser M, et al. Neurodevelopment of preterm infants: neonatal neurosonographic and serum bilirubin studies. Pediatrics 1992; 89: 229 - 234.
  • Haroon A, Ali SR, Ahmed S, Maheen H. Short term neonatal outcome in late preterm vs. term infants. Journal of the College of Physicians and Surgeons--Pakistan : JCPSP. 2014; 24: 34 - 38.
  • Ciuffreda M, Ferrero P. [Patent ductus arteriosus]. Giornale italiano di cardiologia. 2015; 16: 232 - 239.
  • Tan JH, Poon WB, Lian WB, Ho SK. A Comparison of the Short-term Morbidity and Mortality Between Late Preterm and Term Newborns. Ann Acad Med Singap 2014; 43: 346 - 354.
  • Young PC, Glasgow TS, Li X, Guest-Warnick G, Stoddard G. Mortality of late-preterm (near-term) newborns in Utah. Pediatrics 2007; 119: e659 - 665.
APA Beyar A, Aldemir E, Payaslı M, Kavuncuoglu S, RAMOĞLU M, Sander S (2022). Comparison of Short-Term Outcome of Late Preterm and Term Infants. , 242 - 249. 10.5505/ejm.2022.87360
Chicago Beyar Ayten,Aldemir Esin,Payaslı Müge,Kavuncuoglu Sultan,RAMOĞLU Mehmet Gökhan,Sander Serdar Comparison of Short-Term Outcome of Late Preterm and Term Infants. (2022): 242 - 249. 10.5505/ejm.2022.87360
MLA Beyar Ayten,Aldemir Esin,Payaslı Müge,Kavuncuoglu Sultan,RAMOĞLU Mehmet Gökhan,Sander Serdar Comparison of Short-Term Outcome of Late Preterm and Term Infants. , 2022, ss.242 - 249. 10.5505/ejm.2022.87360
AMA Beyar A,Aldemir E,Payaslı M,Kavuncuoglu S,RAMOĞLU M,Sander S Comparison of Short-Term Outcome of Late Preterm and Term Infants. . 2022; 242 - 249. 10.5505/ejm.2022.87360
Vancouver Beyar A,Aldemir E,Payaslı M,Kavuncuoglu S,RAMOĞLU M,Sander S Comparison of Short-Term Outcome of Late Preterm and Term Infants. . 2022; 242 - 249. 10.5505/ejm.2022.87360
IEEE Beyar A,Aldemir E,Payaslı M,Kavuncuoglu S,RAMOĞLU M,Sander S "Comparison of Short-Term Outcome of Late Preterm and Term Infants." , ss.242 - 249, 2022. 10.5505/ejm.2022.87360
ISNAD Beyar, Ayten vd. "Comparison of Short-Term Outcome of Late Preterm and Term Infants". (2022), 242-249. https://doi.org/10.5505/ejm.2022.87360
APA Beyar A, Aldemir E, Payaslı M, Kavuncuoglu S, RAMOĞLU M, Sander S (2022). Comparison of Short-Term Outcome of Late Preterm and Term Infants. Eastern Journal of Medicine, 27(2), 242 - 249. 10.5505/ejm.2022.87360
Chicago Beyar Ayten,Aldemir Esin,Payaslı Müge,Kavuncuoglu Sultan,RAMOĞLU Mehmet Gökhan,Sander Serdar Comparison of Short-Term Outcome of Late Preterm and Term Infants. Eastern Journal of Medicine 27, no.2 (2022): 242 - 249. 10.5505/ejm.2022.87360
MLA Beyar Ayten,Aldemir Esin,Payaslı Müge,Kavuncuoglu Sultan,RAMOĞLU Mehmet Gökhan,Sander Serdar Comparison of Short-Term Outcome of Late Preterm and Term Infants. Eastern Journal of Medicine, vol.27, no.2, 2022, ss.242 - 249. 10.5505/ejm.2022.87360
AMA Beyar A,Aldemir E,Payaslı M,Kavuncuoglu S,RAMOĞLU M,Sander S Comparison of Short-Term Outcome of Late Preterm and Term Infants. Eastern Journal of Medicine. 2022; 27(2): 242 - 249. 10.5505/ejm.2022.87360
Vancouver Beyar A,Aldemir E,Payaslı M,Kavuncuoglu S,RAMOĞLU M,Sander S Comparison of Short-Term Outcome of Late Preterm and Term Infants. Eastern Journal of Medicine. 2022; 27(2): 242 - 249. 10.5505/ejm.2022.87360
IEEE Beyar A,Aldemir E,Payaslı M,Kavuncuoglu S,RAMOĞLU M,Sander S "Comparison of Short-Term Outcome of Late Preterm and Term Infants." Eastern Journal of Medicine, 27, ss.242 - 249, 2022. 10.5505/ejm.2022.87360
ISNAD Beyar, Ayten vd. "Comparison of Short-Term Outcome of Late Preterm and Term Infants". Eastern Journal of Medicine 27/2 (2022), 242-249. https://doi.org/10.5505/ejm.2022.87360