First meconium time may be a predictive factor for infantile colic: a prospectivestudy

BATTAL, Fatih; VURUR, Gülşen; AYLANÇ, Hakan; YILDIRIM KÖPÜK, Şule; KAYMAZ, Nazan; CEVİZCİ, Sibel

doi:10.7197/223.v40i37154.365478

First meconium time may be a predictive factor for infantile colic: a prospectivestudy

Hakan Aylanç, (Çanakkale Onsekiz Mart Üniversitesi, Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Çanakkale, Türkiye)

Nazan Kaymaz, (Çanakkale Onsekiz Mart Üniversitesi, Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Çanakkale, Türkiye)

Şule YILDIRIM KÖPÜK, (Çanakkale Onsekiz Mart Üniversitesi, Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Çanakkale, Türkiye)

Sibel Cevizci, (Çanakkale Onsekiz Mart Üniversitesi, Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, Çanakkale, Türkiye)

Gülşen Vurur, (Çanakkale Onsekiz Mart Üniversitesi, Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Çanakkale, Türkiye)

Fatih Battal (Çanakkale Onsekiz Mart Üniversitesi, Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Çanakkale, Türkiye)

Cumhuriyet Tıp Dergisi (ELEKTRONİK)

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Yıl: 2018 Cilt: 40 Sayı: 2 Sayfa Aralığı: 106 - 114 Metin Dili: İngilizce DOI: 10.7197/223.v40i37154.365478 İndeks Tarihi: 21-12-2020

First meconium time may be a predictive factor for infantile colic: a prospectivestudy

Öz:

Objective: Meconium passage is a good marker of a normal gastrointestinal tract and the general health of a neonate.There are both gastrointestinal and non-gastrointestinal hypotheses for the etiology of infantile colic. The aim of thepresent study was to determine whether first meconium time could predict infantile colic (IC) later.Method: A follow-up study was conducted with 248 consecutive singleton full-term healthy neonates. The demographicvariables, age at first feed, time of first meconium, number of feeds until the first meconium, and number of defecationsduring the first 3 days of life were recorded. The characteristics of the neonates were analyzed for association with IC.Results: First meconium time was 9.7±10.2 h and 6.8±7.8 h in the IC and non-IC groups, respectively (p=0.014). Therisk of IC was increased by 1.99 times for those who did not have their first meconium until 5.75 h after birth (95% CI:1.13–3.51) and by 2.11 times for those who did not have more than 17 defecations in the first 72 h (95% CI: 1.19–3.74).Conclusions: Neonates who do not have their first meconium in the first 5.75 h after birth and who have fewer than 17defecations in the first 72 h of life are at risk of IC development.

Anahtar Kelime:

İlk mekonyum zamanı infantil kolik için bir prediktif faktör olabilir: prospektif bir çalışma

Öz:

Amaç: Mekonyum pasajı yenidoğanın genel sağlık durumunun ve gastrointestinal sistemin bütünlüğünün iyi bir göstergesidir. Infantil koliğin etiyolojisinde gastrointesitinal ve gastrointestinal olmayan hipotezlerin ikisi de vardır. Bu çalışmanın amacı ilk mekonyum zamanının infantile kolik gelişimini öngörüp öngöremeyeceğini belirlemekti. Yöntem: Çalışma ardışık doğan 248 sağlıklı term, tekiz yenidoğan ile yürütüldü. Demografik değişkenler, ilk beslenme zamanı, ilk mekonyum zamanı, ilk mekonyuma kadar beslenmesayısı ve yaşamın ilk 3 günü boyunca defekasyon sayısı kaydedildi. Yenidoğanların özellikleri infantile kolik ile ilişkisi açısından analiz edildi. Bulgular: İlk mekonyum zamanı infantile koliği olan ve olmayan gruplarda sırasıyla 9,7±10,2 saat ve 6.8±7.8 saatti (p=0,014). Infantil kolik riski doğumdan sonra 5,75 saate kadar ilk mekonyum çıkışı olmayanlarda 1,99 kat (%95 CI: 1,13-3,51) ve ilk 72 saatte 17’den fazla defekasyonu olmayanlarda 2,11 kat (%95 CI: 1,19-3,74) artmış olarak saptandı. Sonuç: Doğum sonrası ilk 5,75 saatte ilk mekonyumunu çıkarmayan ve ilk 72 saatinde dışkılama sayısı 17’den az olan yenidoğanlar için infantile kolik gelişme riski vardır.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	AYLANÇ H, KAYMAZ N, YILDIRIM KÖPÜK Ş, CEVİZCİ S, VURUR G, BATTAL F (2018). First meconium time may be a predictive factor for infantile colic: a prospectivestudy. , 106 - 114. 10.7197/223.v40i37154.365478
Chicago	AYLANÇ Hakan,KAYMAZ Nazan,YILDIRIM KÖPÜK Şule,CEVİZCİ Sibel,VURUR Gülşen,BATTAL Fatih First meconium time may be a predictive factor for infantile colic: a prospectivestudy. (2018): 106 - 114. 10.7197/223.v40i37154.365478
MLA	AYLANÇ Hakan,KAYMAZ Nazan,YILDIRIM KÖPÜK Şule,CEVİZCİ Sibel,VURUR Gülşen,BATTAL Fatih First meconium time may be a predictive factor for infantile colic: a prospectivestudy. , 2018, ss.106 - 114. 10.7197/223.v40i37154.365478
AMA	AYLANÇ H,KAYMAZ N,YILDIRIM KÖPÜK Ş,CEVİZCİ S,VURUR G,BATTAL F First meconium time may be a predictive factor for infantile colic: a prospectivestudy. . 2018; 106 - 114. 10.7197/223.v40i37154.365478
Vancouver	AYLANÇ H,KAYMAZ N,YILDIRIM KÖPÜK Ş,CEVİZCİ S,VURUR G,BATTAL F First meconium time may be a predictive factor for infantile colic: a prospectivestudy. . 2018; 106 - 114. 10.7197/223.v40i37154.365478
IEEE	AYLANÇ H,KAYMAZ N,YILDIRIM KÖPÜK Ş,CEVİZCİ S,VURUR G,BATTAL F "First meconium time may be a predictive factor for infantile colic: a prospectivestudy." , ss.106 - 114, 2018. 10.7197/223.v40i37154.365478
ISNAD	AYLANÇ, Hakan vd. "First meconium time may be a predictive factor for infantile colic: a prospectivestudy". (2018), 106-114. https://doi.org/10.7197/223.v40i37154.365478

APA	AYLANÇ H, KAYMAZ N, YILDIRIM KÖPÜK Ş, CEVİZCİ S, VURUR G, BATTAL F (2018). First meconium time may be a predictive factor for infantile colic: a prospectivestudy. Cumhuriyet Tıp Dergisi (ELEKTRONİK), 40(2), 106 - 114. 10.7197/223.v40i37154.365478
Chicago	AYLANÇ Hakan,KAYMAZ Nazan,YILDIRIM KÖPÜK Şule,CEVİZCİ Sibel,VURUR Gülşen,BATTAL Fatih First meconium time may be a predictive factor for infantile colic: a prospectivestudy. Cumhuriyet Tıp Dergisi (ELEKTRONİK) 40, no.2 (2018): 106 - 114. 10.7197/223.v40i37154.365478
MLA	AYLANÇ Hakan,KAYMAZ Nazan,YILDIRIM KÖPÜK Şule,CEVİZCİ Sibel,VURUR Gülşen,BATTAL Fatih First meconium time may be a predictive factor for infantile colic: a prospectivestudy. Cumhuriyet Tıp Dergisi (ELEKTRONİK), vol.40, no.2, 2018, ss.106 - 114. 10.7197/223.v40i37154.365478
AMA	AYLANÇ H,KAYMAZ N,YILDIRIM KÖPÜK Ş,CEVİZCİ S,VURUR G,BATTAL F First meconium time may be a predictive factor for infantile colic: a prospectivestudy. Cumhuriyet Tıp Dergisi (ELEKTRONİK). 2018; 40(2): 106 - 114. 10.7197/223.v40i37154.365478
Vancouver	AYLANÇ H,KAYMAZ N,YILDIRIM KÖPÜK Ş,CEVİZCİ S,VURUR G,BATTAL F First meconium time may be a predictive factor for infantile colic: a prospectivestudy. Cumhuriyet Tıp Dergisi (ELEKTRONİK). 2018; 40(2): 106 - 114. 10.7197/223.v40i37154.365478
IEEE	AYLANÇ H,KAYMAZ N,YILDIRIM KÖPÜK Ş,CEVİZCİ S,VURUR G,BATTAL F "First meconium time may be a predictive factor for infantile colic: a prospectivestudy." Cumhuriyet Tıp Dergisi (ELEKTRONİK), 40, ss.106 - 114, 2018. 10.7197/223.v40i37154.365478
ISNAD	AYLANÇ, Hakan vd. "First meconium time may be a predictive factor for infantile colic: a prospectivestudy". Cumhuriyet Tıp Dergisi (ELEKTRONİK) 40/2 (2018), 106-114. https://doi.org/10.7197/223.v40i37154.365478