Amaç
To determine the mortality ratios of fetal, early and late neonatal periods during one year period, and to investigate their relationship with the birth weight.
Yöntem
Between April 2001 and March 2002, all newborns delivered in the Obstetrics clinic after 20th week of pregnancy were followed prospectively. Clinical findings of the newborns including birth weight and timing of the mortality were recorded. Each family of the newborns was interviewed by telephone call at the end of the 4th postpartum week, to learn late neonatal prognosis.
Bulgular
The ratio of fetal mortality was 44.9%o, and early neonatal mortality was 73.1%o (perinatal mortality: 114.7%o). Of the 1103 deliveries, 955 mothers (86%) that took home alive baby responded phone call at the end of the 4th postpartum week. Late neonatal mortality was 9.2%o (N: 11), and total neonatal mortality was 82.3%o. Seventy-four percent of the early neonatal mortality was occurred in the first postpartum day. Neonatal life expectancy was 10% for babies weighing less than 1000g and 41% for those ranging between 1001-1300g. Between 1301-2000g, this expectancy rose only to 75%, reaching 98% at the term.
Sonuç
Perinatal and neonatal mortality was unacceptably high in our institution. it may originate from social and economical reasons as well as from inadequate neonatal intensive care unit. All trials for the reorganization of the neonatal intensive care unit were started. We are able now to offer a life expectancy to the parents and also the chance of "intrauterine transport" to the fetuses that the "estimated birth weight" lesser than 1300g.
Anahtar Kelimeler
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