Amaç
By definition low birth weigh (LBW) includes neonates regardless of gestational age who weigh less than 2500g at birth. Very low birth weight refers to neonates weighing less than 1500g at birth. İt is associated with higher morbidity and mortality rate. it is a worldwide problem among all populations. The aim of this study was to relate low birth weigh neonates to the way of deliver and it outcome.
Yöntem
Retrospective and descriptive analysis was performed based on data obtained from a validated maternity database of our maternity unit. The information analyzed comprises clinical records from January 1st to December 31st 2001.
Bulgular
Among 4480 newborns LBW was diagnosed in 218 (4.87%) of cases. Participation of primiparas, multiparas and pluriparas was approximately the same in both experimental and control group. Authors find higher frequency of older paras in experimental group (17.43% vs. 8.0%). in experimental group authors find higher incidence of preterm labor and deliveries (69.27% vs. 6.0%). Incidence of low, very low and extremely low birth weight was 86.25%, 12.08% and 1.67% respectively. Authors find lower APGAR scores in experimental group both in fist and fifth minute. Frequency of operative deliveries in examination group was 52.75%. Out of that number there were 51.37% of cesarean section and 1.38% vaginal birth for breech presentation. Other significant risk factors were analyzed and authors find following incidence: premature rupture of membranes in 49.08%, oligohydramnion in 1.38% and placental ablation in 4.59% of cases vs. 16%, 2.0% and 1.0% respectively in the control group.
Sonuç
Labor and delivery of low birth weigh neonates implicates higher rate of operative deliveries to prevent morbidity and mortality but we stili have a questionable outcome, especially in extremely low birth weigh.
Anahtar Kelimeler
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