E-ISSN: 2149-9330
Early Neonatal Outcomes in Patients with Late Preterm Birth
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Clinical Investigation
VOLUME: 10 ISSUE: 3
P: 165-172
September 2013

Early Neonatal Outcomes in Patients with Late Preterm Birth

Turk J Obstet Gynecol 2013;10(3):165-172
DOI: 10.5505/tjod.2013.18942
Ahmet Karataş 1
Mustafa Albayrak 2
Fatih Keskin 2
İsmail Bıyık 3
Mesut Okur 4
Cemalettin Güneş 4
Seyit Ali Köse 5
1. Abant Izzet Baysal University School Of Medicine, Department Of Obstetrics And Gynecology, Bolu
2. Duzce University School Of Medicine, Department Of Obstetrics And Gynecology, Duzce
3. Karacabey State Hospital, Department Of Obstetrics And Gynecology, Bursa
4. Duzce University School Of Medicine, Department Of Pediatrics, Duzce
5. Suleyman Demirel University School Of Medicine, Department Of Obstetrics And Gynecology, Isparta
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ABSTRACT

Conclusions:

The late-preterm infants especially in earlier weeks represent a significantly higher risk category for neonatal complications, and they have a significantly longer NCIU and hospital stay period.

Results:

Of the 291 neonates included in the study, 85 were delivered preterm due to PPROM, 206 were non-PPROM group, and 76 were in Group 1, 108 were in Group 2, and 107 were in Group 3. Sepsis rate was higher in Group 1 and 2 compared to Group 3 (p=0.016, p=0.029). NICU stay period was longer in Group 1 and Group 2 than group 3 (p=0.028, p=0.015 respectively). Newborns in Group 1 had significantly longer hospital stay than Group 3 (p=0.010), and total hospital stay period were significantly higher in newborns with sepsis.

Main outcome measures:

Groups were compared with respect to neonatal complications related to prematurity, and early membrane rupture.

Interventions:

The whole population is first divided into two groups as depending on the presence of PPROM or not; and then also divided into-three groups based on the gestational age at delivery as 340/7-346/7 week (Group 1), 350/7-356/7 week (Group 2), and 360/7-366/7 week (Group 3).

Patients:

Medical records of 291 pregnant women and newborns born between the 340/7-366/7 weeks of gestation were reviewed.

Setting:

Duzce University School of Medicine, Departments of Obstetrics and Gynecology and Pediatrics.

Design:

Retrospective.

Objective:

Preterm deliveries increased in many countries in recent years. However, despite fetal lung maturity, substantial neonatal morbidity may occur even after 34 weeks of gestation. The aim of this study was to evaluate neonatal morbidity and mortality in women with late preterm births.