Evaluation of very low birth weight infants in the neonatal intensive care unit of a university hospital

Gebeşçe, Arzu; Uslu, Hatice; Keleş, Esengül; Demirdöven, Mehmet; Tonbul, Alparslan; Baştürk, Bülent; Yazgan, Hamza

doi:10.5798/diclemedj.0921.2015.02.0548

Cited by 2 publications

(2 citation statements)

References 23 publications

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“…Assisted reproductive techniques are used more commonly by the couples who want to have children. Assisted reproductive techniques increase the risk of low birth weight, preterm birth, being small for gestational age and admission to NICU 22 , which are major risk factors for ROP 23 25 . We also detected a significant relation between assisted reproduction and ROP, however our results showed that assisted reproduction decreased the incidence of any-stage ROP.…”

Section: Resultsmentioning

confidence: 99%

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Effects of Breastfeeding and Perinatal Factors on Development of Retinopathy of Prematurity

Kimyon¹,

Mete²

2019

Dicle Tıp Dergisi

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Objective: Breastfeeding is very important for the development and well-being of an infant. Other perinatal factors also influence the well-being of the infant like the method of conception, delivery method and multiple pregnancy. Our aim in this study is to investigate the effects of these factors on the development of retinopathy of prematurity (ROP).Methods: The records of premature infants who were screened for ROP between 2015 and 2018. Gestational age (GA), birth weight (BW), sex, time spent in neonatal intensive care unit (NICU), assisted reproduction method, method of delivery, breastfeeding and multiple births were noted. The presence of ROP, stage and zone of the disease, treatment for ROP were recorded.Results: GA and BW were significantly lower and time spent in NICU was significantly longer in infants with ROP (p<0.001). Only breastfed patients had a lower rate of ROP than other groups, however they had significantly higher GA, BW and lower time in NICU. Assisted conception significantly decreased the presence of any stage ROP (p=0.037). Delivery method and multiple pregnancy didn't have an effect on the presence of ROP.Conclusion: Low GA, low BW and more time spent in NICU are the major risk factors for development of ROP. The relation between ROP and breastfeeding is not reliable because of the significant difference of BW, GA and time spent in NICU that exists between the only breastfed group and others. Assisted reproductive techniques decreased the incidence of ROP which might be due to the advances in the assisted reproduction methods.

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Section: Resultsmentioning

confidence: 99%

“…birth, being small for gestational age and admission to NICU22 , which are major risk factors for ROP23 . The effects of assisted reproduction on the development of ROP have been studied previously.Barker et al couldn't find an association between assisted reproduction and ROP incidence 24 .…”

mentioning

confidence: 99%

Effects of Breastfeeding and Perinatal Factors on Development of Retinopathy of Prematurity

Kimyon¹,

Mete²

2019

Dicle Tıp Dergisi

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Early neonatal outcomes of very-low-birth-weight infants in Turkey: A prospective multicenter study of the Turkish Neonatal Society

et al. 2019

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ObjectiveTo investigate the early neonatal outcomes of very-low-birth-weight (VLBW) infants discharged home from neonatal intensive care units (NICUs) in Turkey.Material and methodsA prospective cohort study was performed between April 1, 2016 and April 30, 2017. The study included VLBW infants admitted to level III NICUs. Perinatal and neonatal data of all infants born with a birth weight of ≤1500 g were collected for infants who survived.ResultsData from 69 NICUs were obtained. The mean birth weight and gestational age were 1137±245 g and 29±2.4 weeks, respectively. During the study period, 78% of VLBW infants survived to discharge and 48% of survived infants had no major neonatal morbidity. VLBW infants who survived were evaluated in terms of major morbidities: bronchopulmonary dysplasia was detected in 23.7% of infants, necrotizing enterocolitis in 9.1%, blood culture proven late-onset sepsis (LOS) in 21.1%, blood culture negative LOS in 21.3%, severe intraventricular hemorrhage in 5.4% and severe retinopathy of prematurity in 11.1%. Hemodynamically significant patent ductus arteriosus was diagnosed in 24.8% of infants. Antenatal steroids were administered to 42.9% of mothers.ConclusionThe present investigation is the first multicenter study to include epidemiological information on VLBW infants in Turkey. Morbidity rate in VLBW infants is a serious concern and higher than those in developed countries. Implementation of oxygen therapy with appropriate monitoring, better antenatal and neonatal care and control of sepsis may reduce the prevalence of neonatal morbidities. Therefore, monitoring standards of neonatal care and implementing quality improvement projects across the country are essential for improving neonatal outcomes in Turkish NICUs.

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Evaluation of very low birth weight infants in the neonatal intensive care unit of a university hospital

Cited by 2 publications

References 23 publications

Effects of Breastfeeding and Perinatal Factors on Development of Retinopathy of Prematurity

Effects of Breastfeeding and Perinatal Factors on Development of Retinopathy of Prematurity

Early neonatal outcomes of very-low-birth-weight infants in Turkey: A prospective multicenter study of the Turkish Neonatal Society

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