Pediction by Maternal Risk Factors and Prenatal Care of Neonatal Intensive Care of Neonatal Intensive Care Admission in A University Hospital, Turkey, A Case Control Study

Abstract

IntroductionIn clearing up the problems of the high risk newborn to be considered due to the anatomic and physiological differences from the healthy newborn, methods containing special tools and care are required to be used and watched in neonatal intensive care unit (NICU) [1].Several risks related to the mother are known to increase the risk of babies to be in intensive care [2]. A qualified prenatal care (PNC) service primarily provides to determine and harness the risks endangering pre-pregnancy and during pregnancy in the future mother and therefore provides the prevention of negative results which can occur both in the mother and the newborn [3,4].Studies done presents that inadequate PNC is related to preterm labor, low birth weight an newborn deaths [5,6].Besides PNC, interventions during birth and right after that are important and deliveries should be made by health personnel and NICU's should be at least found in certain centers.It is important to determine the factors affecting the intense care requirement of the newborn in terms of creating effective interventions to be made in this respect in the whole process starting from prenatal period.This study aims to compare the mothers delivering between January -June 2010 in Hacettepe University Obstetrics and Gynaecology Clinic whose babies were admitted and whose babies were not admitted to NICU and determine the effects of socio-economic factors, prenatal care received risk factors during pregnancy and delivery on the new-born's being in intensive care. AbstractObjective: To determine socioeconomic characteristics, prenatal care and maternal risk factors and reveal the impact on newborn, in mothers who gave birth . Material and Method:A case-control study comparing the mothers whose babies were admitted and mothers whose babies were not admitted to neonatal intensive care unit of a University Hospital. The 200 women as a case and 200 women as a control has been chosen among total 958 female patient. A survey form has been filled by the patient to determine socio-economic and prenatal care features and the risk factors. The APNCU index is was used for adequacy of prenatal care. Chi square test, Fisher's exact test and multiple logistic regression analysis are were used for statistical evaluation. Results