Bekdaş, Mervan Abant İzzet Baysal Üniversitesi - Tıp Fakültesi - Çocuk Sağlığı ve Hastalıkları AD, Türkiye , Göksügür, Sevil Bilir Abant İzzet Baysal Üniversitesi - Tıp Fakültesi - Çocuk Sağlığı ve Hastalıkları AD, Türkiye , Küçükbayrak, Beyhan İzzet Baysal Devlet Hastanesi - Çocuk Sağlığı ve Hastalıkları Kliniği, Türkiye , Ekici, Ayhan İzzet Baysal Devlet Hastanesi Kadın - Hastalıkları ve Doğum Kliniği, Türkiye

The factors affecting morbidity and mortality in low birth-weight infants

26895

Objective: To investigate the frequency of short term morbidity and mortality and the factors affecting them for the infants born with low birth-weight at our hospital. Methods: At our hospital, 195 infants born with low birth-weight within a period of 18 months were identified and 150 infants born with normal birth-weights were selected as the control group. Results: Within the mentioned period of time, 4.4% (n=168) of the infants born in our hospital had low birth-weight, 0.7% (n=27) had very low birth-weight (VLBW). Multiple pregnancies and asphyxiating birth rates were significantly high in these infants as compared to the control group. (p=0.029, p=0.011, respectively). For VLBW infants, the rates of asphyxiating birth (OR=14.2, 95% CI (6.6-30.7, p 0.001), hospitalization at the neonatal intensive care unit (OR=34.8, 95% CI (4.7-256.3, p 0,001) and diagnosis of respiratory distress syndrome (OR=11.5, 95% CI (4-33.5, p 0.001) were significantly high. In all infants, the transient metabolic disorders were identified at a significantly high rate (p=0.045). The birth-weight and gestational age of infants were inversely correlated with their fetal and neonatal mortalities (for all p 0.001). Conclusion: This study demonstrated that the most important factor affecting infants was multiple pregnancies. The birth-weight and gestational age of infants were inversely correlated with their morbidity and mortality rates.

384

Low birth weight , perinatal risk factors , morbidity , mortality

Dicle Medical Journal

390