Journals / Türkiye Çocuk Hastalıkları Dergisi / 2009 / Cilt: 3 - Sayı: 1

Effects of birth route and type of maternal anesthesia on weight loss in newborns in early postnatal period

Doğum şekli ve anneye uygulanan anestezi tipinin postnatal erken dönemde yenidoğanlarda görülen tartı kaybına etkileri

Pages
31–40
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Newborns born by cesarean section lost more weight than those born vaginally (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: Our objective was to evaluate the effects of birth route and type of maternal anesthesia on weight loss in newborns in the early postnatal period.Material and Methods: All newborns who were born in Gazi University Medical Faculty in the study period without any congenital anomalies, completely breastfed and who were not hospitalized in neonatal intensive care unit were included in this retrospective study.Newborns were grouped according to mode of delivery (vaginal delivery or cesarean section) and type of maternal anesthesia (no anesthesia, epidural anesthesia, general anesthesia).
📊
Key Findings & Data:All newborns who included in the study were evaluated for the postnatal weight loss (% of birth weight) at least once on the 2nd, 3rd, 5th and/or 7th day of life.Results: There were 1463 newborns who met the inclusion criteria.
💡
Conclusion & Impact:Newborns born by cesarean section lost more weight than those born vaginally (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: Our objective was to evaluate the effects of birth route and type of maternal anesthesia on weight loss in newborns in the early postnatal period.Material and Methods: All newborns who were born in Gazi University Medical Faculty in the study period without any congenital anomalies, completely breastfed and who were not hospitalized in neonatal intensive care unit were included in this retrospective study.Newborns were grouped according to mode of delivery (vaginal delivery or cesarean section) and type of maternal anesthesia (no anesthesia, epidural anesthesia, general anesthesia). All newborns who included in the study were evaluated for the postnatal weight loss (% of birth weight) at least once on the 2nd, 3rd, 5th and/or 7th day of life.Results: There were 1463 newborns who met the inclusion criteria. Average weight losses on the 2nd, 3rd, 5th and 7th days of life were 5.3±2.7%, 5.8±3.0%, 4.6±3.2% and 2.2±2.4%, respectively. Maximum weight loss (5.8%) occured on postnatal 3rd day. Newborns born by cesarean section lost more weight than those born vaginally (p

Özet

Amaç: Bu çalışmada, doğum şekli ve anneye uygulanan anestezinin, yenidoğanlarda, erken postnatal dönemde görülen tartı kaybına etkisi olup olmadığını belirlemek amaçlandı.Materyal ve Metod: Retrospektif olarak gerçekleştirilen bu çalışmaya, Gazi Üniversitesi Tıp Fakültesi’nde doğan ve herhangi bir nedenle yenidoğan yoğun bakım ünitesine yatırılmayan, konjenital anomalisi olmayan, formula desteği almayan ve sadece anne sütü ile beslenen 1463 yenidoğan dahil edildi. Yenidoğanlar, doğum şekli ve anneye uygulanan anestezi tipine göre; normal spontan vajinal yolla doğup annesine anestezi uygulanmayan, annesine epidural anestezi uygulanan, sezaryenle doğup annesine genel anestezi veya epidural anestezi uygulanan olmak üzere 4 alt gruba ayrıldılar. Çalışmaya alınan tüm yenidoğanlar, postnatal 2., 3., 5. ve 7. günlerde tartıldı ve tartı alımı ve kayıpları (% olarak) kaydedildi.Bulgular: Yenidoğanlarda postnatal 2., 3., 5. ve 7. günlerdeki tartı kayıpları sırasıyla %5.3±2.7, %5.8±3.0, %4.6±3.2 and %2.2±2.4 olarak bulundu. Maksimum tartı kaybı postnatal 3. günde (%5.8) gerçekleşti. Sezaryen ile doğan yenidoğanlarda tartı kaybı, vajinal yolla doğanlara göre (p

🔖

Cite This Article

OKUMUŞ, N., ATALAY, Y., TÜRKYILMAZ, C., ERGENEKON, E., ÖNAL, E. E., DEMİRCİ, S., KOÇ, E., GÜNAYDIN, B. (2022). Effects of birth route and type of maternal anesthesia on weight loss in newborns in early postnatal period. Türkiye Çocuk Hastalıkları Dergisi, Cilt: 3 - Sayı: 1, 31–40. https://ajindex.com/articles/627699

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Abboud TK, Nagappala S, Murakawa K, David S, Haroutunian S, Zakarian M, Yanagi T, Sheikh-Ol-Eslam A. Comparison of the effects of general and regional anesthesia for cesarean section on neonatal neurologic and adaptive capacity scores. Anesth Analg 1985;64:996-1000
  2. Lussos SA: Anesthesia for cesarean delivery. In: Datta S (ed): Common Problems in Obstetric Anesthesia. St Louis: CV Mosby,1995:203-227
  3. Petropoulos G, Siristatidis C, Salamalekis E, Creatsas G. Spinal and epidural versus general anesthesia for elective cesarean section at term: effect on the acid-base status of the mother and newborn. J Matern Fetal Neonatal Med 2003;13:260-266
  4. Rout CC, Rocke DA. Prevention of hypotension following spinal anesthesia for cesarian section. Int Anesthesiol Clin 1994;32:117-135
  5. Riley ET, Cohen SE, Rubenstein AJ, Flanagan B. Prevention of hypotension after spinal anesthesia for cesarian section: six percent hetastarch versus lactated ringers solution. Anesth Analg 1995;81:838-842
  6. Avoa A, Fischer P. The influence of perinatal instruction about breastfeeding on neonatal weight loss. Pediatrics 1990;86:313-315
  7. Rodriguez G, Ventura P, Samper MP, Moreno L, Sarria A, Perez-Gonzalez JM. Changes in body composition during the initial hours of life in breast-fed healthy term newborns. Biol Neonate 2000;77:12-16
  8. Marchini G, Stock S. Thirst and vasopressin secretion counteract dehydration in newborn infants. J Pediatr 1997;130:736-739
  9. Bishop NJ, King FJ, Lucas A. Linear growth in the early neonatal period. Arch Dis Child 1990;65:707-708
  10. Brace RA: Fluid distribution in the fetus and neonate. In: Polin RA, Fox WW (eds): Fetal and Neonatal Physiology. WB Saunders: Philadelphia, 1998:1703-1713
  11. Lapillonne A, Braillon P, Claris O, Chatelain PG, Delmas PD, Salle BL. Body composition in appropriate and in small for gestational age infants. Acta Paediatr 1997;86:196-200
  12. Bauer K, Bovermann G, Roithmaier A, Gotz M, Proiss A, Versmold HT. Body composition, nutrition, and fluid balance during the first two weeks of life in preterm neonates weighing less than 1500 grams. J Pediatr 1991;118:615-620. 13. vd Wagen A, Okken A, Zweens J, Zijlstra WG. Composition of postnatal weight loss and subsequent weight gain in small for dates newborn infants. Acta Paediatr Scand 1985;74:57-61
  13. Heimler R, Doumas BT, Jendrzejczak BM, Nemeth PB, Hoffman RG, Nelin LD. Relationship between nutrition, weight change, and fluid compartments in preterm infants du