Journals / GORM:Gynecology Obstetrics & Reproductive Medicine / 2002 / Cilt: 8 - Sayı: 1
Preeklampik anne prematüre yenidoğanlarında sonuçlar
- Pages
- 14–16
- DOI
- —
Abstract
OBJECTIVE: To compare the neonatal outcome of premature infants of preeclamptic mothers with the premature infants of mothers without preeclampsia.STUDY DESIGN: Chart review including perinatal variables and the clinical course of 45 premature infants born to preeclamptic mothers and gestational age, gender matched 45 premature infants of mothers without preeclampsia. RESULTS: Although, infants of preeclamptic mothers were more likely to exhibit respiratory distress syndrome (24% vs 18%), polycythaemia (22% vs 11%), thrombocytopenia (22% vs 9%) and necrotizing enterocolitis (4% vs 2%) and less likely to develop intraventricular haemorrhage (7% vs 11%) than the infants of mothers without preeclampsia, the difference between the two groups did not reach statistical significance. Besides the duration of hospital stay (19.3 ±17.4 vs 17.6 ± 13.9 days) and mortality rates (16% vs 18%) were relatively similar in the two groups. Backward stepwise multivariate analysis revealed that the risk of a preeclamptic mother to deliver a small for gestational age infant was increased by 2.58 fold (95% CI 1.04-6.38; p=0.039) and and to be delivered by cesarean section by 2.85 fold (95% CI 1.15-7.08; p=0.023) when compared to a mother without preclampsia. CONCLUSION: These data suggest that perinatal course of premature infants of preeclamptic mothers may be relatively similar to the course of premature infants of mothers without preeclampsia .
Özet
Preeklamptik anne 45 prematüre yenidoğan, preeklamptik olmayan annelere ait, gebelik yaşı, cinsiyet açısından eşleştirilmiş 45 prematüre yenidoğan ile neonatal komplikasyonlar açısından karşılaştırıldı. Preeklamptik anne infantları respiratuar distres sendromunu, polisitemiyi, trombositopeniyi, nekrozitan enterokolitisi biraz daha sık, intraventriküler hemorajiyi daha az geliştirmekle birlikte, istatistik açıdan farklılık görülmedi. Her iki grupta hastanede kalış süresi, mortalite hemen hemen aynı idi. Bununla birlikte preeklamptik annede daha sıklıkla gelişme geriliği ve sezaryenle doğum görülmektedir.