Dergiler / Bakırköy Tıp Dergisi / 2018 / Cilt: 14 - Sayı: 4

Evaluation of the Neonates Born Through Meconium Stained Amniotic Fluid: A Single-Center Experience

Mekonyuım Boyalı Amnios Sıvılı Yenidoğanların Değerlendirilmesi: Tek Merkez Deneyimi

Sayfa
357–363
DOI
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Female gender and birth height may be related for neonates with born through MSAF.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Objective: Meconium stained amniotic fluid (MSAF) has been reported to be associated with an obstetric hazard and significantly increase risks of adverse neonatal outcomes at term, preterm and postterm neonates.
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Temel Bulgular & Veri:Materials and Methods: Delivery room data of the all liveborn neonates (n=2866) and clinical data of the meconium stained amniotic fluid neonates.
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Sonuç & Katkı:Female gender and birth height may be related for neonates with born through MSAF.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Objective: Meconium stained amniotic fluid (MSAF) has been reported to be associated with an obstetric hazard and significantly increase risks of adverse neonatal outcomes at term, preterm and postterm neonates. We aimed to evaluate the neonates born through meconium stained amniotic fluid in this study. Materials and Methods: Delivery room data of the all liveborn neonates (n=2866) and clinical data of the meconium stained amniotic fluid neonates. Results: Ten percent of liveborn neonates were complicated by meconium stained amniotic fluid (n=288). Gestational age, birth weight, height, head circumference, female gender, active resuscitation, admission to the neonatal intensive care unit were statistically higher, and Apgar scores at 1 minute were lower in meconium stained neonates than the neonates born without meconium. Neonates born through meconium stained amniotic fluid were delivered from singleton pregnancies (p=0.007). Regression analysis showed that female sex and birth length were might affect the presence of meconium. Conclusion: This study results were shown that tracheal suctioning is not full prevent to meconium aspiration syndrome for who neonates born through MSAF. Meconium below to vocal cord was not present all MSAF neonates. Female gender and birth height may be related for neonates with born through MSAF.

Abstract

Amaç: Mekonyumla boyanmış amniotik sıvı (MSAF) obstetrik bir risk ile ilişkili olduğu ve term, preterm ve postterm yenidoğanlarda advers neonatal sonuçların riskini önemli ölçüde arttırdığı bildirilmiştir. Bu çalışmada mekonyumlu lezyonlu amniyon sıvısı ile doğan yenidoğanları değerlendirmeyi amaçladık. Gereç ve Yöntemler: Tüm canlı doğanlarda (n=2866) doğumhane verileri ve mekonyumlu lezyonlu amniotik sıvı yenidoğanların klinik verileri. Bulgular: Canlı doğan yenidoğanların %10’u mekonyum lekeli amniyon sıvısı (n=288) ile komplike idi. Mekonyum boyalı yenidoğanlarda, gebelik yaşı, doğum ağırlığı, boy, baş çevresi, kadın cinsiyet, aktif resüsitasyon, yenidoğan yoğun bakım ünitesine kabul ve istatistiksel olarak daha yüksekti ve Apgar skorları mekonyumdan doğan yenidoğanlara göre daha düşüktü. Mekonyum lekeli amniyon sıvısı ile doğan yenidoğanlar tekil gebeliklerden alındı (p=0,007). Regresyon analizi, kadın cinsiyet ve doğum öyküsünün mekonyum varlığını etkileyebileceğini göstermiştir. Sonuç: Çalışmanın sonuçları, trakeal emilimin, MSAF ile doğan yenidoğanlar için mekonyum aspirasyon sendromu önlemek için tam olmadığını gösterdi. Vokal kordonun altındaki mekonyum, tüm MSAF yenidoğanlarında mevcut değildi. MSAF yoluyla doğan yenidoğanlarda kadın cinsiyeti ve doğum yüksekliği olabilir.

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Bu Makaleye Atıf Yap

SALİHOĞLU, Ö., CAN, E., AKKUŞ, C. H., HAMİLCİKAN, Ş., HATİPOĞLU, S. (2018). Evaluation of the Neonates Born Through Meconium Stained Amniotic Fluid: A Single-Center Experience. Bakırköy Tıp Dergisi, Cilt: 14 - Sayı: 4, 357–363. https://ajindex.com/articles/128069

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Kaynakça (10)

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