OBJECTIVE: To analyze neonatal morbidity and mortality rates of late-preterms and to compare them with their term counterparts in a tertiary care unit in Turkey. STUDY DESIGN: The study included 252 late-preterm newborns (34 0/7--36 6/7 weeks' gestational age), admitted to Neonatal Intensive Care Unit in the first 24 h of life between January 2005 and June 2007 and 252 newborns born in the same hospital in the same period of time. Babies with major congenital and/or chromosomal abnormalities were excluded. RESULTS: The mortality rate was 2.3% in late-preterms. None of the term newborns died. Compared to terms, late-preterms were 11 times more likely to develop respiratory distress, 14 times more likely to have feeding problems, 11 times more likely to exhibit hypoglycemia, 3 times more likely to be readmitted and 2.5 times more likely to be rehospitalized. Late-prematurity, being large for gestational age, male gender, and cesarean delivery were significant risk factors for respiratory distress. CONCLUSION: Late-preterms have significantly higher risk of morbidity and mortality compared with term newborns. Greater concern and attention is required for the care of this ignored, at-risk population.
OBJECTIVE: To analyze neonatal morbidity and mortality rates of late-preterms and to compare them with their term counterparts in a tertiary care unit in Turkey. STUDY DESIGN: The study included 252 late-preterm newborns (34 0/7--36 6/7 weeks' gestational age), admitted to Neonatal Intensive Care Unit in the first 24 h of life between January 2005 and June 2007 and 252 newborns born in the same hospital in the same period of time. Babies with major congenital and/or chromosomal abnormalities were excluded. RESULTS: The mortality rate was 2.3% in late-preterms. None of the term newborns died. Compared to terms, late-preterms were 11 times more likely to develop respiratory distress, 14 times more likely to have feeding problems, 11 times more likely to exhibit hypoglycemia, 3 times more likely to be readmitted and 2.5 times more likely to be rehospitalized. Late-prematurity, being large for gestational age, male gender, and cesarean delivery were significant risk factors for respiratory distress. CONCLUSION: Late-preterms have significantly higher risk of morbidity and mortality compared with term newborns. Greater concern and attention is required for the care of this ignored, at-risk population.
Authors: R M Phillips; M Goldstein; K Hougland; R Nandyal; A Pizzica; A Santa-Donato; S Staebler; A R Stark; T M Treiger; E Yost Journal: J Perinatol Date: 2013-07 Impact factor: 2.521
Authors: Elaine M Boyle; Samantha Johnson; Bradley Manktelow; Sarah E Seaton; Elizabeth S Draper; Lucy K Smith; Jon Dorling; Neil Marlow; Stavros Petrou; David J Field Journal: Arch Dis Child Fetal Neonatal Ed Date: 2015-04-01 Impact factor: 5.747
Authors: Javier Torres-Muñoz; Carlos Alberto Jiménez-Fernandez; Rubi Rocio Ortega; Darly Janeth Marin Cuero; Diana Marcela Mendoza Journal: Front Public Health Date: 2020-07-10