Late preterm infants – impact of perinatal factors on neonatal results. A clinical study
Journal Title: Annals of Agricultural and Environmental Medicine - Year 2015, Vol 22, Issue 3
Abstract
Introduction. Infants born between the 34[sup]th[/sup] – 36[sup]th[/sup] week of pregnancy account for 75% of all preterm infants. Their seemingly slight immaturity is related to serious health problems. Objective. The aim of the study was to analyse perinatal factors that influence the occurrence in infants of such problems as respiratory failure, metabolic problems and early onset sepsis (EOS). Materials and method. The material for the study included all mothers and their late preterm infants: 34+0 – 36+6 born in our hospital (a tertiary referral academic centre) in 2010 and 2011. The course of pregnancy and delivery, the type of delivery, applied preventive measures and treatment, as well as demographic data and the clinical state of infants were all analysed. Data from individual documentation of each mother and infant were collected by 5 designated people and data reliability was independently monitored by a random control of the documentation conducted by the supervising person. Results. A statistically significant relationship between the occurrence of respiratory distress syndrome and infant immaturity, bad state after birth and sepsis in infants were confirmed. Sepsis was more common in the case of vaginal delivery, and coexisted with respiratory distress syndrome. The mother’s diseases during pregnancy, a perinatal preventive antibiotic therapy, and possible delivery complications did not influence the infection. Perinatal asphyxia in an infant positively correlated with a Caesarean section and respiratory distress syndrome after birth. Conclusions. It is necessary to thoroughly establish the type of delivery of a late preterm infant in order to prevent an infection in the newborn child. The improvement of diagnosis of intrauterine hypoxia may reduce the number of Caesarean sections. The decision about late preterm delivery should be based on indices of the mother’s state of health. Premature delivery is related to the occurrence of respiratory distress syndrome in a late preterm infant, although the risk is reduced by the application of an antenatal steroid therapy.
Authors and Affiliations
Grzegorz Jakiel, Maria Wilińska, Małgorzata Bińkowska, Anna Kowal, Sylwia Rumowska, Michał Ciebiera
Keywords
Related Articles
- EP ID EP81009
- DOI -
- Views 157
- Downloads 0
Diffuse large B cell lymphoma of the oral cavity – Case report
The study presents an atypical location of Non-Hodgkin lymphoma of the oral cavity in the area of the palate. Pathological changes of the mucosa of the palate in an 85-year-old female patient had been developing for many...
Cytotoxicity induced by cypermethrin in Human Neuroblastoma Cell Line SH-SY5Y
The purpose of this study was to evaluate the cytotoxic potential of Cypermethrin (CM) on cultured human Neuroblastoma SH-SY5Y cells. SH-SY5Y cells were treated with CM at 0–200µM for 24, 48, and 72 h, [i]in vitro[/i]. I...
Wpływ przezskórnej terapii hormonalnej na hemostazę płytkową kobiet menopauzalnych
Wstęp: Terapia hormonalna okresu menopauzy (HT) mimo niezaprzeczalnie pozytywnego wpływu na jakość życia kobiet menopauzalnych, ma również minusy w postaci działań ubocznych, do których zalicza się m.in. powikłania zakrz...
Tourist activity of young people as a factor contributing to their health and proper development
Introduction and Objective: The aim of this paper is to assess the level of tourist activity of pupils and students from schools in Warsaw, as well as factors influencing this level of activity. Methods: A two-part que...
Psychoactive substances use experience and addiction or risk of addiction among by Polish adolescents living in rural and urban areas
The objective of the study was to determine the similarities and differences between adolescents with psychoactive substances use experience living in urban and rural areas as regards the intensity of Internet addiction...