Follow up processes of newborn babies in delivery room: two-year statistical evaluation

Objective: Epidemiologic examination of the results of postnatal follow-up of infants born at our hospital.
Material and Method: All the babies born within two years (2014-2015) in our hospital were included in the study. Babies’ information, physical examination findings, interventions used in the delivery room, follow-up results and existing diseases were recorded daily. The obtained data were compared with the national data of our country.
Results: A total of 7246 newborns were born from 7172 pregnancies, 7175 (99.02%) live births and 71 (0.98%) stillbirths within the specified period. Rate of cesarean section, multiple pregnancy and major anomaly were 41.66%, 1.03% (n: 74) and 0.77% (n: 55) respectively. According to the gestational age, preterm delivery (<37 weeks) was 13.7% (n: 995), term delivery (38-42 weeks) was 84.8% (n: 6143) and postterm delivery (>42 weeks) was 1.5% (n: 108). Distribution of infants according to birth weight was determined as; <1000 grams 0.8% (n: 61), 1000-1500 grams 1.1% (n: 79), 1500-2500 grams 8.4% (n: 611), 2500-4000 84.5% (n: 6119) and > 4000 grams 5.2% (n: 376). The SGA rate in infants was 6.7%, the AGA rate was 79.8% and the LGA rate was 13.5%. It was found that 3.1% of babies were followed in newborn unit, 8.2% were admitted to neonatal intensive care unit and 1.4% were referred to other hospitals. In delivery room, babies were given oxygen at a rate of 7.5%, in 2.4% infants were used T-piece resuscitation support and 1.04% of babies were subjected to intubation and/or chest compression.
Conclusion: In our country, there are not enough studies about newborn babies’ short-term follow-up at delivery room. The preterm delivery rates and cesarean birth rates in our hospital were found to be below the country values but higher than the developed countries.

Doðumhanede yenidoðan bebeklerin izlem süreçleri: Ýki yýllýk istatistiksel deðerlendirme

Amaç: Hastanemizde doðan bebeklerin doðum sonrasý izlem sonuçlarýnýn epidemiyolojik açýdan incelenmesi.
Gereç ve Yöntem: Çalýþmaya belirlenen iki yýl içerisinde (2014-2015 yýllarý) hastanemizde doðan tüm bebekler dahil edildi. Bebeklerin bilgileri, muayene bulgularý, doðumhanede uygulanan giriþimler, izlem sonuçlarý ve mevcut hastalýklarý günlük olarak kaydedildi. Elde edilen veriler ülkemiz verileri ile karþýlaþtýrýldý.
Bulgular: Belirlenen süre içerisinde 7172 gebelikten, 7175’i (%99.02) canlý doðum ve 71’i (%0.98) ölü doðum olmak üzere toplam 7246 bebek doðmuþtu. Sezaryen ile doðum sýklýðý %41.66, çoðul gebelik sýklýðý %1.03 (n: 74), majör anomali sýklýðý %0.77 (n: 55) olarak belirlendi. Gebelik süresine göre prematüre doðum (<37 hafta) %13.7 (n: 995), term doðum (38-42 hafta) %84.8 (n: 6143) ve postmatüredoðum (>42 hafta) %1,5 (n: 108) þeklindeydi. Bebeklerin doðum aðýrlýðýna göre daðýlýmý: < 1000 gram %0.8 (n: 61), 1000-1500 gram %1.1 (n: 79), 1500 – 2500 gram %8.4 (n: 611), 2500-4000 gramý %84.5 (n: 6119) ve 4000 gram üstü %5.2 (n: 376) olduðu saptandý. Bebeklerde SGA oraný %6.7, AGA oraný %79.8 ve LGA oraný %13.5 idi. Bebeklerin %3.1’inin yenidoðan ünitesinde takip edildiði, %8.2’sini
yenidoðan yoðun bakým ünitesine yatýrýldýðý ve %1.4’ünün baþka hastanelere sevk edildiði belirlendi. Bebeklere doðumhanede %7.5 oranýnda oksijen verildiði, %2.4 oranýnda T parça canlandýrýcý desteði verildiði ve %1.04 bebeðe entübasyon ve/veya göðüs kompresyonu uygulandýðý belirlendi.
Sonuç: Ülkemizde yenidoðan bebeklerin doðumhanedeki kýsa süreli izlemi ile ilgili yeterli çalýþma bulunmamaktadýr. Hastanemizde prematüre doðum oranlarý ve sezaryen doðum oranlarýnýn ülkemiz deðerlerinin altýnda ancak geliþmiþ ülke deðerlerinden yüksek olduðu belirlendi.