Is there A Relationship between Route of Delivery, Perinatal Characteristics, and Neonatal Outcome in Preterm Birth?

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dc.authoridOkten, Sabri Berkem/0000-0001-7473-761X
dc.authorwosidSAYIN, N. CENK/A-5801-2018
dc.authorwosidOkten, Sabri Berkem/HLH-7599-2023
dc.contributor.authorDolgun, Z. N.
dc.contributor.authorInan, C.
dc.contributor.authorAltintas, A. S.
dc.contributor.authorOkten, S. B.
dc.contributor.authorKaradag, C.
dc.contributor.authorSayin, N. C.
dc.date.accessioned2024-06-12T10:52:16Z
dc.date.available2024-06-12T10:52:16Z
dc.date.issued2018
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: Preterm birth is one of the most challenging problems in obstetric care and it is closely related to perinatal mortality and morbidity. The aim of the current study was to document our experience with preterm births and to analyze the association between perinatal variables and clinical outcomes. Methodology: In this retrospective study, data were derived from the medical records of 785 singleton preterm births delivered in the obstetrics and gynecology department of our institution. Variables under investigation were maternal and gestational ages, fetal gender, route of delivery (vaginal vs. cesarean section [C/S]), causes of preterm birth, birth weight, placental weight, umbilical cord length, and Apgar scores at the 1st and 5th min. Results: Pregnant women with advanced age (>= 35 years) were more likely to undergo C/S (P < 0.001). Apgar score at the 1st and 5th min was influenced significantly by gestational age (P < 0.001), newborn birth weight (P < 0.001), placental weight (P < 0.001), and umbilical cord length (P < 0.001). Infants delivered due to antepartum fetal distress indication had remarkably lower Apgar scores at the 1st min and the birth weight seemed to be positively correlated with Apgar scores at both 1st (P < 0.001) and 5th min (P < 0.001). Apgar scores both at the 1st and 5th min were positively correlated with placental weight (R: 0.239 and 0.231, respectively, and P < 0.001 for both) and length of umbilical cord (R: 0.228 and 0.211, respectively, and P < 0.001 for both). Conclusion: Advanced age pregnancies have higher C/S rates, but Apgar scores are significantly correlated with infant characteristics. Umbilical cord length and placental weight might be the new add-on predictors of postpartum well-being in premature infants.en_US
dc.identifier.doi10.4103/njcp.njcp_333_16
dc.identifier.endpage317en_US
dc.identifier.issn1119-3077
dc.identifier.issue3en_US
dc.identifier.pmid29519979en_US
dc.identifier.scopus2-s2.0-85043714215en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage312en_US
dc.identifier.urihttps://doi.org/10.4103/njcp.njcp_333_16
dc.identifier.urihttps://hdl.handle.net/20.500.14551/18654
dc.identifier.volume21en_US
dc.identifier.wosWOS:000427371000010en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWolters Kluwer Medknow Publicationsen_US
dc.relation.ispartofNigerian Journal Of Clinical Practiceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectApgar Scoreen_US
dc.subjectMorbidityen_US
dc.subjectNeonatalen_US
dc.subjectOutcomeen_US
dc.subjectPregnancyen_US
dc.subjectPreterm Birthen_US
dc.subjectLow Apgar Scoresen_US
dc.subjectCesarean Deliveryen_US
dc.subjectSectionen_US
dc.subjectMorbidityen_US
dc.subjectEpidemiologyen_US
dc.subjectAssociationen_US
dc.subjectPregnancyen_US
dc.subjectWeighten_US
dc.subjectImpacten_US
dc.subjectRisken_US
dc.titleIs there A Relationship between Route of Delivery, Perinatal Characteristics, and Neonatal Outcome in Preterm Birth?en_US
dc.typeArticleen_US

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