Rizici kasnog prematuriteta novoroÄ‘enÄadi hospitalizirane u jedinici intenzivne njege

Abstract

Introduction: Late preterm newborn (earlier also known as "near term") are a special subset of neonates born between 34+0/7 and 36+6/7 weeks of gestation. Late prematurity accounts for approximately 74% of all preterm births and about 8% of total births. Late preterm neonates in their characteristics are similar to term neonates but because of its physiological and metabolic immaturity are prone to various complications.

Aim: The aim of the study was to demonstrate the complications of late prematurity, morbidity structure, and the outcome of late preterm neonates who require hospitalization in the Intensive Care Units (ICU).

Patients and Methods: In this retrospective study we have evaluated the health state of late preterm neonates admitted to ICU Clinic for Children's Diseases, University Clinical Center Tuzla, in the period between 01.01.2013. and 01.01.2017.

Results and Discussion: In the Clinic of Gynecology and Obstetrics Clinical Center Tuzla in the four year period were 15,520 live-born infants, of whom 7,06% (1,097) were preterm. Late preterm infants accounted 72.47% (795). 18,61% (148) of them required continiu treatment in ICU. The most common reasons for admission to ICU were respiratory problems, intracranial hemorrhage, sepsis, hypoxic ischemic encephalopathy and perinatal asphyxia. More often are hospitalized the male infants, average gestation age amounted 34.9 gestation weeks and mostly belonged to the premature neonates of low birth weight. Almost one-quarter of hospitalized required ventilatory support. In our study group mortality was 8%.

Conclusion: Late preterm infants are the majority of preterm neonates and the risk of medical complications and admission in ICU is several times higher than in term neonates. It points to the public health significance of this population which is increasing.