Plasental İmplantasyon Defektli Annelerin Bebeklerinin Değerlendirilmesi: Tek Merkez Sonuçları

Abstract

Background: Placental implantation defects are the most important causes of antepartum vaginal bleeding. In addition, the incidence of perinatal complications is also increased mainly due to preterm birth and smallforgestational-age fetuses. The other complications in neonates are intrauterine asphyxia, infections, respiratory distress. The aim of this study is to determine its association with adverse maternal and neonatal outcomes. Materials and Methods: Babies of the mothers with placental implantation defects followed in Neonatal Intensive Care Unit (NICU) in 2014-2015 were retrospectively sectional screened and involved in the study. Fetal loses, stillbirth fetuses, and live births were recorded. Neonatal evaluation included Apgar scores, birth weight, resuscitation in delivery room, respiratory distress, surfactant application, ventilator support, early and late onset neonatal sepsis, feeding tolerance, major anomalies and mortalities of the babies hospitalized in Neonatal Intensive Care Unit were investigated from hospital records. Results: There were 116 premature infants (90,62%) hospitalized in NICU and 9 infants (7,03%) had surfactant therapy for severe respiratory distress syndrome (RDS). Also, there were 68 infants hospitalized for respiratory distress due to pneumonia, transient tachypnea of neonate or RDS had ventilator support. NICU hospitalization incidence is higher in neonates of mothers with placental implantation defects. Conclusion: As well as antenatal careful follow up of mothers, it is also important that these pregnants give births in centers with third level neonatal intensive care units.