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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 7 - 13 (7page)
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초록· 키워드
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Objective: This study aimed to determine neonatal outcomes and morbidities according to gestational weeks in term births. Methods: This was a retrospective observational study of 626 singleton deliveries from 37 0/7 to 41 6/7 gestational weeks in National Health Insurance Service Ilsan Hospital using electronic medical record data from January 1, 2011 to December 31, 2017 Neonatal outcomes and morbidity in women who attempted vaginal delivery were compared at each gestational week. Results: Early term births (37 0/7 to 38 6/7) accounted for 38.7% of full-term births (242/626). The rate of neonatal intensive care unit (NICU) admission was the lowest at 39 gestational weeks (25.0%) and highest at 41 weeks (30.8%). Compared to 39 gestational weeks, the rate of NICU admission days for more than 5 days and 5-minute Apgar score less than 7 were higher at 37 gestational weeks (26.6% vs. 11.3%, P=0.028 and 7.6% vs. 2.0%, P=0.011, respectively). The intubation rate was lower in 39 weeks than in 37 weeks without statistical significance. The incidence of meconium-stained amniotic fluid increased with gestational weeks from 37 weeks (1.3% at 37 weeks, 30.8% at 41 weeks, P<0.001). Severe neonatal morbidities were very low and not different according to gestational weeks. Conclusion: Among term births, our study showed that the prevalence of neonatal morbidities was highest at 37 gestational weeks and lowest at 39 gestational weeks. However, there was no significant difference in severe morbidities. Further studies are urgently required to determine the appropriate timing of delivery to avoid common neonatal complications.
목차
등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
World Health Organization / 2004 / ICD-10: international statistical classification of diseases and related health problems / World Health Organization
American Academy of Pediatrics / 2013 / The American College of Obstetrician and Gynecologists. Guidelines for perinatal care / American Academy of Pediatrics Committee on Fetus and Newborn
Nakling J / 2006 / Pregnancy risk increases from 41 weeks of gestation / Acta Obstet Gynecol Scand 85:663~668
Engle WA / 2007 / Committee on Fetus and Newborn, American Academy of Pediatrics. "Late-preterm" infants: a population at risk / Pediatrics 120:1390~1401
Divon MY / 1998 / Fetal and neonatal mortality in the postterm pregnancy : the impact of gestational age and fetal growth restriction / Am J Obstet Gynecol 178:726~731
American Academy of Pediatrics / 2013 / The American College of Obstetrician and Gynecologists. Guidelines for perinatal care / American Academy of Pediatrics Committee on Fetus and Newborn
Nakling J / 2006 / Pregnancy risk increases from 41 weeks of gestation / Acta Obstet Gynecol Scand 85:663~668
Engle WA / 2007 / Committee on Fetus and Newborn, American Academy of Pediatrics. "Late-preterm" infants: a population at risk / Pediatrics 120:1390~1401
Divon MY / 1998 / Fetal and neonatal mortality in the postterm pregnancy : the impact of gestational age and fetal growth restriction / Am J Obstet Gynecol 178:726~731
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