Stručni rad

https://doi.org/10.21860/medflum2021_261192

The prevalence of maternal, placental and obstetric pathology in pregnancies and births of very low birth weight infants

Nora Pušeljić orcid.org/0000-0002-6687-7804 ; Sveučilište Josipa Jurja Strossmayera u Osijeku, Medicinski fakultet Osijek, Osijek, Hrvatska
Ema Poznić orcid.org/0000-0002-9705-4384 ; Sveučilište Josipa Jurja Strossmayera u Osijeku, Medicinski fakultet Osijek, Osijek, Hrvatska
Luka Perić orcid.org/0000-0001-5124-1443 ; Sveučilište Josipa Jurja Strossmayera u Osijeku, Medicinski fakultet Osijek, Osijek, Hrvatska
Luka Švitek orcid.org/0000-0003-0208-5821 ; Sveučilište Josipa Jurja Strossmayera u Osijeku, Medicinski fakultet Osijek, Osijek, Hrvatska
Silvija Pušeljić orcid.org/0000-0002-9500-2185 ; Klinika za pedijatriju, Klinički bolnički centar Osijek, Osijek, Hrvatska
Vesna Milas ; Klinika za pedijatriju, Klinički bolnički centar Osijek, Osijek, Hrvatska

Sažetak

Objective: To examine the prevalence of maternal, placental and obstetric pathology in very low birth weight infants.Subjects and Methods: The group of respondents consists of all mothers whose pregnancies ended with the birth of live very low birth weight infants at the Clinical Hospital Center Osijek from 2015 to 2019. Data were collected from medical records and the hospital information system and processed by computer program R, very low birth weight version 3.5. Results: The incidence of births of very low birth weight preterm infants was 2.8%. Among maternal comorbidities, hypertensive disorders (20.6%), anemia (8.1%) and hypothyroidism (10.3%) stand out, whereas the most common previous maternal gynecological diseases were fibroids (3.3%). The most present maternal infections were intraamniotic infections (26.5%), urinary tract infections (10.3%), and unspecified infections (10.7%). 9.9% of mothers had some form of placental abruption. In preterm infants, the most common pathological position of the fetus was the pelvic presentation (16.5% of cases). Considering obstetric complications, premature rupture of amniotic fluid (37.1%), meconium amniotic fluid (18.4%), oligohydramnios (11.4%) and impending asphyxia (14.3%) were highly prevalent. Conclusions: This study highlighted the frequent complications of pregnancies that term with birth of very low birth weight infant. By emphasising the most common pathologies, we can facilitate the formulation of the hypothesis for further prospective studies that would potentially establish a causal relationship between these pathological conditions.

Ključne riječi

placental pathology; preterm birth; very low birth weight infants

Hrčak ID:

261192

URI

https://hrcak.srce.hr/261192

Datum izdavanja:

1.9.2021.

Podaci na drugim jezicima: hrvatski

Posjeta: 1.158 *