Özet:

Aim: Preterm birth is the leading cause of neonatal death. The highest rate among these deaths belongs to respiratory distress syndrome (RDS). The aim of this study is to help the most appropriate and effective management of RDS in newborns; To determine the risk factors, clinical features and complications of RDS. Material and Methods: Low birth weight infants in our second level neonatal intensive care unit between January 2016 and June 2021 were included in the study. The cases were examined retrospectively, demographic characteristics, treatments given (mechanical ventilation, surfactant), and early and late complications; death rates and causes were determined. Results: 130 cases were included in the study. Sixty-two percent were boys and 38% were girls. 85% had cesarean section and 15% had normal vaginal delivery. Mean birth weight was 2043±372 g, mean gestational week was 32±5 weeks. Antenatal steroid (ACS) was administered in 67.6% of them. Premature rupture of membranes (PROM) was detected in 33% of them. Early and late complications; Ventilator-associated pneumonia in 3.8% and pneumothorax in 3%. Sepsis was detected in 4.6%. Bronchopulmonary dysplasia (BPD) 2.3%, Retinopathy of Prematurity (ROP) 1.5%, periventricular leukomalacia 1%, 7 with intracranial hemorrhage (IGC stage III-IV) 2%. The death rate was 10%. Conclusion: Our death rates; was found to be similar to the data published in our country. We think that our mortality rates will decrease if prenatal follow-up is improved, pregnant follow-ups are carried out regularly, risks for common causes of death are determined and adequate and effective measures are taken against them.

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