Özet:

The aim of the study is to provide these data to the literature of our country, by investigating the perinatal results of the occurrences with a large birth weight (LGA) (born weight >90% according to pregnancy age) and a birth weight close to 90 percent but below (90-80%). The tool and method: In a reverse center, a total of 7800 births and infants in a year period have been studied. A total of 3 groups were formed. 1) birth weight > 90% (LGA group), 2) birth weight 90%-80% 3) birth weight 79-10% (control group). The comparison was made between the groups in terms of maternal and newborn bad results. Results: According to the criteria for exclusion, a total of 4286 patients were included after the patients were selected. 234 of the patients were LGA, 356 in the 80-90% percentile group and 3696 in the control group. Maternal age and Caesar birth rates were high in the LGA group. The application rate for the newborn unit was much higher than the control group, similar to the LGA and the 80-90 percentage group. Mechanical ventilation was higher than the control group in the LGA and 80-90 percentage group. The rates of newborn sepsis, RDS and clavicular fractures were slightly higher than the control group in the LGA and 80-90 percentile group, but this difference was not statistically meaningful. This study found that the morbidity of newborns between 80-90 per cent per birth weight was high and the need for intensive care was excessive.

Anahtar Kelimeler:

Özet:

Purpose: The aim of this article is to investigate the effect of large birth weight (LGA) on adverse neonatal outcomes, especially on the effect of stillbirth. Yet another hypothesis is; Increased adverse neonatal outcomes of infants whose birth weight is close to 90th percentile, but less than 90% (90-80%). In this study, our aim is to investigate and compare the adverse neonatal outcomes of infants whose birth weight is 90-80 percentile and to gain morbidity and mortality rate in our country's literature. Materials and Methods: A total of 7800 births and infant files were examined in a tertiary center within a year. A total of 3 groups were formed. 1) birth weight> 90% (LGA group), 2) birth weight 90-80% 3) birth weight 79-10% (control group). The comparison of maternal and neonatal outcomes between groups was made. Results: A total of 4286 patients met the study criteria; 234 were in the LGA group, 356 in the 80-90 percentile group and 3696 in the control group. Maternal age and cesarean delivery rate were highest in LGA group. The rate of admission to the neonatal unit was much higher than in the control group, similar in the LGA and 80-90 percentile groups. Mechanical ventilation was higher in LGA and 80-90 percentile groups than in the control group. Neonatal sepsis, RDS and clavicle fracture rates were slightly higher in LGA and 80-90 percentile groups compared to control group, but this difference was not statistically significant. Conclusion: It was found that neonates who are between 80-90 percentiles in terms of birth weight have high morbidity and need for neonatal intensive care.