Abstract:

Aim: The aim of this study is to evaluate the preterm cases that referred to neonatal intensive care unit retrospectively, and define the perinatal problems and factors associated with clinic outcomes of the patients. Material and Method: Demographic data and medical records of preterm babies and their mothers, whose referred to Neonatal Intensive Care Unit of Abant Izzet Baysal University Medical Faculty between 2012 and 2013 were included and retrospectively evaluated. Results: One hundred forty six preterm babies were revealed in the study. According to gestational age, there were 81 (%55.5) late preterm, 37 (%25.3) moderate preterm, 22 (%15.1) extremely preterm, 6 % (4.1) immature babies.  Six of them had been exitus. Most premature baby who survived was born at 30 weeks with a birth weight of 700 grams. Risk factors of preterm mortality were found as lower gestational age, lower birth weight, lower Apgar scores, born by vaginal delivery and being a twin. Conclusion:  Preterm birth is therefore a common, complex condition that results from multiple interactions between the maternal and the fetal conditions in the intrauterine environment. Degree of maturity, therefore, is the major determinant of mortality and morbidity of preterm birth. Preterm infants are more vulnerable to organ injury, neurodevelopmental disability, chronic illness, and death than full term newborns. Although total prevention of preterm delivery is not achievable target; regular medical follow-up of pregnant women, appropriate treatment and follow-up of newborn will reduce the morbidity and mortality.  

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