Preterm births at the Department of gynecology and obstetrics, University hospital Split

Cilj: Prikazati odlike prijevremenih porođaja i nedonoščadi iz jednoplodovih trudnoća. Metode: Podaci za dvogodišnje razdoblje (2008. – 2009.) prikupljeni su popisnom metodom iz pisanih rađaoničkih protokola Klinike za ženske bolesti i porode KBC-a Split. Uključene su sve rodilje s prijevremeno rođenom novorođenčadi u ispitivanom razdoblju. Iz istraživanja su isključene višeplodove trudnoće, mrtvorođena i malformirana novorođenčad. Rezultati: Od ukupno 9 042 rođena novorođenčeta u Klinici za ženske bolesti i porode KBC-a Split tijekom dvogodišnjeg razdoblja kao nedonoščad je rođeno 436 (4,8 %). Carskim rezom rođena su 144 (33 %) nedonoščeta. Udio hipotrofične (11,6 % vs. 9,2 %; P = 0,113) i hipertrofične (7,3 % vs. 8,4 %; P = 0,438) novorođenčadi nije se razlikovao između nedonoščadi i terminske novorođenčadi. Ponderalni indeks nedonoščadi bio je manji u odnosu na terminsku novorođenčad (2,45 g/cm3 vs. 2,68 g/cm3; P < 0,001). Niska APGAR ocjena je trinaest puta češća (27,5 % vs. 2,1 %) u skupini nedonoščadi (P < 0,001). Zaključak: Učestalost rađanja nedonoščadi u Klinici ulazi u prosjek razvijenih zemalja svijeta, porođaji nedonoščadi povezani su s većom učestalosti carskog reza te nema razlike u učestalosti hipotrofije i hipertrofije nedonoščadi u odnosu na terminsku novorođenčad. Kod nedonoščadi je ponderalni indeks u prosjeku niži.Aim: This paper presents characteristics of preterm births and preterm infants from singleton pregnancies. Methods: The data refer to a 2-year period (2008-2009) and were collected from the birth protocol of the Department of Gynecology and Obstetrics, University Hospital Split. The study included all mothers with prematurely born infants. Multiple pregnancies, stillborn and malformed newborns were excluded from the study. Results: During the research period, 436 (4.8 %) of all infants (n = 9042) were born as preterm newborns. The caesarean section was performed on 144 (33 %) premature infants. The rate of hypothrophic (11.6 % vs. 9.2 %; P = 0.113) and hypertrophic (7,3 % vs. 8.4 %; P = 0.438) infants did not differ in preterm and term neonates. Ponderal index of preterm infants was lower (2.45 g/cm3 vs. 2.68 g/cm3; P < 0.001). Low APGAR score is thirteen times more frequent in the study group (27.5 % vs. 2.1 %; P < 0.001). Conclusion: The frequency of preterm birth in the Department is within the statistical average of developed countries. Preterm births are associated with higher rate of caesarean section with no difference in the frequency of occurrence of fetal hypotrophy and hypertrophy. In premature infants, ponderal index is significantly lower

AGRICULTURE IN NATURE AND ENVIRONMENT PROTECTION: proceedings & abstracts 11th international scientifi c/professional conference

PROGRAM: PLENARY SECTION, Plant production, Animal production, Agroecology, Agroeconomics, Agricultural technics and technolog