Abstract
Objective: Determine socioeconomic characteristics, prenatal care and maternal risk factors and to reveal the impact on newborn, in mothers who gave birth. Materials and Methods: A case-control study comparing the mothers whose babies admitted and whose babies not admitted to neonatal intensive care unit of a University Hospital. 200 women as a case and 200 women as a control chosen among total 958 women. A survey form filled to determine socioeconomic and prenatal care features and the risk factors. The APNCU index is used for adequacy of prenatal care. Chi square test, Fisher’s exact test and multiple logistic regression analysis are used for statistical evaluation. Results: As to prenatal care 94.3 % of the mothers received adequate amount and 95.2 % adequate content. The location of residence (OR:2.72), husband education (OR:1.97), spontaneous abortion in second trimester or preterm birth history (OR:4.27), multiple pregnancy (OR:5.25), bigger or smaller uterine size (OR:26.58), early uterine contraction (OR:2.21), and problems during delivery (OR:2.53) variables were related to be in neonatal intensive care unit. Conclusion: Factors related to being in intensive care found in this study should be understood and interpreted in all of the steps of health services, and interventions should be executed when necessary.
Highlights
In clearing up the problems of the high risk newborn to be considered due to the anatomic and physiological differences from the healthy newborn, methods containing special tools and care are required to be used and watched in neonatal intensive care unit (NICU) [1].Several risks related to the mother are known to increase the risk of babies to be in intensive care [2]
Factors related to being in intensive care found in this study should be understood and interpreted in all of the steps of health services, and interventions should be executed when necessary
Besides prenatal care (PNC), interventions during birth and right after that are important and deliveries should be made by health personnel and NICU’s should be at least found in certain centers
Summary
In clearing up the problems of the high risk newborn to be considered due to the anatomic and physiological differences from the healthy newborn, methods containing special tools and care are required to be used and watched in neonatal intensive care unit (NICU) [1].Several risks related to the mother are known to increase the risk of babies to be in intensive care [2]. A qualified prenatal care (PNC) service primarily provides to determine and harness the risks endangering pre-pregnancy and during pregnancy in the future mother and provides the prevention of negative results which can occur both in the mother and the newborn [3,4]. Studies done presents that inadequate PNC is related to preterm labor, low birth weight an newborn deaths [5,6]. Besides PNC, interventions during birth and right after that are important and deliveries should be made by health personnel and NICU’s should be at least found in certain centers. It is important to determine the factors affecting the intense care requirement of the newborn in terms of creating effective interventions to be made in this respect in the whole process starting from prenatal period
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