ANNALS OF CLINICAL AND ANALYTICAL MEDICINE, cilt.15, sa.07, ss.491-494, 2024 (ESCI)
Abstract Aim: Preterm infants are immature and have a high risk for mortality. This study aims to draw attention to the high mortality rate and the problems of premature newborns affecting the mortality rate. Material and Methods: In this retrospective study, preterm newborns hospitalized in a tertiary hospital for three years having the study admission criteria, were enrolled. Results: 870 preterm infants (48.4% were girls) were included in the three-year study period. In the three years, 28.7% of the cases resulted in death, and a significant decrease was observed in premature baby mortality rates over the years (p<0.001). The most common causes of death were found to be respiratory distress syndrome, sepsis, and pneumothorax. As the gestational age and birth weight decreased, mortality was found to be significantly higher (p<0.001 and p<0.001). A significantly higher mortality rate was found in those born via normal vaginal delivery than in those born via cesarean section (p=0.010). Mortality was also higher in babies requiring oxygen immediately after birth (p<0.001). Discussion: As a result, the decrease in mortality rates in our center from 45.7% to 26.9% and then to 16.7% over the years is encouraging, but it is much higher than the data of developed countries. The role of these data is to determine the main problems and to create solutions for preventing premature mortality. Keywords Mortality, Prematurity, Risk Factors