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    The effect of birth weight percentile on adverse neonatal morbidity in term uncomplicated pregnancies
    (2019) Eraslan Sahin, Mefkure; Col Madendag, Ilknur; Ak, Mehmet
    Aim: The goal of the present study was to evaluate the effect of birth weight percentile on adverse neonatal morbidity in term uncomplicated pregnancies.Material and Methods: This retrospective analysis comprised 7,817 pregnant women with uncomplicated pregnancies and single deliveries at term. The babies were divided into groups according to birth weight percentiles as follows: (1) Small for gestational age (SGA) (10 percentile), (2) 10–25 percentile, and 26–90 percentile. The primary outcome was adverse neonatal morbidity (ANM), defined as any of the following: Apgar score 4 at 5 min; respiratory distress; mechanical ventilation; intraventricular hemorrhage, grade III or IV; necrotizing enterocolitis, stage 2 or 3; neonatal sepsis, stillbirth or neonatal death.Results: Demographic and obstetric characteristics of the mothers were similar among the groups. ANM rates were 10.7% in the SGA group, 6.8% in the 10–25 percentile group, and 2.1% in the 26–90 percentile group, a significant difference. ANM was 5-fold higher in the SGA group and 3.2-fold higher in the 10–25 percentile group than in the 26–90 percentile group. Delivery induction or augmentation, cesarean delivery for non-reassuring fetal heart rate or fetal distress, Apgar score 4 at 5 min, mechanical ventilation, neonatal sepsis, stillbirth, or neonatal death significantly increased in the 10–25 percentile group compared with those in the 26–90 percentile group. Conclusion: The present study indicated that in uncomplicated pregnancies, fetuses with birth weights within the 10–25 percentile had a significantly increased risk of ANM compared to those within the 26–90 percentile.
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    Evaluation of exclusive breastfeeding rates and breastfeeding duration in term uncomplicated Turkish adolescent mothers
    (2020) Eraslan Sahin, Mefkure; Sahin, Erdem; Madendag, Yusuf; Col Madendag, Ilknur; Ak, Mehmet
    Aim: The aim of the present study was to evaluate exclusive breastfeeding (EBF) rates and breastfeeding duration in adolescent Turkish mothers after term-uncomplicated deliveries.Material and Methods: The study comprised 803 uncomplicated, nulliparous women, who had a single pregnancy and delivered at term gestational age. After excluding any maternal and fetal factors that affected early breastfeeding initiation, 674 nulliparous pregnant women were divided into three groups as follows: adolescents 16–17 years old, adolescents 18–19 years old, and non-adolescents 20–24 years old. The primary outcome of the study was defined as EBF of the infant, especially during the first 6 months of life. Results: Gestational age at delivery, birth weight, newborn gender, rate of induced labor, and rate of vaginal deliveries were similar among the groups. We found that 22.5% (14/62) of patients in the 16- to 17-year group, 41.8% (72/172) in 18- to 19-year group, and 72.9% (321/440) in the 20- to 24-year group had EBF during the first 6 months of their baby’s life. The rate of EBF during the first 6 months was significantly less in the 16- to 17-year and 18- to 19-year groups compared to that in the 20- to 24-year group (p0.001). The mean breastfeeding duration was 6.7±1.4months in the 16- to 17-year group, 9.5±2.2 months in the 18-to 19-year group, and 15.2±3.2 months in the 20-to 24-year group. Mean breastfeeding duration was significantly less in the 16-to 17-year and 18- to 19-year groups than in the 20- to 24-year group (p0.001).Conclusion: Our results indicated that adolescent pregnancy in Turkish populations is an important risk factor affecting both EBF during the first 6 months of life and breastfeeding duration.