Early-onset neonatal infection in pregnancies with prelabor rupture of membranes in Kosovo: A major challenge/Kosova'da erken membran rupturu olan gebelerde erken baslangicli neonatal enfeksiyon: Onemli bir sorun

Objective: Prelabor rupture of membranes (PROM) is a common event in obstetrics that has a major impact in pregnancy outcome. This condition is linked to a number of pregnancy and birth complications with early-onset neonatal infection (EONI) being one of the major threats. This study was undertaken...

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Published in:Turkish journal of obstetrics and gynecology 2018-09, Vol.15 (3), p.171
Main Authors: Ibishi, Vlora Ademi, Isjanovska, Rozalinda, Malin, Anne E
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description Objective: Prelabor rupture of membranes (PROM) is a common event in obstetrics that has a major impact in pregnancy outcome. This condition is linked to a number of pregnancy and birth complications with early-onset neonatal infection (EONI) being one of the major threats. This study was undertaken to determine the rate of neonatal infection in newborn infants with a maternal history of PROM and to evaluate the association of risk factors with neonatal infection following PROM. Materials and Methods: A cross-sectional descriptive design was used to analyze a population of 200 pregnant women presenting to the Obstetrics and Gynecology Tertiary Center in Kosovo (between 2013 and 2015) with PROM who gave birth to single newborns. Data including demographic characteristics, neonatal outcome, and risk factors for infectious neonatal morbidity were recorded and analyzed. Results: The study included 200 pregnant women with PROM and their newborns. Participant demographics included: the majority were young, aged between 20 and 29 years (67%), primiparous (67.5%), unemployed (92%), completed secondary level of education (83%), and with middle socioeconomic status (86%). Overall, 13 % of the newborns had early-onset neonatal infection, and sepsis was proven in 5% of cases. Newborns of mothers with risk factors such as preterm (
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This condition is linked to a number of pregnancy and birth complications with early-onset neonatal infection (EONI) being one of the major threats. This study was undertaken to determine the rate of neonatal infection in newborn infants with a maternal history of PROM and to evaluate the association of risk factors with neonatal infection following PROM. Materials and Methods: A cross-sectional descriptive design was used to analyze a population of 200 pregnant women presenting to the Obstetrics and Gynecology Tertiary Center in Kosovo (between 2013 and 2015) with PROM who gave birth to single newborns. Data including demographic characteristics, neonatal outcome, and risk factors for infectious neonatal morbidity were recorded and analyzed. Results: The study included 200 pregnant women with PROM and their newborns. Participant demographics included: the majority were young, aged between 20 and 29 years (67%), primiparous (67.5%), unemployed (92%), completed secondary level of education (83%), and with middle socioeconomic status (86%). Overall, 13 % of the newborns had early-onset neonatal infection, and sepsis was proven in 5% of cases. Newborns of mothers with risk factors such as preterm (&lt;37 weeks) PROM, low gestational weight at birth, prolonged rupture of membranes, maternal colonization, and low Appearance, Pulse, Grimace, Activity, Respiration score at birth had higher rates of infection compared with newborns of mothers without these risk factors. Conclusion: The rate of EONI in pregnancies complicated with PROM continues to be a global challenge in perinatology, and as this study reports, also a major challenge for Kosovo. Future research, revision and improvement on prenatal care and practices, timing of delivery, medical treatment, and prophylactic use of antibiotics in PROM are needed to reduce rates. Keywords: Prelabor rupture of membranes, early-onset neonatal infection, risk factors Oz Amac: Obstetride erken membran rupturu (EMR), gebelik sonuglannda onemli bir etkiye sahip olan yaygrn bir durumdur. Bu durum bir dizi gebelik ve dogum komplikasyonu ile baglantilidir ve erken baslangicli neonatal enfeksiyon baslica tehditlerden biridir. Bu galismada, maternal EMR oykusu olan yenidogan infantlarda neonatal enfeksiyon orammn belirlenmesi ve EMR'yi takiben neonatal enfeksiyon ile risk faktorleri iliskisinin degerlendirilmesi amaclanmistir. Gerec ve Yontemler Kosova'da 3. Basamak Kadrn Dogum ve Jinekoloji Merkezi'ne EMR ile basvuran (2013-2015 yillari arasinda) ve tek yenidogan dunyaya getiren 200 gebe kadrn populasyonunu analiz etmek igin kesitsel tammlayici tasarim kullamldi. Demografik ozellikleri, neonatal sonuglari ve enfeksiyoz neonatal morbidite igin risk faktorlerini igeren veriler kayit ve analiz edildi. PRECIS: The purpose of this study was to determine the rate of neonatal infection in newborn infants with a maternal history of prelabor rupture of membranes and to evaluate association of risk factors with neonatal infection in pregnancies complicated with prelabor rupture of membranes. Bulgular: Calismaya, EMR'si olan 200 gebe kadin ve yenidoganlari dahil edildi. Katilimcilarin demografk ozellikleri incelendiginde; co u unlugunun genc, yas araliginin 20-29 (%67), primipar (%67,5), issiz (%92), ortaogretim duzeyinde egitim tamamlamis (%83) ve orta sosyoekonomik statde (%86) oldugu saptandi. Genel olarak, yenidoganlarin %13'unde erken baslangicli neonatal enfeksiyon mevcuttu ve olgularin %5'inde sepsis varligi kanitlandi. Preterm EMR (&lt;37 hafta), dogumda dusuk gestasyonel agirlik, uzamis membran rupturu, maternal kolonizasyon ve dogumda dusuk APGAR skoru gibi risk faktorleri olan annelerin yenidoganlari, bu risk faktorleri olmayan annelerin yenidoganlari ile karsilastirildiginda daha yuksek enfeksiyon oranina sahipti. Sonuc: EMR ile komplike gebeliklerde erken baslangicli neonatal enfeksiyon orani, perinatolojide kuresel bir sorun olmaya devam etmektedir ve bu calismanin bildirdigi gibi Kosova icin de onemli bir sorundur. Oranlarin azaltilmasi icin; daha ileri arastirmalar, prenatal bakim ve uygulamalarin revizyonu ve gelistirilmesi, dogru dogum zamanlamasi, EMR'de proflaktik antibiyotik kullanimi ve medikal tedavi gerekmektedir. Anahtar Kelimeler: Erken membran rupturu, erken baslangicli neonatal enfeksiyon, risk faktorleri</description><identifier>ISSN: 2149-9322</identifier><identifier>DOI: 10.4274/tjod.73600</identifier><language>eng</language><publisher>Galenos Yayinevi Tic. Ltd</publisher><subject>Communicable diseases ; Diagnosis ; Health aspects ; Infants ; Pregnancy</subject><ispartof>Turkish journal of obstetrics and gynecology, 2018-09, Vol.15 (3), p.171</ispartof><rights>COPYRIGHT 2018 Galenos Yayinevi Tic. Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids></links><search><creatorcontrib>Ibishi, Vlora Ademi</creatorcontrib><creatorcontrib>Isjanovska, Rozalinda</creatorcontrib><creatorcontrib>Malin, Anne E</creatorcontrib><title>Early-onset neonatal infection in pregnancies with prelabor rupture of membranes in Kosovo: A major challenge/Kosova'da erken membran rupturu olan gebelerde erken baslangicli neonatal enfeksiyon: Onemli bir sorun</title><title>Turkish journal of obstetrics and gynecology</title><description>Objective: Prelabor rupture of membranes (PROM) is a common event in obstetrics that has a major impact in pregnancy outcome. This condition is linked to a number of pregnancy and birth complications with early-onset neonatal infection (EONI) being one of the major threats. This study was undertaken to determine the rate of neonatal infection in newborn infants with a maternal history of PROM and to evaluate the association of risk factors with neonatal infection following PROM. Materials and Methods: A cross-sectional descriptive design was used to analyze a population of 200 pregnant women presenting to the Obstetrics and Gynecology Tertiary Center in Kosovo (between 2013 and 2015) with PROM who gave birth to single newborns. Data including demographic characteristics, neonatal outcome, and risk factors for infectious neonatal morbidity were recorded and analyzed. Results: The study included 200 pregnant women with PROM and their newborns. Participant demographics included: the majority were young, aged between 20 and 29 years (67%), primiparous (67.5%), unemployed (92%), completed secondary level of education (83%), and with middle socioeconomic status (86%). Overall, 13 % of the newborns had early-onset neonatal infection, and sepsis was proven in 5% of cases. Newborns of mothers with risk factors such as preterm (&lt;37 weeks) PROM, low gestational weight at birth, prolonged rupture of membranes, maternal colonization, and low Appearance, Pulse, Grimace, Activity, Respiration score at birth had higher rates of infection compared with newborns of mothers without these risk factors. Conclusion: The rate of EONI in pregnancies complicated with PROM continues to be a global challenge in perinatology, and as this study reports, also a major challenge for Kosovo. Future research, revision and improvement on prenatal care and practices, timing of delivery, medical treatment, and prophylactic use of antibiotics in PROM are needed to reduce rates. Keywords: Prelabor rupture of membranes, early-onset neonatal infection, risk factors Oz Amac: Obstetride erken membran rupturu (EMR), gebelik sonuglannda onemli bir etkiye sahip olan yaygrn bir durumdur. Bu durum bir dizi gebelik ve dogum komplikasyonu ile baglantilidir ve erken baslangicli neonatal enfeksiyon baslica tehditlerden biridir. Bu galismada, maternal EMR oykusu olan yenidogan infantlarda neonatal enfeksiyon orammn belirlenmesi ve EMR'yi takiben neonatal enfeksiyon ile risk faktorleri iliskisinin degerlendirilmesi amaclanmistir. Gerec ve Yontemler Kosova'da 3. Basamak Kadrn Dogum ve Jinekoloji Merkezi'ne EMR ile basvuran (2013-2015 yillari arasinda) ve tek yenidogan dunyaya getiren 200 gebe kadrn populasyonunu analiz etmek igin kesitsel tammlayici tasarim kullamldi. Demografik ozellikleri, neonatal sonuglari ve enfeksiyoz neonatal morbidite igin risk faktorlerini igeren veriler kayit ve analiz edildi. PRECIS: The purpose of this study was to determine the rate of neonatal infection in newborn infants with a maternal history of prelabor rupture of membranes and to evaluate association of risk factors with neonatal infection in pregnancies complicated with prelabor rupture of membranes. Bulgular: Calismaya, EMR'si olan 200 gebe kadin ve yenidoganlari dahil edildi. Katilimcilarin demografk ozellikleri incelendiginde; co u unlugunun genc, yas araliginin 20-29 (%67), primipar (%67,5), issiz (%92), ortaogretim duzeyinde egitim tamamlamis (%83) ve orta sosyoekonomik statde (%86) oldugu saptandi. Genel olarak, yenidoganlarin %13'unde erken baslangicli neonatal enfeksiyon mevcuttu ve olgularin %5'inde sepsis varligi kanitlandi. Preterm EMR (&lt;37 hafta), dogumda dusuk gestasyonel agirlik, uzamis membran rupturu, maternal kolonizasyon ve dogumda dusuk APGAR skoru gibi risk faktorleri olan annelerin yenidoganlari, bu risk faktorleri olmayan annelerin yenidoganlari ile karsilastirildiginda daha yuksek enfeksiyon oranina sahipti. Sonuc: EMR ile komplike gebeliklerde erken baslangicli neonatal enfeksiyon orani, perinatolojide kuresel bir sorun olmaya devam etmektedir ve bu calismanin bildirdigi gibi Kosova icin de onemli bir sorundur. Oranlarin azaltilmasi icin; daha ileri arastirmalar, prenatal bakim ve uygulamalarin revizyonu ve gelistirilmesi, dogru dogum zamanlamasi, EMR'de proflaktik antibiyotik kullanimi ve medikal tedavi gerekmektedir. Anahtar Kelimeler: Erken membran rupturu, erken baslangicli neonatal enfeksiyon, risk faktorleri</description><subject>Communicable diseases</subject><subject>Diagnosis</subject><subject>Health aspects</subject><subject>Infants</subject><subject>Pregnancy</subject><issn>2149-9322</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNptkE1PAjEQhvegiQS5-AuaePC02K-lu9wIwY9IwoU7abuzS6HbknbR8D_9QVbF6MHMYWbeed7JZLLshuAxp4Lf9ztfjwWbYHyRDSjhVV4xSq-yUYw7jDEphagIHWTvCxnsKfcuQo8ceCd7aZFxDejeeJcqdAjQOum0gYjeTL_9FKxUPqBwPPTHAMg3qINOBekSkhwvPvpXP0Uz1Mld4vRWWguuhfuvibyrJYKwB_djO286Im9T04ICC6GGM6RkTHJrtDW_J0I6cR_NybspWjno0kyZgKIPR3edXTbSRhid8zBbPyzW86d8uXp8ns-WeTsRJC9VoUklGKiC1oXCQKmuqea8AlWKCoumqWXVlKIhhYKSCCUY5iy9l1KmdcWG2e332lZa2KSf-T5I3ZmoN7OimAjGeUESNf6HSlFDZ7R30Jik_zF8ABVzkG8</recordid><startdate>20180901</startdate><enddate>20180901</enddate><creator>Ibishi, Vlora Ademi</creator><creator>Isjanovska, Rozalinda</creator><creator>Malin, Anne E</creator><general>Galenos Yayinevi Tic. Ltd</general><scope/></search><sort><creationdate>20180901</creationdate><title>Early-onset neonatal infection in pregnancies with prelabor rupture of membranes in Kosovo: A major challenge/Kosova'da erken membran rupturu olan gebelerde erken baslangicli neonatal enfeksiyon: Onemli bir sorun</title><author>Ibishi, Vlora Ademi ; Isjanovska, Rozalinda ; Malin, Anne E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g671-8b5c1973eb52d5b0e22cd2c449eb87907ffda9f87f15be817b73043427223cc93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Communicable diseases</topic><topic>Diagnosis</topic><topic>Health aspects</topic><topic>Infants</topic><topic>Pregnancy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ibishi, Vlora Ademi</creatorcontrib><creatorcontrib>Isjanovska, Rozalinda</creatorcontrib><creatorcontrib>Malin, Anne E</creatorcontrib><jtitle>Turkish journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ibishi, Vlora Ademi</au><au>Isjanovska, Rozalinda</au><au>Malin, Anne E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early-onset neonatal infection in pregnancies with prelabor rupture of membranes in Kosovo: A major challenge/Kosova'da erken membran rupturu olan gebelerde erken baslangicli neonatal enfeksiyon: Onemli bir sorun</atitle><jtitle>Turkish journal of obstetrics and gynecology</jtitle><date>2018-09-01</date><risdate>2018</risdate><volume>15</volume><issue>3</issue><spage>171</spage><pages>171-</pages><issn>2149-9322</issn><abstract>Objective: Prelabor rupture of membranes (PROM) is a common event in obstetrics that has a major impact in pregnancy outcome. This condition is linked to a number of pregnancy and birth complications with early-onset neonatal infection (EONI) being one of the major threats. This study was undertaken to determine the rate of neonatal infection in newborn infants with a maternal history of PROM and to evaluate the association of risk factors with neonatal infection following PROM. Materials and Methods: A cross-sectional descriptive design was used to analyze a population of 200 pregnant women presenting to the Obstetrics and Gynecology Tertiary Center in Kosovo (between 2013 and 2015) with PROM who gave birth to single newborns. Data including demographic characteristics, neonatal outcome, and risk factors for infectious neonatal morbidity were recorded and analyzed. Results: The study included 200 pregnant women with PROM and their newborns. Participant demographics included: the majority were young, aged between 20 and 29 years (67%), primiparous (67.5%), unemployed (92%), completed secondary level of education (83%), and with middle socioeconomic status (86%). Overall, 13 % of the newborns had early-onset neonatal infection, and sepsis was proven in 5% of cases. Newborns of mothers with risk factors such as preterm (&lt;37 weeks) PROM, low gestational weight at birth, prolonged rupture of membranes, maternal colonization, and low Appearance, Pulse, Grimace, Activity, Respiration score at birth had higher rates of infection compared with newborns of mothers without these risk factors. Conclusion: The rate of EONI in pregnancies complicated with PROM continues to be a global challenge in perinatology, and as this study reports, also a major challenge for Kosovo. Future research, revision and improvement on prenatal care and practices, timing of delivery, medical treatment, and prophylactic use of antibiotics in PROM are needed to reduce rates. Keywords: Prelabor rupture of membranes, early-onset neonatal infection, risk factors Oz Amac: Obstetride erken membran rupturu (EMR), gebelik sonuglannda onemli bir etkiye sahip olan yaygrn bir durumdur. Bu durum bir dizi gebelik ve dogum komplikasyonu ile baglantilidir ve erken baslangicli neonatal enfeksiyon baslica tehditlerden biridir. Bu galismada, maternal EMR oykusu olan yenidogan infantlarda neonatal enfeksiyon orammn belirlenmesi ve EMR'yi takiben neonatal enfeksiyon ile risk faktorleri iliskisinin degerlendirilmesi amaclanmistir. Gerec ve Yontemler Kosova'da 3. Basamak Kadrn Dogum ve Jinekoloji Merkezi'ne EMR ile basvuran (2013-2015 yillari arasinda) ve tek yenidogan dunyaya getiren 200 gebe kadrn populasyonunu analiz etmek igin kesitsel tammlayici tasarim kullamldi. Demografik ozellikleri, neonatal sonuglari ve enfeksiyoz neonatal morbidite igin risk faktorlerini igeren veriler kayit ve analiz edildi. PRECIS: The purpose of this study was to determine the rate of neonatal infection in newborn infants with a maternal history of prelabor rupture of membranes and to evaluate association of risk factors with neonatal infection in pregnancies complicated with prelabor rupture of membranes. Bulgular: Calismaya, EMR'si olan 200 gebe kadin ve yenidoganlari dahil edildi. Katilimcilarin demografk ozellikleri incelendiginde; co u unlugunun genc, yas araliginin 20-29 (%67), primipar (%67,5), issiz (%92), ortaogretim duzeyinde egitim tamamlamis (%83) ve orta sosyoekonomik statde (%86) oldugu saptandi. Genel olarak, yenidoganlarin %13'unde erken baslangicli neonatal enfeksiyon mevcuttu ve olgularin %5'inde sepsis varligi kanitlandi. Preterm EMR (&lt;37 hafta), dogumda dusuk gestasyonel agirlik, uzamis membran rupturu, maternal kolonizasyon ve dogumda dusuk APGAR skoru gibi risk faktorleri olan annelerin yenidoganlari, bu risk faktorleri olmayan annelerin yenidoganlari ile karsilastirildiginda daha yuksek enfeksiyon oranina sahipti. Sonuc: EMR ile komplike gebeliklerde erken baslangicli neonatal enfeksiyon orani, perinatolojide kuresel bir sorun olmaya devam etmektedir ve bu calismanin bildirdigi gibi Kosova icin de onemli bir sorundur. Oranlarin azaltilmasi icin; daha ileri arastirmalar, prenatal bakim ve uygulamalarin revizyonu ve gelistirilmesi, dogru dogum zamanlamasi, EMR'de proflaktik antibiyotik kullanimi ve medikal tedavi gerekmektedir. Anahtar Kelimeler: Erken membran rupturu, erken baslangicli neonatal enfeksiyon, risk faktorleri</abstract><pub>Galenos Yayinevi Tic. Ltd</pub><doi>10.4274/tjod.73600</doi></addata></record>
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subjects Communicable diseases
Diagnosis
Health aspects
Infants
Pregnancy
title Early-onset neonatal infection in pregnancies with prelabor rupture of membranes in Kosovo: A major challenge/Kosova'da erken membran rupturu olan gebelerde erken baslangicli neonatal enfeksiyon: Onemli bir sorun
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