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Epidemiological Characteristics of Premature Infants Born At General Hospital Pula In A Five-Year-Period (2012-2016)

Mladen Jasic
Orthopedic and Rehabilitation Hospital Rovinj

Dorotea Draskovic
General Hospital Pula

Ivona Butorac Ahel
Clinical Hospital Center Rijeka

Darko Kraguljac
Orthopedic and Rehabilitation Hospital Rovinj

Mirhada Mesanovic
Alma Mater Europaea - ECM

Aim: To summarize our five-year experience in management of premature infants at our second level neonatal facility. Patients and methods: This prospective birth cohort study was performed at the Division of Neonatology (level 2), Department of Pediatrics, General hospital Pula during a five-year-period (January 1st 2012 – December 31st 2016). The study population included all live-born neonates born between 22nd and 37th gestational week. Results: During the above mentioned five-year-period, 289 premature infants were born at General Hospital Pula. One-hundred and sixty seven (58%) neonates were delivered vaginally and 122 (42%) were delivered by caesarean section. Nineteen (7%) neonates were born after in vitro fertilization. Infants were mostly male (N=167; 58%), and appropriate for gestational age (N=240; 83%). Also, the infants belonged mostly to the late-preterm group (N=245; 85%). Thirty-three premature infants (11%) were transferred to a tertiary pediatric center and five neonates died (2%). The overall cost of hospital stay for hospitalized premature infants was 2,517,000 Croatian kunas; in euros, it was 335,600 respectively. The overall hospital stay was 10.01±8.30 days (median 8.00, range 1.00-67.00). Conclusion: Despite the great development of neonatal intensive care, the best prevention of complications related to prematurity is to prevent preterm labor.



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