Journal of Sabzevar University of Medical Sciences. 2008; 15 (3): 158-163
em Fa
| IMEMR
| ID: emr-179966
Biblioteca responsável:
EMRO
Background and Purpose: By defining the exact time of fetus maturity, complications and side effects could be predicted and best decisions could be made. Since the present methods are complicated, time-consuming and stressful for the neonates, researchers decided to compare the simple Klimek method with the New Ballard method
Methods and Materials: This study is a descriptive-analytical cross-sectional research in which 229 neonates, who were admitted to the postpartum wards in Qaem and Imam Reza Hospitals in Mashad from April through September 2005, were sampled through non-random and purpositive sampling. Qualified neonates in a single group were examined for maturity by both Klimek and New Ballard methods. The first neonate was examined by the first co-researcher with New Ballard method, and immediately examined by the second co-researcher with Klimek method. The second neonate was examined by the first co-researcher with Klimek method and then immediately by the second co-researcher with Ballard method. The examinations were done in the first 6-12 hours after birth. Analysis of data was conducted in SPSS, using Mann Whitney U and Kappa Coefficient
Results: In the present study, determination of gestational age via 2 methods [New Ballard and LMP] was not statistically different; and in 74.6% [171 cases] the same gestational age was obtained by both methods [p=0.664]. Also, determination of gestational age by Klimek method and LMP was not statistically different; and 75.9% [174 cases] the same gestational age was obtained by both methods [p=0.943]. In 51.5% [118 cases], both methods detected mature neonates [K=0.806]
Conclusion: The simple Klimek Method is completely compatible with the New Ballard and LMP methods in determining neonatal maturity
Methods and Materials: This study is a descriptive-analytical cross-sectional research in which 229 neonates, who were admitted to the postpartum wards in Qaem and Imam Reza Hospitals in Mashad from April through September 2005, were sampled through non-random and purpositive sampling. Qualified neonates in a single group were examined for maturity by both Klimek and New Ballard methods. The first neonate was examined by the first co-researcher with New Ballard method, and immediately examined by the second co-researcher with Klimek method. The second neonate was examined by the first co-researcher with Klimek method and then immediately by the second co-researcher with Ballard method. The examinations were done in the first 6-12 hours after birth. Analysis of data was conducted in SPSS, using Mann Whitney U and Kappa Coefficient
Results: In the present study, determination of gestational age via 2 methods [New Ballard and LMP] was not statistically different; and in 74.6% [171 cases] the same gestational age was obtained by both methods [p=0.664]. Also, determination of gestational age by Klimek method and LMP was not statistically different; and 75.9% [174 cases] the same gestational age was obtained by both methods [p=0.943]. In 51.5% [118 cases], both methods detected mature neonates [K=0.806]
Conclusion: The simple Klimek Method is completely compatible with the New Ballard and LMP methods in determining neonatal maturity
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Índice:
IMEMR
Idioma:
Fa
Revista:
J. Sabzevar Univ. Med. Sci.
Ano de publicação:
2008