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1360 Meconium/Stool and Urinary Patterns of Healthy Turkish Newborns
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  1. SM Kayıran1,
  2. E Eroğlu2,
  3. PG Kayıran3,
  4. S Sazak4,
  5. B Gurakan5
  1. 1Deapartment of Pediatrics
  2. 2Department of Pediatric Surgery
  3. 3Department of Pediatrics, American Hospital
  4. 4Deapartment of Pediatrics, Ministry of Health, Okmeydani Training Hospital
  5. 5Department of Pediatrics, Division of Neonatology, American Hospital, Istanbul, Turkey

Abstract

Background and Aims Routine follow-ups of healthy newborns for up to 48 h for those delivered by normal vaginal delivery (NVD) and for up to 96 h for those delivered by cesarean section (CS) are highly recommended as they facilitate the early detection of certain problems.

Objectives To investigate the meconium/stool and urinary patterns of healthy Turkish neonates, and to determine whether they correlate with delivery mode, birth weight and feeding method and frequency.

Methods Newborns with a gestational age of ≥ 34 wk were included. The frequency of meconium/stool and urine passage and the delivery mode, birth weight and feeding method and frequency were recorded throughout their hospital stay.

Results A total of 1,095 newborns were included. Within the first 24 h, 99.2% and 90.4% of the newborns passed their first meconium/stool and first urine, respectively. The number of meconium/stool and voidings was higher in the CS group. The number of meconium/stools within the first 24 h was higher in exclusively breast-fed newborns. Combination-fed newborns and newborns with a lower birth weight had a higher number of voidings. The number of meconium/stools in the first 24 h was significantly lower in newborns weighing < 2,500 g. Furthermore, breast feeding frequency correlated with the number of meconium/stools and voidings at all time points.

Conclusions The results of this study show that the mode of delivery, birth weight and feeding method and frequency and may influence meconium/stool and urinary patterns in newborns.

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