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Purpose: The aim of this article is to investigate the effect of large birth weight (LGA) on adverse neonatal outcomes, especially on the effect of stillbirth. Yet another hypothesis is; Increased adverse neonatal outcomes of infants whose birth weight is close to 90th percentile, but less than 90% (90-80%). In this study, our aim is to investigate and compare the adverse neonatal outcomes of infants whose birth weight is 90-80 percentile and to gain morbidity and mortality rate in our country's literature. Materials and Methods: A total of 7800 births and infant files were examined in a tertiary center within a year. A total of 3 groups were formed. 1) birth weight> 90% (LGA group), 2) birth weight 90-80% 3) birth weight 79-10% (control group). The comparison of maternal and neonatal outcomes between groups was made. Results: A total of 4286 patients met the study criteria; 234 were in the LGA group, 356 in the 80-90 percentile group and 3696 in the control group. Maternal age and cesarean delivery rate were highest in LGA group. The rate of admission to the neonatal unit was much higher than in the control group, similar in the LGA and 80-90 percentile groups. Mechanical ventilation was higher in LGA and 80- 90 percentile groups than in the control group. Neonatal sepsis, RDS and clavicle fracture rates were slightly higher in LGA and 80-90 percentile groups compared to control group, but this difference was not statistically significant. Conclusion: It was found that neonates who are between 80-90 percentiles in terms of birth weight have high morbidity and need for neonatal intensive care. [ABSTRACT FROM AUTHOR]

Objectives: Premature rupture of membranes (PROM) effect neonatal mortality and morbidity. Maternal and perinatal outcomes of women with PROM between 36-42 weeks were examined in this study. Material-Methods: Fourty-two women with PROM between 36-42 weeks were taken into the study. Patients were followed by ultrasound, leukocyte count, erythrocyte sedimentation rate (ESR), presence of fever, C-Reactive Protein (CRP). Patients were delivered vaginally or by C-section after evaluation of maternal and fetal factors. Results: Percentage of PROM between 36-42 weeks was found 38.1 %. Mean age was 28.2 years. More than one cause were detected in etiology. The most frequent causes were; unexpected beginning of labour in 19 (45.2%) cases, breech presentation in 4 (9.5%), twin pregnancy in 3 (7.1%) and infection in 3 (7.1%) cases. Three cases had intrauterine growth retardation, 2 had previous C-section, 2 had fetal abnormality, 1 had polyhydramnios, 1 case with grandmultiparity and 1 had decolman placenta. There wasn't any cause in three cases. Mean delivery week was 37.5 weeks. Delivery was occurred in 12 hours in 22 (52.3%) cases, in 24 hours in 13 (30.9%) and in a week in 7 (16.6%) patients. 28 (%66,6) patients were delivered vaginally. Induction of labour with oxytocin was applied to 16 (%57.1) cases. Fourteen (%33.4) patients were delivered by cesarean section. PROM related any maternal morbidity and mortality weren.t seen .Mean birthweight was 2509 grams. Minimum and maximum birthweight were 1800 g and 4300 g respectively. During spontaneous follow-up one baby was died in utero due to meconium aspiration. The baby was at 39 weeks gestational age and 3700 g. Conclusion: Expectant management in term pregnants having PROM can increase fetal morbidity and mortality. To prevent these, careful follow up of patients during labor and induction of labor without any delay is important. [ABSTRACT FROM AUTHOR]