FIRST MECONIUM TIME MAY BE A PREDICTIVE FACTOR FOR INFANTILE COLIC: A PROSPECTIVE STUDY
Abstract
Objective: Meconium passage is a good marker of a normal gastrointestinal tract and the general health of a neonate. There are both gastrointestinal and non-gastrointestinal hypotheses for the etiology of infantile colic. The aim of the present study was to determine whether first meconium time could predict infantile colic (IC) later.
Methods: A follow-up study was conducted with 248 consecutive singleton full-term healthy neonates. The demographic variables, age at first feed, time of first meconium, number of feeds until the first meconium, and number of defecations during the first 3 days of life were recorded. The characteristics of the neonates were analyzed for association with IC.
Results: First meconium time was 9.7±10.2 h and 6.8±7.8 h in the IC and non-IC groups, respectively (p=0.014). The risk of IC was increased by 1.99 times for those who did not have their first meconium until 5.75 h after birth (95% CI: 1.13–3.51) and by 2.11 times for those who did not have more than 17 defecations in the first 72 h (95% CI: 1.19–3.74).
Conclusion: Neonates who do not have their first meconium in the first 5.75 h after birth and who have fewer than 17 defecations in the first 72 h of life are at risk of IC development.
Keywords
References
- Reference 1: Assistant Professor Ersin SAYAR. Alaaddin Keykubat University Faculty of Medicine, Department of Pediatric Gastroenterology. e-mail:ersinsayar@hotmail.com
- Reference 2: Assistant Professor Eylem Sevinç. Karabük University, Faculty of Medicine, Department of Pediatrics. e-mail:dr.eylemsevinc@gmail.com
- Reference 3: Associate Professor Ramazan Özdemir. Inonu University School of Medicine, Department of Pediatrics, Division of Neonatology. e-mail : ramazanoz@yahoo.com.tr
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Research Article
Authors
Hakan Aylanc
*
Canakkale Onsekiz Mart University,School of Medicine
Türkiye
Sibel Cevizci
Gülşen Vurur
Publication Date
June 28, 2018
Submission Date
December 14, 2017
Acceptance Date
April 6, 2018
Published in Issue
Year 2018 Volume: 40 Number: 2