Authors
Abstract
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 deh1ive-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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