Yardımcı Üreme Teknikleri İle Oluşan Çoğul Gebeliklerin Değerlendirilmesi Ve Postnatal Maliyet Analizi

Year 2018, Volume: 23 Issue: 3, 177 - 182, 26.09.2018

Öykü İsal Tosun , Elif Yüksel Karatoprak , Fahri Ovalı

https://doi.org/10.21673/anadoluklin.397410

Cited By: 1

Abstract

Amaç: Çalışmamızda yardımcı üreme teknikleriyle oluşan çoğul gebeliklerden dünyaya gelen
yenidoğanları değerlendirmeyi ve yenidoğan yoğun bakım ünitesine enterne edilen bebeklerin
postnatal maliyet analizini yapmayı amaçladık.

Gereç ve Yöntemler: Yardımcı üreme teknikleriyle oluşan çoğul gebeliklerden doğan ve hastanemizde
takip edilen 123 bebek çalışmamıza dahil edildi.

Bulgular: Bebekler yenidoğan yoğun bakım ünitesine enterne edilenler ve edilmeyenler olarak
ayrıldığında ikiz ve üçüz dağılımlarında ve bebek cinsiyeti dağılımlarında istatistiksel olarak
anlamlı fark izlenmedi (p=0,056; p=0,77). Enterne olanlarda gestasyonel yaş ortalaması, doğum
ağırlığı, boy ve baş çevresi ortalamaları istatistiksel olarak anlamlı derecede düşük bulundu
(p=0,0001). Enterne olan ve olmayanlar için yapılan infertilite tedavileri arasında anlamlı
fark izlenmedi (p=0,036). Enterne olanların takip ve tedavi maliyeti 114.000,0 (min. 248, maks.
229.375,0) TL olarak hesaplandı.

Tartışma ve Sonuç: Yardımcı üreme teknikleriyle oluşan çoğul gebeliklerde prematürite ve düşük
doğum ağırlığı göz ardı edilmeyecek risk faktörleridir ve buna bağlı olarak neonatal mortalite
ve morbidite önemli derecede artmaktadır. Bu durumu önlemek için elektif tek embriyo transferi
daha doğru bir yaklaşım gibi görünmektedir

Keywords

yardımcı üreme tekniği, yenidoğan, maliyet analizi

An Assessment and Postnatal Cost Analysis of Multiple Pregnancies after Assisted Reproductive Techniques

Abstract

Aim: In this study, we aimed to assess newborns from multiple pregnancies after assisted reproductive
techniques and to perform a postnatal cost analysis for those who were interned in
the neonatal intensive care unit (NICU).

Materials and Methods: A total of 123 newborns from multiple pregnancies after assisted reproductive
techniques who were followed up in our hospital were included.

Results: There was no statistically significant difference in twin and triplet distributions and
infant gender distributions when the newborns were divided into those who were interned in
NICU and those who were not (p=0.056; p=0.77). Mean gestational age, birth weight, height,
and head circumference were found statistically significantly lower for those who were interned
(p=0.0001). There was no significant difference between the infertility treatments performed for
the NICU-interned and non-NICU-interned groups (p=0.036). The cost of treatment for those
who were followed up in NICU was calculated to be 114,000.00 (min. 248, max. 229,375.0) TL.

Discussion and Conclusion: In multiple pregnancies after assisted reproductive techniques,
prematurity and low birth weight are risk factors that cannot be neglected, leading to significantly
increased neonatal mortality and morbidity. Elective single embryo transfer appears to
be a more appropriate approach for preventing these outcomes.

Keywords

assisted reproductive techniques, newborn, cost analysis

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