Tekrarlayan Gebelik Kaybı Olan Gebelerin Tekrarlayan Gebelik Kaybı Olmayan Gebelerle Doğum ve Neonatal Bulgularının Karşılaştırılması

Year 2014, Volume: 15 Issue: 2, 137 - 141, 01.08.2014

Seda Ateş Osman Şevket Ayşegül Özel Levent Yaşar Kadir Savan

Abstract

Objective: We compared the neonatal outcomes and the route of delivery in women who have had recurrent spontaneous abortions with the primigravid and multigravid women without a history of spontaneous abortion. Material and Methods: This study included 45 women with a history of recurrent spontaneous abortions and 139women as the control group who gave birth at Suleymaniye Obstetrics and Gynecology Hospital between 2001-2006. The control group was divided into two subgroups: 74 primiravid women and 65 multigravid women. Data were collected from hospital records retrospectively. Results: The rate of cesarian section in the recurrent abortion group (47.8 %) were found to be significantly higher than the other groups (p<0.05). The most frequent indication of cesarian section in the recurrent abortion group was found to be precious pregnancy. Oxytocin for labor induction was used significantly less in the abortion group (p<0.001). Maternal age were higher in abort and multigravid group than primigravid group. The meanbirthweight were higher in multigravid group than the abort and primigravid group“(p<0.001).” Hematocrit levels before birth were found to be significantly higher in abortion group than multigravid and primigravid group. Hematocrit levels after birth were found to be significantly higher in abortion and multigravid group than primigravid group (p<0.01). Conclusion: In conclusion we found that pregnancies after recurrent pregnancy losses were not related with adverse neonatal outcomes although they had high cesarean rates

Keywords

Recurrent abortion; ceasarian section; precious pregnancy

Tekrarlayan Gebelik Kaybı Olan Gebelerin Tekrarlayan Gebelik Kaybı Olmayan Gebelerle Doğum ve Neonatal Bulgularının Karşılaştırılması

Abstract

Amaç: Bu çalışmanın amacı tekrarlayan gebelik kaybı sonrası oluşan gebeliklerde doğum ve neonatal bulguların geçmişinde düşük öyküsü olmayan kontrol grubu primigravid ve multigravid kadınlarla karşılaştırılması. Gereç ve Yöntem: 2001 – 2006 yılları arasında Süleymaniye Kadın Hastalıkları ve Doğum Hastanesine başvuran tekrarlayan iki veya daha fazla düşük sonrası gebe kalan 45 hasta (abort grubu) ile 139 gebeden oluşan (74 primigravid, 65 multigravid) kontrol grubunun kayıtları retrospektif olarak incelendi. Bulgular: Tekrarlayan düşük sonrası gebe kalan hastaların sezaryen oranı (% 47,8) primigravid ve multigravidlere göre anlamlı olarak fazladır (p<0.05). Abort grubunda en sık sezaryen nedeni kıymetli gebeliktir. Abort grubunda oksitosinle indüksiyon oranı primigravid ve multigravid olgulara göre anlamlı derecede daha azdır (p<0.001). Tekrarlayan düşük sonrası gebe kalan kadınlarda ve multigravid gebelerde anne yaşı ortalaması primigravid gruba göre anlamlı olarak fazladır. Doğan çocukların doğum tartısı, multigravid gruptaki gebelerde primigravid ve abort grubuna göre anlamlı olarak fazla bulunmuştur (p<0.001). Abort grubunun doğum öncesi hematokrit ortalaması primigravid ve multigravid olgulara göre anlamlı derecede daha fazladır (p< 0.001). Multigravid ve abort gruplarının doğum sonrası hematokrit ortalaması nulligravid olgulara göre anlamlı derecede fazladır (p<0.01). Sonuç: Çalışmamızın sonucuna göre tekrarlayan düşük sonrası gebe kalan kadınlarında yüksek sezeryan oranı saptandığı halde bu gebelikler kötü neonatal sonuçlarla ilgili bulunmamıştır

Keywords

Tekrarlayan düşük; sezaryen; kıymetli gebelik

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