Risk factors associated with antepartum intrauterine fetal death

Year 2010, Volume: 41 Issue: 3, 115 - 121, 01.04.2010

Derya Başar Oya Demirci Yeşim Akdemir Hamdullah Sözen Aktuğ Ertekin

Abstract

Objective: To investigate the frequency, etiology, management of intrauterine fetal death and to determine risk of pregnancies and to predict necessary precautions to provide increased healthy maternal and newborn rate. Material and Methods: From January 2006-January 2009, a total of 514 fetal deaths were identified through the Zeynep Kamil Gynecologic and Pediatric Training and Research Hospital registries of labor units. The principal criteria of selecting variables intrauterine fetal death between 22-42 weeks of gestation. In this period, 40 fetal deaths referred for autopsy. The patients had intrauterine fetal deaths were accepted as group 1. 153 singletons live born were randomly selected as a control group in the same population and accepted as group 2. Results: In this study, intrauterine fetal death rate was 1.2% in 3 years in group 1 gestational age, median birth weight was significantly lower than group 2 (p: 0.001). Systolic and diastolic blood pressure at diagnosis, maternal hypertension, maternal systemic disease, intrauterine growth restriction rate and anhydramniosis ingmup 1 was significantly higher than group 2 (p

Keywords

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Anteparum intrauterin fetal ölüm ile ilişkili risk faktörleri

Abstract

Amaç: Zeynep Kamil Hastanesi doğum kliniğinde intrauterin fetal ölüm nedeniyle yatan hastaların oranını, neden olabilecek etyolojik faktörleri, bu hastalara yapılan klinik yaklaşımı, riskli gebelikleri belirlemek ve sağlıklı anne ve yenidoğan oranını arttırmak için gerekli önlemleri önceden tahmin etmek amaçlanmıştır. Gereç ve Yöntem: Ocak 2006- Ocak 2009 tarihleri arasında kliniğimizde intrauterin fetal ölüm nedeniyle yatmış 514 hastanın dosyaları incelenmiştir. 22-42. haftalar arasında doğum yapmış hastalar çalışmaya dahil edilmiştir. Bu hastaların 40 da istek üzerine bebeklerine otopsi yapılmıştır. Antepartum tekil, ölü doğum yapan bu hasta grubu, grup 1 olarak kabul edilirken, 153 tekil, sağlıklı doğumla sonuçlanan hasta grubu, grup 2 olarak kabul edilmiştir. Bulgular: Antepartum ölü doğum oranı %1.2 olarak bulunmuştur. Ortalama doğum haftası ve ortalama bebek doğum ağırlığı 1. grubta istatiksel olarak anlamlı düzeyde düşük saptanırken, yatıştaki ortalama sistolik diastolıkkan basıncı, maternal hipertansiyon, maternal sistemık hastalık, intrauterin gelişme geriliği ve anhidroamnios görülme oranı 1. grubta istatiksel olarak anlamlı düzeyde yüksek bulunmuştur(p

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