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4500 gram ve üstü fetusların maternal ve fetal sonuçları: tek merkez deneyimi

Year 2018, Volume: 49 Issue: 1, 21 - 23, 05.03.2018

Evrim Bostancı Ergen

https://doi.org/10.16948/zktipb.370505
Cited By: 1

Abstract

Amaç:
Bu çalışma, hastanemizde doğan makrozomik fetuslar
ile ilişkili fetal ve maternal sonuçları irdelemeyi amaçlamaktadır.

Yöntemler:
Çalışmada
retrospektif olarak Ağustos
2013-Ekim 2017 tarihleri
arasında Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesinde
doğan 4500 g ve üstü bebek
doğurmuş (Grup 1) 243 hasta ile 3500-4500 g bebek doğurmuş 378 hasta (Grup 2)  dahil edildi.

Bulgular: Ortalama yaş 30.97±6.24,
ortalama gebelik sayısı 2.28±1.24 olarak hesaplandı. Ortalama gebelik haftası
ise 39.46±1.30 olarak bulundu. Gruplar arasında gebelik sayısı ve gebelik
haftası açısından
anlamlı farklılık saptanmazken; anne yaş ortalaması(p<0.05),
postpartum kanama (p<0.01)ve postterm oranında (p<0.01).istatistiksel olarak anlamlı bir fark
saptandı. Yenidoğan 1. ve
5. dk. APGAR skoru <7 olan olgu oranı, erkek bebek
sayısı ve YDYB
gereksinimi açısından da Grup 1 lehine anlamlı bir fark vardı (p<0.05).







Sonuç:
Fetal makrozomi yüksek mortalite ve morbidite ile
ilişkilidir. Doğum şekline titizlikle karar verilmelidir.

Keywords

Makrozomi sezaryen

References

  • 1-Martin JA, Hamilton BE, Sutton PD, Ventura SJ, Menacker F, Kirmeyer S. Births: final data for 2004. Natl Vital Stat Rep. 2006;55(1):1- 101.
  • 2- Mehta SH, Sokol RJ. Shoulder dystocia: risk factors, predict¬ability and preventability. Semin Perinatol 2014;38:188- 193.
  • 3- Bamberg C, Hinkson L, Heinrich W. Prenatal detection and consequences of fetal macrosomia. Fetal Diagn Ther 2013;33:143-148.
  • 4- Esakoff TF, Cheng YW, Sparks TN, Caughey AB: The association between birth weight 4000 g or greater and perinatal outcomes in patients with and without gestational diabetis mellitus. Am J Obstet Gynecol, 2009; 200: 672.e1–4
  • 5- Bjorstad AR, Irgens-Hansen K, Daltveit AK, Irgens LM: Macrosomia: mode of delivery and pregnancy outcome. Acta Obstet Gynecol Scand, 2010; 89: 664–69
  • 6- Ju H, Chadha Y, Donovan T, O’Rourke P: Fetal macrosomia and preg¬nancy outcomes. Aust N Z Obstet Gynaecol, 2009; 49: 504–9.
  • 7- Sinclair BA, Rowan JA, Hainsworth OT. Macrosomic infants are not all equal. Aust N Z J Obstet Gynaecol 2007; 47: 101-5.
  • 8- Acker DB, Sachs BP, Friedman EA. Risk factors for shoulder dystocia. Obstet Gynecol 1985; 66:762.
  • 9- Campbell MK, Ostbye T, Irgens LM. Post-term birth: risk factors and outcomes in a 10-year cohort of Norwegian births. Obstet Gynecol 1997; 89:543.
  • 10- Boulet SL, Alexander GR, Salihu HM, Pass M. Macrosomic births in the united states: determinants, outcomes, and proposed grades of risk. Am J Obstet Gynecol 2003; 188:1372.
  • 11-Zhang X, Decker A, Platt RW, Kramer MS. How big is too big? The perinatal consequences of fetal macrosomia. Am J Obstet Gynecol 2008; 198:517.e1.
  • 12-Weissmann Brenner A, Simchen M J, Zilberberg E, Kalter A, Weisz B, Achiron R, Dulitzky M. Maternal and neonatal outcomes of macrosomic pregnancies. Med Sci Monit. 2012;18(9):PH77-81.
  • 13-Donma M. Macrosomia, top of the iceberg: The charm of underlying factors. Pediatrics International 2011; 53: 78-84.
  • 14-Kraïem J, Chiha N, Bouden S et al: The delivery of macrosomic infants weighing 4500 g and more. A report of 61 cases. Tunis Med, 2004; 82(7): 656–61
  • 15-Gyurkovits Z, Kálló K, Bakki J, Katona M, Bitó T, Pál A, Orvos H. Neonatal outcome of macrosomic bebeks: an analysis of a two-year period. Eur J Obstet Gynecol Reprod Biol 2011;159(2):289-92.
  • 16-Berard J, Dufour P, Vinatier D et al: Fetal macrosomia: risk factors and outcome. A study of the outcome concerning 100 cases >4500 g. Eur J Obstet Gynecol Reprod Biol, 1998; 77: 51–59
  • 17-Raio L, Ghezzi F, Di Naro E et al: Perinatal outcome of fetuses with a birth weight greater than 4500 g: an analysis of 3356 cases. Eur J Obstet Gynecol Reprod Biol, 2003; 109(2): 160–65
  • 18-Navti OB, Ndumbe FM, Konje JC: The peri-partum management of pregnancies with macrosomic babies weighing > or =4,500 g at a tertia¬ry University Hospital. J Obstet Gynaecol, 2007; 27(3): 267–70

Year 2018, Volume: 49 Issue: 1, 21 - 23, 05.03.2018

Evrim Bostancı Ergen

https://doi.org/10.16948/zktipb.370505
Cited By: 1

Abstract

References

  • 1-Martin JA, Hamilton BE, Sutton PD, Ventura SJ, Menacker F, Kirmeyer S. Births: final data for 2004. Natl Vital Stat Rep. 2006;55(1):1- 101.
  • 2- Mehta SH, Sokol RJ. Shoulder dystocia: risk factors, predict¬ability and preventability. Semin Perinatol 2014;38:188- 193.
  • 3- Bamberg C, Hinkson L, Heinrich W. Prenatal detection and consequences of fetal macrosomia. Fetal Diagn Ther 2013;33:143-148.
  • 4- Esakoff TF, Cheng YW, Sparks TN, Caughey AB: The association between birth weight 4000 g or greater and perinatal outcomes in patients with and without gestational diabetis mellitus. Am J Obstet Gynecol, 2009; 200: 672.e1–4
  • 5- Bjorstad AR, Irgens-Hansen K, Daltveit AK, Irgens LM: Macrosomia: mode of delivery and pregnancy outcome. Acta Obstet Gynecol Scand, 2010; 89: 664–69
  • 6- Ju H, Chadha Y, Donovan T, O’Rourke P: Fetal macrosomia and preg¬nancy outcomes. Aust N Z Obstet Gynaecol, 2009; 49: 504–9.
  • 7- Sinclair BA, Rowan JA, Hainsworth OT. Macrosomic infants are not all equal. Aust N Z J Obstet Gynaecol 2007; 47: 101-5.
  • 8- Acker DB, Sachs BP, Friedman EA. Risk factors for shoulder dystocia. Obstet Gynecol 1985; 66:762.
  • 9- Campbell MK, Ostbye T, Irgens LM. Post-term birth: risk factors and outcomes in a 10-year cohort of Norwegian births. Obstet Gynecol 1997; 89:543.
  • 10- Boulet SL, Alexander GR, Salihu HM, Pass M. Macrosomic births in the united states: determinants, outcomes, and proposed grades of risk. Am J Obstet Gynecol 2003; 188:1372.
  • 11-Zhang X, Decker A, Platt RW, Kramer MS. How big is too big? The perinatal consequences of fetal macrosomia. Am J Obstet Gynecol 2008; 198:517.e1.
  • 12-Weissmann Brenner A, Simchen M J, Zilberberg E, Kalter A, Weisz B, Achiron R, Dulitzky M. Maternal and neonatal outcomes of macrosomic pregnancies. Med Sci Monit. 2012;18(9):PH77-81.
  • 13-Donma M. Macrosomia, top of the iceberg: The charm of underlying factors. Pediatrics International 2011; 53: 78-84.
  • 14-Kraïem J, Chiha N, Bouden S et al: The delivery of macrosomic infants weighing 4500 g and more. A report of 61 cases. Tunis Med, 2004; 82(7): 656–61
  • 15-Gyurkovits Z, Kálló K, Bakki J, Katona M, Bitó T, Pál A, Orvos H. Neonatal outcome of macrosomic bebeks: an analysis of a two-year period. Eur J Obstet Gynecol Reprod Biol 2011;159(2):289-92.
  • 16-Berard J, Dufour P, Vinatier D et al: Fetal macrosomia: risk factors and outcome. A study of the outcome concerning 100 cases >4500 g. Eur J Obstet Gynecol Reprod Biol, 1998; 77: 51–59
  • 17-Raio L, Ghezzi F, Di Naro E et al: Perinatal outcome of fetuses with a birth weight greater than 4500 g: an analysis of 3356 cases. Eur J Obstet Gynecol Reprod Biol, 2003; 109(2): 160–65
  • 18-Navti OB, Ndumbe FM, Konje JC: The peri-partum management of pregnancies with macrosomic babies weighing > or =4,500 g at a tertia¬ry University Hospital. J Obstet Gynaecol, 2007; 27(3): 267–70
There are 18 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research
Authors

Evrim Bostancı Ergen

Publication Date March 5, 2018
Published in Issue Year 2018 Volume: 49 Issue: 1

Cite

APA Bostancı Ergen, E. (2018). 4500 gram ve üstü fetusların maternal ve fetal sonuçları: tek merkez deneyimi. Zeynep Kamil Tıp Bülteni, 49(1), 21-23. https://doi.org/10.16948/zktipb.370505
AMA Bostancı Ergen E. 4500 gram ve üstü fetusların maternal ve fetal sonuçları: tek merkez deneyimi. Zeynep Kamil Tıp Bülteni. March 2018;49(1):21-23. doi:10.16948/zktipb.370505
Chicago Bostancı Ergen, Evrim. “4500 Gram Ve üstü fetusların Maternal Ve Fetal sonuçları: Tek Merkez Deneyimi”. Zeynep Kamil Tıp Bülteni 49, no. 1 (March 2018): 21-23. https://doi.org/10.16948/zktipb.370505.
EndNote Bostancı Ergen E (March 1, 2018) 4500 gram ve üstü fetusların maternal ve fetal sonuçları: tek merkez deneyimi. Zeynep Kamil Tıp Bülteni 49 1 21–23.
IEEE E. Bostancı Ergen, “4500 gram ve üstü fetusların maternal ve fetal sonuçları: tek merkez deneyimi”, Zeynep Kamil Tıp Bülteni, vol. 49, no. 1, pp. 21–23, 2018, doi: 10.16948/zktipb.370505.
ISNAD Bostancı Ergen, Evrim. “4500 Gram Ve üstü fetusların Maternal Ve Fetal sonuçları: Tek Merkez Deneyimi”. Zeynep Kamil Tıp Bülteni 49/1 (March 2018), 21-23. https://doi.org/10.16948/zktipb.370505.
JAMA Bostancı Ergen E. 4500 gram ve üstü fetusların maternal ve fetal sonuçları: tek merkez deneyimi. Zeynep Kamil Tıp Bülteni. 2018;49:21–23.
MLA Bostancı Ergen, Evrim. “4500 Gram Ve üstü fetusların Maternal Ve Fetal sonuçları: Tek Merkez Deneyimi”. Zeynep Kamil Tıp Bülteni, vol. 49, no. 1, 2018, pp. 21-23, doi:10.16948/zktipb.370505.
Vancouver Bostancı Ergen E. 4500 gram ve üstü fetusların maternal ve fetal sonuçları: tek merkez deneyimi. Zeynep Kamil Tıp Bülteni. 2018;49(1):21-3.

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