Year 2018, Volume 6, Issue 2, Pages 10 - 15 2018-08-31

Preeklampsi: Maternal Risk Faktörleri ve Perinatal Sonuçlar
Preeclampsia: Materanl Risk Factors & Perinatal Outcomes

Raid K. Ali [1] , Yusra A. Hussein [2] , Jalil Alezzi [3]

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Amaç: Preeklampsi (PE) gebelikte en sık görülen hipertansif hastalıktır. Preeklampsinin olumsuz maternal ve perinatal sonuçları, ulusal sağlık sistemi üzerindeki büyük yükü temsil etmektedir.Gebelerde preeklampsinin maternal risk faktörlerini belirlemek ve bu problemin maternal ve perinatal sonuçlarını bulmak.

Metodlar: Diyala ili / Irak'ta El-Mukaradia Bölgesi'ndeki Kadın Hastalıkları ve Doğum Kliniği (ZMPH)’de 1 Şubat 2017 - 31 Ocak 2018 tarihleri ​​arasında prospektif bir izlem çalışması yapıldı. Çalışma örnekleminde preeklampsili 60 gebe ve kontrol grubu olarak 60 normal gebe alındı. PE tanısı, Amerikan Kadın Doğum Kliniği ve Jinekologlar Koleji (ACOG) PE tanı kriterlerine göre kondu.

Bulgular: Kontrole kıyasla preeklampsiyle anlamlı derecede ilişkili anne risk faktörleri, kadının yaşı, şişmanlığı ve primigraviditesinde artış idi. Sezaryen doğum oranları ile preeklampsi arasında oldukça anlamlı bir ilişki vardı. Preeklamptik kadınların yenidoğanları ile düşük doğum ağırlıklı erken doğum, 1 dakikada düşük Apgar skoru,  düşük 5 dakika Apgar skoru ve yenidoğan bakım ünitesine yatış arasında anlamlı bir ilişki gözlendi.

  Sonuç: Preeklampsi için ana maternal risk faktörleri ileri derecede üreme yaşı, obezite ve primigravidite iken, ortak ters maternal sonuç sezaryendir. PE'nin sık görülen perinatal sonuçları düşük doğum ağırlığı, prematürite, 1-5 dakikada düşük Apgar skorları ve yüksek NICU kabulüdür.

Background:  Pre-eclampsia (PE) is the commonest hypertensive disorder in pregnancy. Adverse maternal and perinatal outcomes of pre-eclampsia are representing the big burden on national health system.

Objectives: Is to identify the maternal risk factors of pre-eclamsia among pregnant women as well as  to find out the maternal and perinatal outcomes of this problem.

Methods: A prospective follow up study was conducted in Obstetrics & Gynecology Department (OGD) of Al-Zahraa Maternity and Pediatric Hospital (ZMPH) in Al-Muqdadia District in Diyala province from the period 1st of February 2017 to 31st of January 2018. The study sample comprised 60 pregnant women with pre-eclampsia and 60 healthy pregnant women as controls. The diagnosis of PE was established according to American College of Obstetricians and Gynecologists (ACOG) diagnostic criteria of PE.

Results: Maternal risk factors related significantly to pre-eclampsia in comparison to controls were increased woman's age, obesity and primigravidity. There was a highly significant association between high cesarean section rates and pre-eclamptic women. A significant association was observed between neonates of pre-eclamptic women and low birth weight  preterm birth , low Apgar score at 1 minute . low Apgar score at 5 minutes and admission to neonatal intensive care unit .  

 Conclusion: The main maternal risk factors for pre-eclampsia are advanced reproductive age, obesity and primigravidity, while the common adverse maternal outcome is the cesarean section. The common perinatal outcomes  of PE are low birth weight, prematurity, low Apgar scores at 1 & 5 minutes and high NICU admission. 

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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Original Articles
Authors

Orcid: 0000-0002-7541-4852
Author: Raid K. Ali
Institution: Al-Batool Teaching Hospital /Diyala Governorate
Country: Iraq


Orcid: 0000-0002-7541-4852
Author: Yusra A. Hussein (Primary Author)
Institution: Gynecology & Obstetrics-Al-Zahraa Maternity and Pediatric Hospital
Country: Iraq


Orcid: 0000-0002-7541-4852
Author: Jalil Alezzi
Institution: University of Diyala / College of medicine
Country: Iraq


Dates

Publication Date: August 31, 2018

Bibtex @research article { pprjournal467553, journal = {Pediatric Practice and Research}, issn = {2147-6470}, address = {Resul YILMAZ}, year = {2018}, volume = {6}, pages = {10 - 15}, doi = {10.21765/pprjournal.467553}, title = {Preeclampsia: Materanl Risk Factors \& Perinatal Outcomes}, key = {cite}, author = {Ali, Raid K. and Hussein, Yusra A. and Alezzi, Jalil} }
APA Ali, R , Hussein, Y , Alezzi, J . (2018). Preeclampsia: Materanl Risk Factors & Perinatal Outcomes. Pediatric Practice and Research, 6 (2), 10-15. DOI: 10.21765/pprjournal.467553
MLA Ali, R , Hussein, Y , Alezzi, J . "Preeclampsia: Materanl Risk Factors & Perinatal Outcomes". Pediatric Practice and Research 6 (2018): 10-15 <http://dergipark.org.tr/pprjournal/issue/42576/467553>
Chicago Ali, R , Hussein, Y , Alezzi, J . "Preeclampsia: Materanl Risk Factors & Perinatal Outcomes". Pediatric Practice and Research 6 (2018): 10-15
RIS TY - JOUR T1 - Preeclampsia: Materanl Risk Factors & Perinatal Outcomes AU - Raid K. Ali , Yusra A. Hussein , Jalil Alezzi Y1 - 2018 PY - 2018 N1 - doi: 10.21765/pprjournal.467553 DO - 10.21765/pprjournal.467553 T2 - Pediatric Practice and Research JF - Journal JO - JOR SP - 10 EP - 15 VL - 6 IS - 2 SN - 2147-6470- M3 - doi: 10.21765/pprjournal.467553 UR - https://doi.org/10.21765/pprjournal.467553 Y2 - 2019 ER -
EndNote %0 Pediatric Practice and Research Preeclampsia: Materanl Risk Factors & Perinatal Outcomes %A Raid K. Ali , Yusra A. Hussein , Jalil Alezzi %T Preeclampsia: Materanl Risk Factors & Perinatal Outcomes %D 2018 %J Pediatric Practice and Research %P 2147-6470- %V 6 %N 2 %R doi: 10.21765/pprjournal.467553 %U 10.21765/pprjournal.467553
ISNAD Ali, Raid K. , Hussein, Yusra A. , Alezzi, Jalil . "Preeclampsia: Materanl Risk Factors & Perinatal Outcomes". Pediatric Practice and Research 6 / 2 (August 2018): 10-15. https://doi.org/10.21765/pprjournal.467553
AMA Ali R , Hussein Y , Alezzi J . Preeclampsia: Materanl Risk Factors & Perinatal Outcomes. pediatr pract res. 2018; 6(2): 10-15.
Vancouver Ali R , Hussein Y , Alezzi J . Preeclampsia: Materanl Risk Factors & Perinatal Outcomes. Pediatric Practice and Research. 2018; 6(2): 15-10.