Kliniğimizde Son 10 Yılda Gerçekleşen Doğumların Geriye Dönük Değerlendirmesi

Öz

Amaç: Kliniğimizde son 10 yıl içinde doğumların yıllık dağılımını ve endikasyonlarını geriye dönük olarak değerlendirmek. Gereç ve yöntemler: 2015-2024 yılları arasında Kadın Doğum Kliniği’nde gerçekleşen 44,962 doğumun kayıtları hastane veri tabanından geriye dönük olarak erişilmiştir. Vajinal doğum sayıları, primer ve tekrarlayan sezaryen sayıları ile sezaryen doğumlara yönelik endikasyonlar yıllara göre analiz edilmiş ve karşılaştırılmıştır. Bulgular: 10 yıllık çalışma döneminde en düşük primer sezaryen oranı 2015 yılında %18.98 iken, 2024 yılı itibarıyla %37.5'e yükselmiştir. En düşük ortalama maternal yaş 2015 yılında 27.95±6.13, 2024 yılında ise 29.06±6.23 olarak kaydedilmiştir. Sezaryen doğum için en sık görülen endikasyon, %45.67 ile geçirilmiş uterus cerrahisidir; bunu %14.31 ile fetal stres ve %7.38 ile kafa-pelvis uyumsuzluğu takip etmektedir. En az görülen endikasyon ise %0.35 ile kordon prolapsusudur. Sonuçlar: Bulgular, primer sezaryen oranının son yıllarda arttığını göstermektedir. Primer sezaryen oranlarını azaltmak için annelerin, kadın doğum uzmanlarının ve ebe - hemşirelerin vajinal doğum hakkında eğitilmeleri ve bilgilendirilmeleri, vajinal doğum sırasında ağrıyı azaltmak için epidural anestezi imkanlarının sağlanması, doğum odasındaki fiziksel koşulların iyileştirilmesi ve sezaryen sonrası vajinal doğumun teşvik edilmesi gerekmektedir.

Anahtar Kelimeler

• sezaryen endikasyonları
• primer sezaryan
• vajinal doğum

A Retrospective Evaluation of Births in Our Clinic in the Past 10 Years

Abstract

Objective: To retrospectively evaluate the annual distribution and indications of births in our clinic over the previous 10 years. Material and methods: The medical records of 44,962 births at the Department of Obstetrics from 2015 to 2024 were retrospectively accessed from the hospital database. Numbers of vaginal births, primary and recurrent cesarean sections, and the indications for cesarean deliveries were analyzed and compared by years. Results: The lowest primary cesarean rate in the 10-year study period was 18.98% in 2015, rising to 37.5% by 2024. The lowest mean maternal age was 27.95±6.13 in 2015, rising to 29.06±6.23 in 2024. The most common indication for cesarean delivery was previous uterine surgery at 45.67%, followed by fetal distress at 14.31%, and cephalopelvic disproportion at 7.38%. The least frequent indication was cord prolapse at 0.35%. Conclusions: The findings show that the primary cesarean rate has increased in recent years. In order to reduce primary cesarean rates, expectant mothers, obstetricians, and midwives should be educated and informed about vaginal birth, facilities for epidural anesthesia should be provided to reduce pain during vaginal delivery, the physical conditions in the delivery room should be improved, and vaginal birth after cesarean delivery should be encouraged.

Keywords

• cesarean indications
• primary cesarean
• vaginal delivery

Kaynakça

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