Prevalence of Physical Disorders and High-Risk Situations in the Pregnant Women in Turkey: A Systematic Review and Meta-Analysis

Yıl 2024, Cilt: 8 Sayı: 3, 306 - 326, 30.09.2024

Zekiye Karaçam , Tülay Doğrusoy , Pirozhan Ekin

https://doi.org/10.46237/amusbfd.1431668

Öz

Objective: This study was conducted to determine the incidence of physical disorders and high-risk situations develop during pregnancy, based on cross-sectional studies conducted in Turkey.
Methods: This study was conducted as a systematic review and meta-analysis study that included cross-sectional studies. The scans were carried out in April 2021 through national and international databases using the keywords "pregnancy, Turkey, hyperemesis, hypertension, preeclampsia, diabetes, urine infection, miscarriage, premature birth, premature rupture of membranes, placenta previa, abruption placenta". The methodological quality of the research included in the systematic review was assessed using the JBI Critical Appraisal Checklist for Analytical Cross-Sectional Studies prepared by the Joanna Briggs Institute. Data were synthesized by meta-analysis.
Results: Nineteen articles were included in this meta-analysis, amounting to a total volume of 159,022 samples. Based on the data, we observed that authors of the meta-analyses estimated a prevalence of 7.8% for gestational diabetes, 16% for urinary infection, 8.7% for premature rupture of membranes, 10% for preterm labour, 2.8% for preeclampsia, 2.7% for gestational hypertension, 0.3% for HELLP syndrome, 4% for hyperemesis gravidarum, 0.1% for eclampsia, 6.6% for threat of miscarriage, 3.8% for miscarriage, 1.2% for a history of bleeding in the third trimester, 0.4% for placental abruption, and 0.3% for placenta previa.
Conclusion: In this systematic review, it was concluded that some physical discomfort and high-risk conditions are common during pregnancy. These results may contribute to the planning and delivery of prenatal care services.

Anahtar Kelimeler

Care, Physical disorders, High-risk, Incidence, Meta-analysis

Türkiye’de Gebelerde Fiziksel Rahatsızlık ve Yüksek Riskli Durumların Görülme Sıklığı: Sistematik Derleme ve Meta-Analiz

Öz

Amaç: Bu çalışma Türkiye’de yapılan kesitsel çalışmalara dayalı olarak, gebelik sürecinde gelişen fiziksel rahatsızlıklar ve yüksek riskli durumların görülme sıklığı belirlenmesi amacı ile yapıldı.
Yöntem: Bu çalışma, kesitsel araştırmaların dahil edildiği bir sistematik derleme ve meta-analiz çalışması olarak yapıldı. Taramalar Nisan 2021’de ulusal ve uluslararası veri tabanları üzerinden “gebelik, Türkiye, hiperemezis, hipertansiyon, preeklampsi, diyabet, idrar enfeksiyonu, düşük, erken doğum, erken membran rüptürü, plasenta previa, abruption plasenta” anahtar kelimeleri kullanılarak gerçekleştirildi. Sistematik derlemeye dahil edilen araştırmaların metodolojik kalitesi Joanna Briggs Enstitüsü'nün Analitik Kesitsel Çalışmalar için hazırladığı JBI Kritik Değerlendirme Kontrol Listesi kullanılarak değerlendirildi. Veriler meta-analiz yapılarak sentez edildi.
Bulgular: Bu meta-analize 19 araştırma dâhil edildi ve bu çalışmaların toplam örneklem hacmi 159 022 idi. Bu verilere dayalı olarak yapılan meta-analizlerde tahmini görülme sıklığının gestasyonel diyabet için %7.8, üriner enfeksiyon için %16, preterm doğum eylemi için %10, erken memran rütürün için %8.7, preeklampsi için %2.8, gestasyonel hipertansiyon için %2.7, HELLP sendromun için %0.3, eklampsi için %0.1, hyperemesis gravidarum için %4, düşük tehdidi için %6.6, düşük için %3.8, üçüncü trimestirde kanama öyküsü için %1.2, placental abruption için %0.4, placenta previa için %0.3 olduğu belirlenmiştir.
Sonuç: Bu sistematik derlemede gebelik sürecinde bazı fiziksel rahatsız ve yüksek riskli durumların yaygın olduğu sonuçları elde edilmiştir. Bu sonuçlara dayalı doğum öncesi bakım hizmetlerinin planlanması ve sunumuna katkı sağlanabilir.

Anahtar Kelimeler

Gebelik, Yüksek risk, Sağlık problemleri, İnsidans, Meta-analiz, Bakım, Care, Care, Physical disorders, Physical disorders, Hospitalization, Hospitalization, Incidence, Incidence, Meta-analysis, Meta-analysis, Pregnancy, Pregnancy

Etik Beyan

Uygulanamaz (bu makale global veri tabanlarında yapılan araştırmalara dayanarak hazırlanmıştır ve verileri kullanılan çalışmalar referans listesine dahil edilmiştir).

Destekleyen Kurum

YOK

Teşekkür

YOK

Kaynakça

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