Az riskli term gebede prenatal takibe etki eden faktörler

Yıl 2019, Cilt: 44 Sayı: Ek 1, 317 - 322, 29.12.2019

Fahri Burçin Fıratlıgil Ulaş Fidan

https://doi.org/10.17826/cumj.557138

Öz

Amaç: Nullipar ve multipar bayanların, term dönemde kaç kez prenatal vizite başvurdukları, ve bu başvuruların hangi eğitim düzeyinde daha sık görülüğü karşılaştırılmaya çalışıldı. 

Gereç ve Yöntem: Çalışmaya Gülhane Askeri Tıp Akademisi, Kadın Hastalıkları ve Doğum kliniğinde Aralık 2015 – Mayıs 2016 sezaryen ve/veya spontan vajinal doğum ile doğumunu gerçekleştirilen 341 hasta dahil edildi. Bunların 205’ini nullipar gebeler oluşturuken, 136’sı multipar gebeler idi.

Bulgular: Nullipar ve multipar bayanların, term dönem vizit sayıları karşılaştırıldığında, gruplar arasında anlamlı düzeyde fark bulundu. Bu anlam, nullipar bayanlar lehine tespit edildi. Term dönem vizit sayılarını, eğitim düzeyleri açısından karşılaştırdığımızda; bayanlar açısından istatistiksel olarak anlamsız iken, babalar açısından baktığımızda lise eğitim düzeyinde daha sık vizite gelindiği tespit edildi.

Sonuç: Toplumsal eğitim düzeylerinin arttırılması, gebelik sürecinin en başından itibaren anne ve baba adaylarının prenatal vizitlerin önemi ve sıklığı bakımından bilinçlendirilmesi ile prenatal bakımın daha efektif hale gelebileceği düşünülmektedir. 

Anahtar Kelimeler

Gebeliğin Term Dönemi, Nullipar, Prenatal Vizit

Prenatal follow-up in low risk term pregnancy: influencing factors and solutions

Öz

Purpose: In this study, the frequency of presentation of nulliparous and multiparous women to prenatal visit during their term period and the importance of educational level in the frequency of presentation were compared.

Materials and Methods: 341 patients giving birth with cesarean section or/and spontaneous vaginal delivery in Gülhane Military Medical Academy, Gynecology and Obstetrics department between December 2015 – May 2016, were included in the study. 205 of them were nulliparous while the rest was multiparous.

Results: When the number of term period visits of nulliparous and multiparous women were compared, a significant difference between two groups was determined. This significance was detected as in support of nulliparous women. When the number of term period visits were compared with according to the educational level was not statistically significant for women, while it was detected that the frequency of paternal visits with high school degree was significant. 

Conclusion: Increasing the educational level of society, raising the awareness of parents in terms of the importance of prenatal visit and its frequency will increase the effectiveness of prenatal care.

Anahtar Kelimeler

Nulliparous, Prenatal Visit, Term Period of Pregnancy

Kaynakça

• Referans 1. Dowswell T, Carroli G, Duley L, Gates S, Gülmezoglu AM, Khan-Neelofur D, Piaggio GG. Alternative versus standard packages of antenatal care for low-risk pregnancy. Cochrane Database Syst Rev. 2010;6(10):CD000934.
• Referans 2. Kaunitz AM, Spence C, Danielson TS, Rochat RW, Grimes DA. Perinatal and maternal mortality in a religious group avoiding obstetric care. Am J Obstet Gynecol. 1984;1;150(7):826-31.
• Referans 3. Oakley A. The origins and development of antenatal care. In: M Enkin, I Chalmers editor(s). Effectiveness and Satisfaction in Antenatal Care. Clinics in Developmental Medicine Nos. 81/82. Spastics International Medical Publications, 1982:1–21.
• Referans 4. American Academy of Pediatrics, American College of Obstetricians and Gynecologists. Guidelines for perinatal care. 7th ed. Elk Grove Village (IL): AAP; Washington, DC: American College of Obstetricians and Gynecologists; 2012. p. 109-110, 160, 192-194, 248.
• Referans 5. Carter EB, Tuuli MG, Caughey AB, Odibo AO, Macones GA, Cahill AG. Number of prenatal visits and pregnancy outcomes in low-risk women. J Perinatol. 2016;36(3):178-81.
• Referans 6. National Institute for Health and Clinical Excellence (see Antenatal Care: Routine Care for the Healthy Pregnant Woman). www.nice.org.uk. (Accessed on April 19, 2012).
• Referans 7. Uptodate.com [homepage on the internet] Prenatal care (second and third trimesters) [cited Jul 13, 2016]. Available from: http://www.uptodate.com/contents/prenatal-care-second-and-thirdtrimesters?source=machineLearning&search=antenatal+care&selectedTitle=2~150&sectionRank=1&anchor=H12838391#H2236266
• Referans 8. Larsson B, Karlström A, Rubertsson C, Hildingsson I. Counseling for childbirth fear - a national survey. Sex Reprod Healthc. 2016;8:82-7.
• Referans 9. Sydsjö G, Sydsjö A, Gunnervik C, Bladh M, Josefsson A. Obstetric outcome for women who received individualized treatment for fear of childbirth during pregnancy. Acta Obstet Gynecol Scand. 2012;91(1):44-9.
• Referans 10. Alehagen S, Wijma K, Wijma B. Fear during labor. Acta Obstet Gynecol Scand. 2001;80(4):315-20.
• Referans 11. Osorio AM, Tovar LM, Rathmann K. Individual and local level factors and antenatal care use in Colombia: a multilevel analysis. Cad Saude Publica. 2014;30(5):1079-92.
• Referans 12. D'Ascoli PT, Alexander GR, Petersen DJ, Kogan MD. Parental factors influencing patterns of prenatal care utilization. J Perinatol. 1997 Jul-Aug;17(4):283-7.
• Referans 13. Hildingsson I, Waldenström U, Rådestad I. Women's expectations on antenatal care as assessed in early pregnancy: number of visits, continuity of caregiver and general content. Acta Obstet Gynecol Scand. 2002;81(2):118-25.
• Referans 14. Roberts RO, Yawn BP,Wickes SL, Field CS, Garretson M, Jacobsen SJ. Barriers to prenatal care: Factors associated with late initiation of care in a middle-class midwestern community. J Fam Prac1998; 47: 53–61.