Retrospective Investigation of Transverse Situs Single Pregnancy Cases Without Placenta Previa

Yıl 2019, Cilt: 8 Sayı: 3, 296 - 301, 30.09.2019

Bora Çoşkun , Burcu Timur , Buğra Coşkun , Coşkun Şimşir , Rıza Dur , Tuğba Ensari

Öz

  Objective of this study was to
retrospectively evaluate the possible etiologicfactors of transverse situs
cases not accompanied by multiple pregnancies and placenta previa and
postpartum fetal outcomes.

113
patients delivered under the diagnosis of transverse situs not accompanied by
multiple pregnancies or placenta previa were included in the study. Demographic
characteristics of these patients, possible transverse situs etiologies and
postpartum maternal and fetal outcomes were evaluated using descriptive
statistical analyses.

Transverse situs rate of 61594 patients who delivered between 2011-2015,
was 0,183 % (113/61594). The mean age was 29.6 ± 6.2, BMI was 29.6 ± 5.2 kg/m².
52.2% (59/113) of patients were ≥3 gravida, 7% (8/113) had uterine anomalies,
7.9% (9/113) had myoma uteri and 6.2% (7/113) had fetal anomalies. Uterine
atony developed in 2 patients and 1 of them required transfusion. 64 fetuses
(56.6%) were in dorsosuperior position (Group 1), while 49 patients (43.4%) in
dorsoinferior position (Group 2). Operation time was significantly longer in
Group 1. There was a statistically significant difference between the two
groups in terms of uterine artery injury, and pre- and postoperative hemoglobin
differences (Delta hemoglobin) levels.

BMI ≥25 kg/m2 and gravida ≥3 were found as significant etiologic factors
in addition to factors affecting the uterine volume. Furthermore, we also found
that prolonged operation time and increased delta Hb rates were detected in
dorsoinferior transverse situs cases. 

Anahtar Kelimeler

Transverse Situs, Cesarean Section, Malpresentation

Kaynakça

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