Deprem ve COVID-19 Salgınının Neden Olduğu Maternal Stresin Pre/eklampsi Üzerine Olan Etkisinin İncelenmesi

Öz

Amaç: 24 Ocak 2020 tarihinde Elazığ’da meydana gelen deprem ve 1 Nisan 2020’de Türkiye geneline yayılan COVID-19 salgınının pre/eklampsi spekturumu üzerine olan etkilerinin incelenmesi. Yöntem: Çalışma 1 Temmuz 2019 ile 1 Mart 2021 tarihleri arasında doğum için Fırat Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum Kliniği’ne başvuran gebelerin dosyalarının retrospektif olarak incelenmesi yoluyla yapıldı. Grup 1’deki olgular 1 Temmuz 2019 – 1 Ocak 2020 tarihleri arasında doğum yapan gebelerin pre-eklampsi, HELLP sendromu ve süperempoze preeklampsi olanlar ve Grup 2’deki olgular 1 Eylül 2020 – 1 Mart 2021 tarihleri arasında aynı tanılara sahip olan gebelerin incelenmesi yoluyla belirlendi. Bulgular: 1 Temmuz 2019 – 1 Ocak 2020 tarihleri arasında (Grup 1) toplam 605 doğum gerçekleşti. 1 Eylül 2020 – 1 Mart 2021 tarihleri arasında (Grup 2) toplam 654 doğum gerçekleşti. Grup 1’de preeklampsi ve ilişkili hastalıkların insidansı %4,8 iken, Grup 2’de bu oran %7,5 olarak gerçekleşmiştir (değişim oranı +%56,2). Maternal stres sonrası sıklığı en fazla artan hastalık şiddetli preeklampsi (+%103,3) olmuştur. Sonuç: Çalışmada, maternal stresin preeklampsi ve ilişkili hastalıkların insidansını belirgin derecede arttırdığı tespit edilmiştir. Ağır strese neden olan olaylar sonrasında, sağlık hizmeti sunucularının hazırlıklı olması gerekmektedir.

Anahtar Kelimeler

• COVID-19 pandemisi
• deprem
• maternal stres
• pre/eklampsi

Investigation of the Effect of Maternal Stress Caused by Earthquake and Covid-19 Epidemic on Pre/eclampsia

Öz

Aim: To examine the effects of the earthquake that occurred in Elazig on January 24, 2020 and the COVID-19 epidemic that spread throughout Turkey on April 1, 2020, on the pre/eclampsia spectrum. Method: The study was conducted by retrospectively examining the files of pregnant women who applied to the Fırat University Faculty of Medicine, Department of Obstetrics and Gynecology for birth between July 1, 2019 and March 1, 2021. The cases in group 1 were determined by examining the pregnant women who gave birth between July 1, 2019 – January 1, 2020, those with pre-eclampsia, HELLP syndrome, and superimposed preeclampsia, and the cases in group 2 with the same diagnoses between September 1, 2020 and March 1, 2021. Results: A total of 605 deliveries took place between July 1, 2019 and January 1, 2020 (group 1). A total of 654 births took place between September 1, 2020 - March 1, 2021 (group 2). While the incidence of preeclampsia and related diseases was 4.8% in group 1, it was 7.5% in group 2 (change rate +56.2%). Severe preeclampsia (+103.3%) was the disease whose frequency increased the most after maternal stress. Conclusion: In the study, it was determined that maternal stress significantly increased the incidence of preeclampsia and related diseases. After events that cause severe stress, health care providers need to be prepared.

Anahtar Kelimeler

• COVID-19 pandemic
• earthquake
• maternal stress
• pre/eclampsia

Kaynakça

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