EVALUATION OF MATERNAL AND FETAL OUTCOMES OF PREGNANT WOMEN ADMITTED TO THE DELIVERY UNIT WITH THE DIAGNOSIS OF REDUCED FETAL MOVEMENTS

Öz

Aim: Decrease in baby movements during pregnancy is a common reason for admission to hospital. In this study, it was aimed to evaluate the perinatal and obstetric outcomes of pregnant women hospitalized in the delivery unit with the diagnosis of reduced fetal movements. Materials and methods: Between January 2020 and January 2021, 417 pregnant women who were hospitalized in the delivery unit of our hospital with the diagnosis of reduced fetal movements at 37 weeks and above were retrospectively analyzed. High-risk pregnant women were excluded from the study. The patients' age, gravida, parity, body mass index, mode of delivery and neonatal intensive care need results were recorded. The mode of delivery and the need for neonatal intensive care in pregnant women hospitalized in the delivery unit with the diagnosis of reduced fetal movements were compared with the results of 13059 patients hospitalized in the delivery unit during this year. Results: It was determined that 417 (3.19%) of 13059 patients admitted to the delivery unit were hospitalized with the diagnosis of reduced fetal movements. While the rate of primary cesarean section was 16.54% among all patients, the rate of primary cesarean section was found to be 36.73% in 245 pregnant women who were diagnosed with reduced fetal movements and delivered. It was found to be significantly higher in the study group than in the whole patient group (p=0.023). No statistically significant difference was observed in the comparison of babies born in both groups in terms of need for neonatal intensive care (p=0.744). Conclusion: Primary cesarean section rates increase in patients hospitalized with the diagnosis of reduced fetal movements.

Anahtar Kelimeler

• Fetal movement
• cesarean section
• neonatal intensive care

FETAL HAREKETLERDE AZALMA TANISIYLA DOĞUM SERVİSİNE KABUL EDİLEN GEBELERİN MATERNAL VE FETAL SONUÇLARININ DEĞERLENDİRİLMESİ

Öz

Amaç: Gebelikte bebek hareketlerinde azalma hissedilmesi hastaneye başvuru sebepleri arasında sık karşılaşılan bir nedendir. Bu çalışmada fetal hareketlerde azalma tanısı ile doğum ünitesine yatırılan gebelerin perinatal ve obstetrik sonuçlarının değerlendirilmesi amaçlanmıştır. Gereçler ve yöntem: Ocak 2020- Ocak 2021 tarihleri arsında hastanemiz doğum ünitesine fetal hareketlerde azalma tanısıyla yatırılan 37.hafta ve üzeri 417 gebe retrospektif olarak incelendi. Yüksek riskli gebeler çalışma dışı bırakıldı. Hastaların yaşı, gravida, paritesi, vücut kütle indeksi ile doğum şekli ve yenidoğan yoğun bakım ihtiyacı sonuçları kaydedildi. Fetal hareketlerde azalma tanısı ile doğum ünitesine yatırılan gebelerin doğum şekli ve yenidoğan yoğun bakım ihtiyacı durumu bu bir yıl içerisinde doğum ünitesine yatırılan toplam 13059 hastanın sonuçları ile karşılaştırıldı. Bulgular: Doğum ünitesine yatan 13059 hastanın 417’sinin ( %3.19) fetal hareketlerde azalma tanısıyla yatırıldığı tespit edildi. Tüm hastalar içinde primer sezaryen oranı %16.54 iken, fetal hareketlerde azalma tanısı alıp doğurtulan 245 gebede primer sezaryen oranı % 36.73 olarak tespit edildi. Primer sezaryen oranları açısından karşılaştırıldığında çalışma grubunda tüm hasta grubuna göre primer sezaryen oranı anlamlı olarak yüksek bulundu (p=0.023). Her iki gruptaki doğan bebeklerin yenidoğan yoğun bakım ihtiyacı olması yönünden karşılaştırılmasında da istatistiksel olarak anlamlı fark izlenmemiştir (p=0.744). Sonuç: Fetal hareketlerde azalma tanısıyla yatırılan hastalarda primer sezaryen oranları yükselmektedir.

Anahtar Kelimeler

• Fetal hareket
• sezaryen
• yenidoğan yoğun bakım

Kaynakça

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