Ailevi Akdeniz Ateşi Olan 40 Gebenin Perinatal Sonuçları

Yıl 2018, , 77 - 79, 05.03.2018

Ebru Alıcı Davutoğlu , Ayşegül Özel , Hakan Erenel Rıza Madazlı

https://doi.org/10.16948/zktipb.333212

Öz

Amaç
: Ailevi
Akdeniz Ateşi (AAA)  tanısı olan, gebe  olguların maternal ve fetal sonuçlarının
değerlendirilmesi amaçlanmıştır.

 

Gereç ve Yöntem :
Çalışmamız 2013-2017 yılları arasında üniversitemizin perinataloji kliniğinde
gebelikleri takip edilmiş 40 AAA olgusunun dosya verilerinin retrospektif olarak
incelenmesiyle yapıldı. Hastaların klinik özellikleri , obstetrik ve perinatal
sonuçları değerlendirildi.

 

Bulgular:
Ortalama
hasta yaşı 30.75 ±6.15, nulliparite oranı %42,5 bulundu. Ortalama hastalık
süresi 8,36 ± 5.44 yıl olarak bulundu. Gebelik sırasında 7 hasta atak geçirdi.
Hastaların % 90 ’ ı medikal tedavi almaktaydı. Ortalama doğum haftası 37,3±4.5,
ortalama doğum kilosu 3115±547  gr
bulundu. Preterm doğum, fetal büyüme kısıtlılığı  ,preeklampsi görülme oranları sırasıyla; %10 ,
%5 , %10, olarak bulundu. Fetal ve neonatal kayıp, ile konjenital anomalili
doğum gözlenmedi.

 

Sonuç  : AAA tanılı gebelik
olgularının yönetiminde multidisipliner yaklaşım ile takip ve tedavinin
sağlanması olumlu  maternal ve fetal
sonuçlar ile ilişkilidir.

Anahtar Kelimeler

Ailevi Akdeniz Ateşi ; perinatal sonuçlar

Perinatal Outcomes of 40 Pregnancies with Familial Mediterranean Fever

Öz

Objective
: To
evaluate maternal and fetal outcomes of  pregnancies diagnosed with Familial
Mediterranean Fever (FMF)

Methods
:  Retrospective analysis of 40 pregnancies
diagnosed with FMF who received antenatal care at our perinatology unit between
2012 -2017 included in this clinical study. Clinical characteristics of
patients, perinatal and maternal outcomes were evaluated.

Results
: The
mean patient age was 30.75 ±6.15 and the nulliparity rate was 42,5 %. The mean
duration of illness was found to be 8,36 ± 5.44 years. 7 patients had an attack
during pregnancy. 90 % of the patients received medical treatment. Mean gestational
age at delivery was 37,3±4.5 ,  mean birth weight was 3115±547 g.  Preterm delivery, fetal
growth restriction and  preeclampsia
rates were 10, 5, 10 % respectively. Fetal and neonatal loss, congenital
anomalous birth was not observed.

Conclusion:
Multidisciplinary approach to the care of 
pregnancy diagnosed with FMF  is
associated with good maternal and fetal outcomes.

Anahtar Kelimeler

: Familial Mediterranean Fever ; perinatal outcome

Kaynakça

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