The role of risk scare, cervical length and maternal salivary estriol levels in the prediction of preterm labor

Yıl 2005, Cilt: 36 Sayı: 2, 51 - 55, 01.03.2005

Tayfun Kutlu Elif Bağlam Zeynep Genç Y. Sadiye Eren

Öz

Objective: To determine the role of risk score, cervical length and maternal salivary estriol levels in the prediction of preterm labor. Materials and Methods: 100 pregnant women between 26-34 gestational weeks and who had admitted to the Zeynep Kamil Women's and Children's Hospital with signs and symptoms of preterm labor between June 2003 and January 2004 were included in the study group and their risk scores, cervical lengths and salivary estriol levels were determined besides the standard therapy they received. 100 pregnant women between 26-34 g estational weeks attending to our antenatal clinic in the same period were included in the control group and they had the same measure-ments.In this randomized, prospective study cervical length, Creasy risk scores and maternal salivary estriol levels were compared between the two groups. Results: The patients admitted to our clinic with signs and symptoms of preterm labor had significantly high risk scores (p

Anahtar Kelimeler

Obstetric Labor, Premature, Estriol, Saliva, Cervix Uteri

Erken doğum tehditini önceden belirlemede risk puanı, servikal uzunluk ve maternal tükrük östriol seviyesinin rolü

Öz

Amaç: Erken doğum tehditini önceden belirlemede risk puanı, servikal uzunluk ölçümü ve spot maternal tükrük östriol değerlerinin rolünü araştırmak. Geraç ve Yöntem: Zeynep Kamil Hastanesi Doğum Kliniğine Haziran 2003 - Ocak 2004 tarihleri arasında erken doğum tehditi belirti ve bulguları ile başvuran, 26 - 34 gebelik haftaları arasında 100 gebe çalışma grubuna alındı. Standart tanı ve tedavi protokollerinin yanı sıra maternal tükrük östriol seviyesi, servikal uzunluk ölçümü ve risk puanlaması yapıldı. Aynı dönemde, gebe izlem polikliniğinde kontrollerine, devam eden, 26 - 34 gebelik haftaları arasında 100 gebe ise kontrol grubu olarak belirlendi ve aynı ölçümler uygulandı. Randomize ve prospektif olarak düzenlenen çalışmada gruplar arasında servikal uzunluk, Creasy risk puanı ve maternal tükrük östriol seviyeleri karşılaştırıldı. Bulgular: Erken doğum tehditi nedeniyle başvuran gebelerin kontrol grubu gebelerine göre risk puanlan anlamlı derecede yüksek (p

Anahtar Kelimeler

Obstetrik doğum, prematür, Östriol, Tükrük, Serviks uteri

Kaynakça

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