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ÖZET Amaç: Abortus etiyolojisinin anlaşılması istenen gebelik kayıplarının önlenmesi açısından önemlidir. Dünyada Kanada, Avusturalya gibi bazı ülkelerde abortusların mevsimsel dağılım gösterdiğini bildiren yayınlar mevcuttur, ancak ülkemizde bu konu ile ilgili veri bulunmamaktadır. Bu çalışmanın amacı bölgemizde spontan abortusların mevsimsel dağılımlarının değerlendirilmesidir. Gereç ve Yöntemler: Yapılan çalışmada, 1 Ocak 2015 ile 1 Ocak 2018 tarihleri arasında hastanemize başvuran, 20-49 yaş arasındaki 707 gebenin demografik verileri retrospektif olarak analiz edildi. Tüm abortus olgularının ve alt türlerinin mevsimlere göre dağılımları ki-kare testi ile analiz edildi. Çalışma, IBM SPSS (Sosyal Bilimler İçin İstatistik Programı) 22 programı ortamında analiz edildi. Veriler α=0.05 yanılma düzeyi ve %95 güven aralığında değerlendirildi. Bulgular: Çalışmada abortus olan gebelerin yaş ortalaması 34±6 idi. Abortusların (n=707) mevsimlere göre dağılımı incelendiğinde kış mevsiminde %26,2 (n=185), ilkbaharda %25,5 (n=180), yaz mevsiminde %23,1(n=163), sonbaharda ise %22,8 (n=179) oranında olduğu görüldü. Yapılan tek örneklem ki-kare testine göre, abortusların mevsimlere göre dağılımları incelendiğinde mevsimler arasında istatistiksel olarak anlamlı farklılık bulunmadı (p=0.672). Abortus türlerinin, mevsimlere göre dağılımları incelendiğinde missed abortusların ilkbahar mevsiminde daha sık olduğu görüldü (p=0.00072) ve istatistiksel olarak anlamlı farklılık bulundu (p<0.001). Kimyasal gebeliklerin ise kış mevsiminde daha fazla olduğu görüldü ve bu fark istatistiksel olarak anlamlı bulundu (p=0.003732). Ayrıca abortus incipienceler yaz mevsiminde daha çok görüldü ve bu fark istatistiksel olarak anlamlı bulundu (p=0.00019). Sonuç: Abortusların mevsimlere göre dağılımı incelendiğinde mevsimler arasında istatistiksel olarak anlamlı farklılık bulunmadı. Ancak missed abortusların ilkbahar mevsiminde (polen mevsimi olduğundan) daha sık görülmesi nedeni ile missed abortus etiyolojisinde immünolojik faktörlerin önemli olabileceğini düşünüldü. Anahtar Kelimeler: Spontan abortus Mevsimsel dağılım Missed abortus ABSTRACT Objective: Understanding the etiology of an abortus is significant in terms of prevention of the desired pregnancy losses. There are a number of worlwide publications regarding the role of seasons among these environmental factors in some countries such as Canada and Australia, however, there is no data on this subject in our country. The purpose of this study is evaluating the seasonal distribution of spontaneous abortus in our region. Material and Methods: In this study, the demographic data of 707 pregnant women aged between 20- 49 applied to our hospital between the dates of January 1st 2015 and 1st January 2018 were analyzed retrospectively. The seasonal distribution of abortus cases was examined. Chi-square test was used for the analysis of seasonal distrubition of all abortus and sub-species. The data obtained in this study was analyzed via IBM SPSS (Statistical Package for the Social Sciences) 22. The data were estimated at α = 0.05 error level and 95% confidence interval. Results: The mean age of the pregnant women with abortus was 34 ± 6 years. When the distribution of abortus (n=707) was examined, it was seen that in winter 26, 2% (n=185), in spring 25, 5% (n =180), in summer), 23, 1% (n =163), in autumn 22,8 (n = 179). According to the single sample chi-square test, when the seasonal distribution of abortuss types were examined, no statistically significant difference was found between the seasons (p = 0.672). When the distribution of abortus sub-species according to seasons were examined, it was seen that the missed abortus were more frequent in spring (p = 0.00072) and a statistically significant difference was found (p <0.001). The chemical pregnancies were more common in winter and this difference was statistically significant (p = 0.003732). In addition, abortus incipiens were more common in summer and this difference was statistically significant (p = 0.00019). Conclucions: When the distribution of abortuss was evaluated according to seasons, there was found no statistically significant differences between seasons.It was found out that the missed abortus frequently occured in the spring season, accordingly, it is suggested that immunological factors (in connection with the pollen season) might be considered significant in the etiology of an abortus. Keywords: Spontan abortus Seasonal distribution Missed abortus
Understanding the ethology of abortion is important to prevent desired pregnancy losses. There are publications in the world that report that abortions are seasonal in some countries such as Canada, Australia, but there are no data in our country about this issue. The aim of this study is to evaluate the seasonal distribution of spontaneous abortions in our region. Tools and Methods: In the study, the demographic data of 707 patients between the ages of 20 and 49 who applied to our hospital between 1 January 2015 and 1 January 2018 were analyzed retrospectively. The distribution of all abortion phenomena and subtypes according to seasons was analyzed by ki-core test. The study was analyzed in the IBM SPSS (Statistical Program for Social Sciences) 22 program environments. The data is a = 0. 5 errors and 95% confidence. The average age of pregnant women with abortion in the study was 34±6. The distribution of abortions (n=707) according to the seasons was observed at 26.2% in winter (n=185), 25.5% in spring (n=180), 23.1% in summer (n=163), and 22.8% in autumn (n=179). According to the single sampling ki-quare test, there was no statistically significant difference between seasons when the distribution of abortions was examined by seasons (p=0.672). When the distribution of abortions according to seasons was studied, missed abortions were found more frequent in the spring season (p=0.00072) and statistically significant differences were found (p<0.001). Chemical pregnancies were found to be more in the winter season and this difference was statistically significant (p=0.003732). In addition, abortion incipienceler was more common in the summer season and this difference was statistically meaningful (p=0.00019). The result: when the distribution of abortions according to seasons was studied, there was no statistically significant difference between seasons. But because missed abortions are more common in the spring season (because it is polen season), immunological factors may be important in the ethology of missed abortions. Keywords: spontaneous abortion; seasonal distribution; Missed abortion ABSTRACT Objective: Understanding the etiology of an abortion is significant in terms of prevention of the desired pregnancy losses. There are a number of worldwide publications regarding the role of seasons among these environmental factors in some countries such as Canada and Australia, however, there is no data on this subject in our country. The purpose of this study is to evaluate the seasonal distribution of spontaneous abortions in our region. Material and Methods: In this study, the demographic data of 707 pregnant women aged between 20- 49 applied to our hospital between the dates of January 1st 2015 and January 1st 2018 were analyzed retrospectively. The seasonal distribution of abortion cases was examined. Chi-square test was used for the analysis of seasonal distrubition of all abortions and sub-species. The data obtained in this study was analyzed via IBM SPSS (Statistical Package for the Social Sciences) 22. The data were estimated at a = 0.05 error level and 95% confidence interval. Results: The average age of the pregnant women with abortion was 34 ± 6 years. When the distribution of abortion (n=707) was examined, it was seen that in winter 26, 2% (n=185), in spring 25, 5% (n=180), in summer), 23, 1% (n=163), in autumn 22,8 (n=179). According to the single sample chi-square test, when the seasonal distribution of abortion types were examined, no statistically significant difference was found between the seasons (p = 0.672). When the distribution of abortion sub-species according to seasons were examined, it was seen that the missed abortion were more frequent in spring (p = 0.00072) and a statistically significant difference was found (p < 0.001). The chemical pregnancies were more common in winter and this difference was statistically significant (p = 0.003732). In addition, abortion incipiens were more common in summer and this difference was statistically significant (p = 0,00019). Conclusions: When the distribution of abortion was evaluated according to seasons, there was found no statistically significant differences between seasons.It was found that the missed abortion frequently occurred in the spring season, accordingly, it is suggested that immunological factors (in connection with the pollen season) might be considered significant in the etiology of an abortion. Keywords: spontaneous abortion; seasonal distribution; missed abortion
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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