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Bu çalışmada artan sezaryen doğum (SD) oranlarının sebeplerinin araştırılması amaçlanmıştır. Hastanemizde 2014-2017 yılları arasında tek bir hekimin sorumluluğunda doğum yapan kadınlar retrospektif olarak değerlendirildi. SD oranları ve nedenleri araştırıldı. Bu süre içinde 3488 doğum gerçekleşti. Bunların 2108’i (%60,4) vajinal doğum, 1380’i (%39,6) SD idi. SD’ların yaklaşık yarısı (%49,6) primer SD (PSD) idi. Hiçbir hastaya isteğe bağlı SD yapılmadı. PSD oranı %19,6 olarak saptandı. PSD olan kadınların %61,5 nullipar, %38,5’i multipardı. Multipar gebelerde en sık PSD endikasyonları sırasıyla fetal distres (%23,9), uzamış eylem (%14,8) prezentasyon anomalisiydi (%14,5). Nullipar gebelerde ise uzamış eylem (%28,5), fetal distres (%21,4) ve baş pelvis uyuşmazlığı (%18,8) en sık nedenlerdi (p<0,05). Ayrıca zaman içinde SD oranlarında bir miktar artış saptandı. Sonuçlarımıza göre isteğe bağlı SD yapılmadığında, tüm sevkleri alan tersiyer bir merkezde bile PSD oranı %19,6 civarındadır. PSD’ların en sık sebebi uzamış eylem, fetal distres, baş pelvis uyuşmazlığı ve perzentasyon anomalisiydi. Sadece ihtiyacı olan kadına SD uygulamak hem PSD hem de mükerrer SD oranlarını azaltacaktır.
This study is aimed at investigating the causes of increased Caesar birth rates (SD). Women who have been born under the responsibility of a single doctor between 2014 and 2017 in our hospital were considered retrospective. SD rates and causes have been investigated. In this period there were 3488 births. Of these, 2108 (60.4 percent) were vaginal births, and 1380 (39.6 percent) SDs. Approximately half of SDs (49.6%) were primary SDs (PSDs). No patient has been given a voluntary SD. The PSD ratio was 19.6%. 61.5 percent of women with PSD were nullipar and 38.5 percent multipar. Multipar pregnancy PSD indications were, respectively, fetal distraction (23.9%, prolonged action (14.8%) and presentation anomaly (14.5%. In Nullipar pregnancies, prolonged action (28.5 percent), fetal distraction (21.4 percent) and pileal discomfort (18.8 percent) were frequent causes (p<0.05 percent). There has also been a significant increase in SD rates over time. According to our findings, when no optional SD is made, even in the opposite center where all shipping is located, the PSD ratio is around 19.6%. The frequent cause of PSDs was prolonged action, fetal distraction, headache discomfort and percentation anomaly. Applying SD only to the woman in need will reduce both the PSD and Muckerer SD rates.
In this study, it was aimed to investigate the causes of increasing cesarean delivery (SD) rates. Women who gave birth under the responsibility of a single physician in our hospital between 2014-2017 were evaluated retrospectively. SD rates and causes were investigated. During this time, 3488 births occurred. Of these, 2108 (60.4%) were vaginal delivery, 1380 (39.6%) were SD. About half (49.6%) of SD were primary SD (PSD). Optional SD was not applied to any patient. The rate of PSD was found to be 19.6%. 61.5% of women with PSD were nulliparous and 38.5% were multiparous. The most common PSD indications in multiparous pregnant women were fetal stress (23.9%), prolonged labor (14.8%) presentation anomaly (14.5%), respectively. In nulliparous pregnant women, prolonged labor (28.5%), fetal stress (21.4%) and head pelvis incompatibility (18.8%) were the most common causes (p<0.05). According to our results, the PSD rate is around 19.6% even when optional SD is not made. The most common causes of PSD were prolonged labor, fetal stress, head pelvis incompatibility, and presentation anomaly. Applying SD only to women in need will reduce both PSD and recurrent SD rates.
Field : Sağlık Bilimleri
Journal Type : Ulusal
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