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Pregnancy Associated Plasma Protein-A (PAPP-A) ve Serbest Human Koryonik Gonadotropin (ß-HCG) Değerlerinin Gebelik Komplikasyonlarını Öngörmedeki Yeri
2016
Journal:  
İstanbul Kanuni Sultan Süleyman Tıp Dergisi
Author:  
Abstract:

Amaç: Literatürde ilk trimester PAPP-A VE B-HCG düşüklüğü abortus, preeklampsi, GDM gibi gebelik prognozunu etkileyen sorunlarla ilişkili bulunmuştur. Bundan yola çıkarak PAPP-A <0.4 MoM; B-HCG <0.5 MoM altındaki değerlerde abortus, ektopik gebelik, mort fetüs, preeklampsi, GDM, intrauterin gelişme geriliği (IUGR), düşük doğum ağırlıklı bebek (SGA), yüksek doğum ağırlıklı bebek (LGA), preterm eylem, erken membran rüptürü (EMR), preterm erken membran rüptürü (PPROM), kolestaz ve bebeğin yenidoğan gereksinimi ile ilişkisini araştırmaktır. Gereç ve Yöntem: Şişli Hamidiye Etfal Eğitim Araştırma Hastanesi’nde 1 Ocak 2014 ile 1 Temmuz 2014 arasında gebe izlem polikliniğine 1. trimester tarama testi için başvuran 489 tekiz gebe çalışmaya alınmış, doğum öncesi ve sonrası perinatal kayıtları incelenmiştir. Bulgular: PAPP-A değeri düşük olan hastalarda preeklampsi 2.6 kat, B-HCG grubunda ise 2 kat fazla bulunmuştur. Yüksek riskli grupta preterm eylem olma riski PAPP-A grubunda 3.2 kat fazla bulunmuştur. Çalışmamızda yüksek riskli grupla GDM, SGA, IUGR, EMR arasında anlamlı ilişki bulunmamıştır. PAPP-A değeri düşük olan hastalarda preeklampsi 2.6 kat, B-HCG grubunda ise 2 kat fazla bulunmuştur. Yüksek riskli grupta preterm eylem olma riski PAPP-A grubunda 3.2 kat fazla bulunmuştur. Çalışmamızda, yüksek riskli grupla GDM, SGA, IUGR, EMR arasında anlamlı ilişki bulunmamıştır. Tartışma ve Sonuç: Birinci trimesterda bakılan PAPP-A ve HCG’nin gebeliğin ilerleyen haftalarında kötü gebelik sonuçları ile ilişkili olduğu görülmüştür. PAPP-A’nın <0.4 MoM, B-HCG’nin <0.5 MoM ve altında olması preeklampsi, abortus ve preterm eylem ile ilişkilidir.

Keywords:

Pregnancy Associated Plasma Protein-A (PAPP-A) and Free Human Coronic Gonadotropin (ß-HCG) Values in Pregnancy Complications
2016
Author:  
Abstract:

Purpose: The first trimester PAPP-A and B-HCG decline in literature has been found to be associated with problems affecting pregnancy prognosis such as abortion, preeclampsia, GDM. Starting from this, PAPP-A <0.4 MoM; B-HCG <0.5 MoM is to study the relationship with abortion, ectopic pregnancy, mortal fetus, preeclampsia, GDM, intrauterine developmental voltage (IUGR), low birth weight baby (SGA), high birth weight baby (LGA), premature action, premature membrane rupture (EMR), premature premature premature membrane rupture (PPROM), cholestase and baby's newborn need. Tools and methods: Bottle Hamidiye Etfal Education Research Hospital in the pregnancy monitoring clinic between 1 January 2014 and 1 July 2014. 489 single pregnancies that apply for the trimester screening test were taken to study, pre- and post-born perinatal records were studied. Results: Preeclampsia was 2.6 times higher in patients with low PAPP-A levels, while preeclampsia was 2 times higher in B-HCG. The risk of pre-action in the high-risk group was 3.2 times higher in the PAPP-A group. There was no meaningful relationship between GDM, SGA, IUGR, EMR and the high-risk group in our study. Preeclampsia was 2.6 times higher in patients with low PAPP-A levels, while preeclampsia was 2 times higher in B-HCG groups. The risk of pre-action in the high-risk group was 3.2 times higher in the PAPP-A group. In our study, there was no meaningful relationship between GDM, SGA, IUGR, EMR and the high-risk group. Discussions and Results: PAPP-A and HCG looked at in the first trimester have been found to be associated with bad pregnancy results in the advanced weeks of pregnancy. The fact that the PAPP-A is <0.4 MoM, the B-HCG is <0.5 MoM and below is associated with preeclampsia, abortion and preeterm action.

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İstanbul Kanuni Sultan Süleyman Tıp Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Ulusal

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Cite : 360
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İstanbul Kanuni Sultan Süleyman Tıp Dergisi