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  Citation Number 11
 Views 16
 Downloands 5
Riskli Gebelik Nedeni ile İzlenen Annelerden Doğan Preterm Bebeklerin Erken Dönem Morbidite ve Mortalite Sonuçları
2010
Journal:  
İstanbul Kanuni Sultan Süleyman Tıp Dergisi
Author:  
Abstract:

Amaç: Perinatoloji ünitesinde riski nedeni ile izlenen gebelerden doğan prematürelerle sorunsuz gebelik sonrası doğan prematür bebeklerin prognozunu incelemek. Gereç ve Yöntem: Ocak - Ağustos 2005 tarihleri arasında perinatoloji ünitesinde izlenip hastanemizde doğan prematürelerle (Grup I) ve izlemi olmadan doğan (Grup II) prematüreler retrospektif olarak çalışmaya alındı. Maternal, perinatal ve postnatal faktörler yönünden gruplar karşılaştırıldı. Mortalite ve morbiditeye etki eden risk faktörleri araştırıldı. İstatiksel anlamlılıkta p<0.05 kabul edildi. Bulgular: Ocak-Ağustos 2005 tarasında 424 gebe perinatoloji ünitesinde izlendi. Kırk beşi çoğul gebelik olmak üzere 473 preterm Grup I, 240 preterm Grup II’yi oluşturdu. Gruplar arasında anne yaşı, gravida, cinsiyet, ort. gebelik haftası, doğum şekli ve ağırlığı yönünden fark yoktu. Maternal yaş ortalaması 28 (17-46) gravida (1-11) 2.4 idi. Maternal risk faktörlerinden EMR (Erken Membran Rüptürü) (% 43.1), preeklampsi (% 26.8), diabetes mellitus (% 10.4) ilk sıralarda idi. Fetal distress % 27.8, oligohidroamnioz % 19.1, intrauterin gelişme geriliği % 17.2 oranı ile en önemli perinatal risk faktörlerini oluşturdu. Prematürelerin % 3.4’ü yoğun bakım ünitesinde % 66’sı II. düzey ünitede ve % 30.6’sı anne yanında izlendi. Tanılar karşılaştırıldığında RDS (Respiratuvar Distress Sendromu), sepsis, hipoglisemi, NEK (Nekrotizan Enterokolit) sıklığı Grup I’de anlamlı yüksekti. Grup I’deki prematüreler hastanede daha uzun süre kalmıştı (p<0.05). Mortalite Grup I’de % 9.5, Grup II’de % 11.6 idi (p>0.05). Sonuç: Antenal dönemde izlenen riskli gebelerin preterm bebeklerinin; daha düşük gebelik haftasında doğduğu, hastanede daha uzun süre yattığı, morbiditenin daha yüksek olduğu saptandı. Her iki grupta solunum sorunları, sepsis, NEK en önemli morbiditelerdi. Mortalite Grup I’de 24-28 gebelik haftasında ve Grup II’de 33-36 gebelik haftasında yoğunlaşmıştı.

Keywords:

Early pregnancy and mortality results of premature babies born from mothers with a risk of pregnancy
2010
Author:  
Abstract:

Purpose: Study the prognosis of premature babies born after pregnancy with pregnancy premature babies born after pregnancy with pregnancy premature babies born after pregnancy with pregnancy premature babies born after pregnancy premature babies born after pregnancy premature babies born after pregnancy premature babies born after pregnancy premature babies born after pregnancy premature babies born after pregnancy premature babies born after pregnancy premature babies born after pregnancy premature babies born after pregnancy premature babies born after pregnancy premature babies born after pregnancy premature babies born after pregnancy premature babies born after pregnancy premature babies born after pregnancy premature babies born after pregnancy premature babies born after pregnancy premature babies born after Instruments and Methods: From January to August 2005 the perinatology unit was monitored and in our hospital with prematurities (Group I) and prematurities born without observation (Group II) were taken to retrospective study. The groups were compared in terms of maternal, perinatal and postnatal factors. The risk factors that affect mortality and morbidity have been studied. In statistical significance p<0.05 was accepted. Results: 424 pregnancy perinatology units were monitored in January-August 2005. 473 preeterm groups I, 240 preeterm groups II, consisting of fourteen multiple pregnancies. Among the groups of mother age, pregnancy, gender, ort. There was no difference in pregnancy week, birth form and weight. The mother's average age was 28 (17-46) pregnancy (1-11) 2.4. Among the maternal risk factors, EMR ( Early Membran Rhythm) (43.1 percent), preeclampsia (26.8 percent) and diabetes mellitus (10.4 percent) were in the first place. Fetal distress 27.8%, oligohydroamniosis 19.1%, intrauterine developmental tension 17.2%, was the most important perinatal risk factors. 3.4% of prematurities are in intensive care units, 66% II. At the level unit and 30.6 percent were monitored by the mother. Compared with the diagnoses, the frequency of RDS (Respiratory Distress Syndrome), sepsis, hypoglycemia, NEK (Necrotizan Enterokolite) was significantly increased in Group I. Prematurians in Group I stayed longer in the hospital (p<0.05). Mortality was 9.5% in Group I and 11.6% in Group II (p>0.05). Results: Risk pregnancies monitored in the antenal period were found that premature babies were born in a lower week of pregnancy, sleeped longer in the hospital, and had a higher morbidity. In both groups, respiratory problems, sepsis, NEK were the most important morbidities. Mortality was concentrated in Group I in the 24-28 pregnancy week and in Group II in the 33-36 pregnancy week.

Keywords:

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İstanbul Kanuni Sultan Süleyman Tıp Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Ulusal

Metrics
Article : 386
Cite : 360
2023 Impact : 0.026
İstanbul Kanuni Sultan Süleyman Tıp Dergisi