Özet:

Purpose: The purpose of this study is to show the effects of early and late early intrauterine developmental voltage (IUGG) on perinatal results and the differences between them. Method and method: Our work is a retrospective work. In our study, the follow-up with IUGG diagnosis between 01 January 2015 and 01 January 2019 was divided into subgroups, including early and late IUGG. The type of developmental tension, the week of pregnancy diagnosed, the estimated fetal weight (TFA), the presence of preeclampsia, Doppler findings, birth weight, birth form, week of birth, 5.min Apgar score, the need for intensive care of the newborn, and all of these parameters were addressed in relation to the negative consequences of the newborn. Results: The diagnosed pregnancy week average is 30.9±4.5 (min-max: 18-39). The average week of birth for patients is 34.4±4.5 (min-max: 22-41). Patients were studied in four groups as <27+6, 28-31, 32-36, >37 weeks according to the week of pregnancy they were diagnosed. Our data shows that the severity of doppler findings and perinatal results are worsening. Again, our study showed that TFA<3% is percentile and early IUGG has a negative impact on the perinatal results of the fetus. Result: Late early preeclampsia does not negatively affect the perinatal results of infants with IUGG, but early early preeclampsia causes an increase in newborn morbidity and mortality. Therefore, patients with early IUGG, accompanied by early preeclampsia, should be closer monitored and awake for perinatal morbidity and mortality.

Anahtar Kelimeler:

Özet:

Purpose: The aim of this study was to show the effect of early and late onset intrauterine growth retardation (IUGR) on perinatal outcomes and the differences between them Materials and Methods: Our study is a retrospective study. 334 patients who were followed up with the diagnosis of IUGR between January 1, 2015 and January 1, 2019 were divided into subgroups as early and late onset IUGR. The type of growth retardation, the gestational week at diagnosis, the estimated fetal weight (EFW), the presence of preeclampsia, doppler findings, the birth weight, the delivery type, the birth week, the 5th minute Apgar score, the neonatal intensive care need were recorded and the relationship of all these parameters with the negative consequences of the newborn was discussed. Results: The average of the gestational week at diagnosis was 30.9 ± 4.5 (min-max: 18-39). The average of the gestational week at delivery was 34.4 ± 4.5 (min-max: 22-41). The patients were examined in four groups as <27 + 6, 28-31, 32-36,> 37 weeks according to the diagnosis time. Perinatal outcomes deteriorate with the severity of Doppler findings. Having EFW <3% percentil and early onset IUGR negatively affects the perinatal outcomes of fetuses. Conclusion: Late onset preeclampsia does not adversely affect the perinatal outcomes of fetuses with IUGR, but early onset preeclampsia causes an increase in neonatal morbidity and mortality. For this reason, patients with early onset IUGR accompanied by early-onset preeclampsia should be followed more closely and be aware of perinatal morbidity and mortality.