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  Citation Number 1
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Gebelikte Maternal Kilo Artışının Yenidoğan TSH Sonuçlarına Etkisi
2022
Journal:  
Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi
Author:  
Abstract:

Amaç: Annenin gebelik döneminde kilo artışının yenidoğanın ölçülen ilk TSH düzeyleri üzerine etkisini araştırmaktır. Gereçler: Güngören 30 Ağustos Aile Sağlığı Merkezinde; takip edilen 112 gebe ve bu gebelerin 112 bebeği retrospektif olarak incelendi. Gebelerin boy, kilo ölçümleri ve vücut kitle indekslerinin (VKİ) hesaplandığı gebelik haftaları, bebeklerin doğum tartıları ve TSH değerleri alındı. Gebeler, normal (VKİ<24,9 kg/m2), fazla (25,0 30,0kg/m2) olarak üç gruba ayrıldı. Bebeklerin TSH değeri <5 mIU/L normal, >5 mIU/L ise anormal olarak sınıflandırıldı. Bulgular: Gebelerin yaş ortalaması 27,15,6 idi. Gravida 2,01,0 idi. Gebelerin birinci trimester kiloları 9,02,1 gebelik haftalarında, üçüncü trimester ölçümleri ise ortalama 35,01,7 gebelik haftalarında ölçülmüştü. Birinci trimesterde fazla kilolu grupta olan gebelerden doğan bebeklerin doğum tartılarının en yüksek olduğu, 3.trimesterde ise obez grupta yer alan gebelerden doğan bebeklerin doğum tartılarının en yüksek olduğu görüldü. Birinci ve üçüncü trimesterde VKİ’leri normal olan gebeler daha genç, fazla kilolu ve obez olan gebeler ise daha yaşlı bulundu. Birinci trimester VKİ<24,9kg/m2 olanların bebeklerinde anormal TSH görülme sıklığının daha fazla olduğu görüldü. Gebelerin 1.trimester ve 3.trimesterde hesaplanan VKİ’leri ile bebeğin TSH düzeyleri arasında bir ilişki tespit edilemedi. Sonuç: Gebede kilo artışının neonatal TSH düzeylerini etkilemediğini, ancak maternal VKİ’nin yenidoğan bebeğin tartısını etkilediğini saptadık. Gebe izleminde standart kilo izlemi yanında VKİ izlemi yapılması önem arz etmektedir.

Keywords:

The Effects Of Maternal Weight-gain During Pregnancy On Neonatal Tsh Results
2022
Author:  
Abstract:

Aim: To investigate whether the mother's weight gain during pregnancy affects the newborn first measured TSH levels. Material and Methods: In Gungoren 30 Ağustos Family Health Center; 112 pregnant and 112 babies were included. The height, weight, and body mass index (BMI) with gestational weeks (gw) of pregnant and birth weight(BW) and TSH levels of newborns were taken. Pregnants were categorized into three groups as normal (BMI<24.9kg/m2), overweight (25.0 30.0kg/m2). Newborns with a TSH value of <5mIU/L as normal, and >5mIU/L as abnormal were classified. Results: The mean age of the pregnant was 27.15.6 years. The gravida was 2.01.0. The weights of pregnant had been measured at 9.02.1 gw in the first trimester and at 35.01.7 gw in the third trimester. It was observed that babies born to overweight mothers in the 1st trimester had the highest BW, while babies born to obese mothers of the 3rd trimester had the highest BW. Mothers with normal BMI in the 1st and 3rd trimesters were younger, and mothers who were overweight and obese were older. The frequency of abnormal TSH was higher in the first trimester BMI<24,9kg/m2 of mothers. There was no relation between the 1st and 3rd trimester BMI of pregnant and neonatal TSH levels. Conclusion: We found that maternal weight gain during pregnancy did not affect neonatal TSH levels but, maternal BMI was closely related to the newborn BW. The importance of follow-up of maternal BMI during pregnancy in addition to standard weight measurements should be emphasized.

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Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

Metrics
Article : 370
Cite : 211
2023 Impact : 0.02
Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi