İdrar kültürü pozitif erken doğum ve erken membran rüptüründe doğum süresi ve olumsuz neonatal sonuçların değerlendirilmesi

Amaç: Preterm erken membran rüptüründe (PPROM) ve preterm doğumda (PD) idrar yolu enfeksiyonunun olumsuz neonatal sonuçları ve doğum süresine ile arasındaki ilişkinin araştırılmasını amaçladık.Gereç ve Yöntem: 2008-2014 yılları arasında merkezimize başvuran 1033 gebe hastayı retrospektif olarak değerlendirdik. Çalışma grupları 446 PPROM ve 587 PD hastasından oluşuyordu. Bulgular: İdrar kültürü pozitif PPROM hastalarında transvajinal ultrasonografi ile ölçülen servikal uzunluk(OR = 0.806,) ve amniyon sıvısı indeksi (AFI), (OR = 0.961) ve idrar kültürü pozitif PD hastalarında sadece servikal uzunluk OR = 0.862 doğum süresinin yedi günden daha kısa olacağı ile ilişkili idi. Ayrıca idrar kültürü pozitif olan PPROM grubunda AFI’ nin (OR = 0.982) olumsuz neonatal sonuçlarla ilişkilendirileceğini belirledik.Sonuç: İdrar kültürü pozitif PPROM ve PD hastalarında olumsuz neonatal sonuçları ve doğum zamanını öngörmede AFI ve servikal uzunluk da kullanılabilir.

Anahtar Kelimeler:

Preterm Membranların Erken Rüptürü, Erken doğum, Gebelikte Üriner Sistem Enfeksiyonu, Servikal Uzunluk, Amniyotik Sıvı İndeksi

Evaluation of the delivery time and adverse neonatal outcomes in urinary culture-positive preterm delivery and preterm premature rupture of membranes

urpose: We aimed to investigate the relationship between adverse neonatal outcomes and the time period of labor in between urinary tract infection in preterm premature rupture of membranes (PPROM) to preterm labor (PL). Materials and Methods: We evaluated a total number of 1033 pregnant patients who admitted to our center between 2008 and 2014, with retrospective analysis. Study groups consisted of 446 PPROM and 587 PL patients who had urine cultures. Results: We determined cervical lengths which were measured by transvaginal ultrasonography, with OR = 0.806 and amniotic fluid index (AFI), OR = 0.961 in PPROM group, which had positive urine culture, and also cervical length OR = 0.862 in PL group which had positive urine culture and to be associated with shorter than seven days of delivery. Additionally, we determined that only the AFI, with OR= 0.982, to be associated with adverse neonatal outcomes in the PPROM group, having positive urine culture. Conclusion: AFI and cervical length can also be used to predict adverse neonatal outcomes and time of delivery in urine culture positive PPROM and PL patients.

Keywords:

Preterm Premature Rupture of Membranes, Preterm Birth, Cervical Length, Urinary System Infection in Pregnancy, Amniotic Fluid Index.,

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