Emre EKMEKÇİ, Servet GENÇDAL

Preterm erken membran rüptürü durumunda umbilikal kord prolapsusu: Ne zaman daha dikkatli olmalı

Amaç: 24-33. Haftalar arasında preterm erken membran rüptürü (PPROM) olan hastalarda umbilikal kord prolaps oranını ve umbilikal kord prolapsusu ile ilişkili faktörleri tanımlamak.Gereç ve Yöntem: Çalışmaya 24-33. Gebelik haftalarında PPROM nedeniyle başvuran ve klinikte takip edilen hastalar dahil edildi. Çalışmanın primer amacı, umbilikal kord prolapsusu oranını tanımlamaktır. Çalışmanın ikincil amaçı, umbilikal kord prolapsusu ile ilişkili gebelikle ilişkili faktörleri tanımlamaktır.Bulgular: Çalışmaya toplam 88 hasta dahil edildi. Çalışma grubunda umbilikal kord prolapsusu oranı% 3.4 (3/88) idi. Umbilikal kord prolapsuslarının tümü membran rüptüründen sonraki ilk haftada meydana geldi. Hepsi multipar ve non vertex pozisyonunda idi.Sonuç: Umbilikal kord prolapsusu, PPROM sonrası genel ile karşılaştırıldığında daha sıktır. Klinisyenler, PPROM sonrası hastaların takibinde, özellikle erken gebelik haftalarında, transvers situs ve non-verteks sunumlarında ilk haftada daha dikkatli olmalıdırlar.

Anahtar Kelimeler:

Malprezentasyon, Preterm erken membran rüptürü, Umbilikal kord prolapsusu

Umbilical cord prolapse in case of preterm premature rupture of membranes: When to be more cautious?

Purpose: To describe the umbilical cord prolapse rates in patients with preterm premature rupture of membranes (PPROM) between 24 weeks and 33 weeks and 6 days gestation and to define the associated factors with umbilical cord prolapse.Material and methods: Patients admitted due to PPROM between 24 weeks and 33 weeks and 6 days of gestation, and followed in clinic are included in the study. Primary aim of the study was to describe the umbilical cord prolapse rates. Secondary aim was to describe the pregnancy specific factors associated with umbilical cord prolapse.Results: Total 88 patients are included in the study. Umbilical cord prolapse rate was 3.4% (3/88). Umbilical cord prolapses, all occurred in the first week after membrane rupture. All were multiparas and at non-vertex presentation. Conclusion: Umbilical cord prolapse is much frequent after PPROM compared to general obstetric population. Clinicians should be more cautious in follow-up of patients after PPROM in case of earlier gestational weeks, transverse situs and non-vertex presentations, especially in the first week after PPROM.

Keywords:

Malpresentation, Preterm premature rupture of membranes, Umbilical cord prolapse,

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