Öykü TOSUN, Hüsnü Fahri OVALI, Elif Yüksel KARATOPRAK

Yardımcı Üreme Teknikleriyle Oluşan Çoğul Gebeliklerin Değerlendirilmesi ve Postnatal Maliyet Analizi

Amaç: Çalışmamızda yardımcı üreme teknikleriyle oluşan çoğul gebeliklerden dünyaya gelenyenidoğanları değerlendirmeyi ve yenidoğan yoğun bakım ünitesine enterne edilen bebeklerinpostnatal maliyet analizini yapmayı amaçladık.Gereç ve Yöntemler: Yardımcı üreme teknikleriyle oluşan çoğul gebeliklerden doğan ve hastanemizdetakip edilen 123 bebek çalışmamıza dahil edildi.Bulgular: Bebekler yenidoğan yoğun bakım ünitesine enterne edilenler ve edilmeyenler olarakayrıldığında ikiz ve üçüz dağılımlarında ve bebek cinsiyeti dağılımlarında istatistiksel olarakanlamlı fark izlenmedi (p=0,056; p=0,77). Enterne olanlarda gestasyonel yaş ortalaması, doğumağırlığı, boy ve baş çevresi ortalamaları istatistiksel olarak anlamlı derecede düşük bulundu(p=0,0001). Enterne olan ve olmayanlar için yapılan infertilite tedavileri arasında anlamlıfark izlenmedi (p=0,036). Enterne olanların takip ve tedavi maliyeti 114.000,0 (min. 248, maks.229.375,0) TL olarak hesaplandı.Tartışma ve Sonuç: Yardımcı üreme teknikleriyle oluşan çoğul gebeliklerde prematürite ve düşükdoğum ağırlığı göz ardı edilmeyecek risk faktörleridir ve buna bağlı olarak neonatal mortaliteve morbidite önemli derecede artmaktadır. Bu durumu önlemek için elektif tek embriyo transferidaha doğru bir yaklaşım gibi görünmektedir.

An Assessment and Postnatal Cost Analysis of Multiple Pregnancies after Assisted Reproductive Techniques

Aim: In this study, we aimed to assess newborns from multiple pregnancies after assisted reproductive techniques and to perform a postnatal cost analysis for those who were interned in the neonatal intensive care unit (NICU). Materials and Methods: A total of 123 newborns from multiple pregnancies after assisted reproductive techniques who were followed up in our hospital were included. Results: There was no statistically significant difference in twin and triplet distributions and infant gender distributions when the newborns were divided into those who were interned in NICU and those who were not (p=0.056; p=0.77). Mean gestational age, birth weight, height, and head circumference were found statistically significantly lower for those who were interned (p=0.0001). There was no significant difference between the infertility treatments performed for the NICU-interned and non-NICU-interned groups (p=0.036). The cost of treatment for those who were followed up in NICU was calculated to be 114,000.00 (min. 248, max. 229,375.0) TL. Discussion and Conclusion: In multiple pregnancies after assisted reproductive techniques, prematurity and low birth weight are risk factors that cannot be neglected, leading to significantly increased neonatal mortality and morbidity. Elective single embryo transfer appears to be a more appropriate approach for preventing these outcomes.

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