Özlem MORALOĞLU, Ayla AKTULAY, Özlem YÖRÜK, Yaprak ÜSTÜN ENGİN, Necat HANÇERLİOĞULLARI, Büşra DEMİR

Fetal hareketlerde azalma ön tanısıyla doğum ünitesine yatırılan gebelerin değerlendirilmesi

Amaç: Antenatal takipleri sırasında veya hastanemiz acil polikliniğine bebek hareketlerindeazalma şikayet ile gelip, fetal hareketlerde azalma ön tanısı ile Doğum Ünitesine yatrılan gebelerin perinatal ve obstetrik sonuçlarının incelenmesi amaçlanmıştr. Gereç ve yöntemler: Mayıs 2011-Mayıs 2012 tarihleri arsında Hastanemiz Doğum Ünitesine fetalhareketlerde azalma ön tanısıyla yatrılan 36.hafa ve üzeri 396 gebe retrospektf olarak incelendi.Yüksek riskli gebeler çalışma dışı bırakıldı. Hastaların yaşı, gravida, paritesi, vücut kütle indeksi,tam kan sayımı, vital bulguları ile doğum şekli ve perinatal sonuçlar kaydedildi. Bulgular: Bir yıl içinde Doğum Ünitesine yatan 14650 Hastanın 396 nın (%2,70) fetal hareketlerdeazalma ön tanısıyla yatrıldığı tespit edildi. Doğum ünitesine yatp değerlendirilen 396 hastanın143ünün (%33,11) taburcu edildiği saptandı. Tüm yatan hasta grubunda 13447 doğum oldu. Prim - er sezaryen sayısı 2669 (%19,98) iken fetal hareketlerde azalma tanısıyla yatan grupta doğurtulan233 gebede primer sezaryen oranı %33,90 olarak tespit edildi. Sonuç: Fetal hareketlerde azalma artmış sezaryen oranlarına neden olabilir.

Evaluaton of pregnant women admited to the delivery unit prediagnosed with reduced fetal movement

Objectve: The purpose of this study was to review the perinatal and obstetric outcome of pregnantwomen who had complaints of reducton in the fetal movements during their antenatal follow-upexaminatons or applied to the emergency service with this complaint and were admited to thedelivery unit with reduced fetal movement prediagnosis. Materials and Methods: The records of 396 pregnancies (36 weeks and over), which were admitedto our hospitals delivery unit during May 2011-May 2012 period with reduced fetal movementprediagnosis, were reviewed retrospectvely. High risk pregnancies were excluded from the study.Patent s age, gravidas, parites, body mass index, complete blood count, vital functons, mode ofdelivery and perinatal results were recorded Results: It was determined that 396 patents (2.70%) out of 14,650 patents admited to theDelivery Unit were admited due to reduced fetal movement prediagnosis.Of these 396 patents, 142 (33.11%) were discharged afer examinatons. There were 13,447deliveries for the total admited patent group. While the number of primary caesarean sectonswere 2,669 (19.98%) for this group, the primary caesarean frequency for the 233 pregnant women prediagnosed with reduced fetal movement was 33.90%.Conclusion: Reduced fetal movement may be associated with increased cesarean secton rate.

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