Gökhan KARAKOÇ, Serenat YALÇIN, Hasan EROGLU, Halime ŞEN SELİM, Kutlu KURT, Mustafa ŞENGÜL, Aykan YÜCEL

Fetal Non-reaktif non-stress test paterni takibinde fetal doppler ultrason veya çikolatanın yeri : Prospektif randomize kontrollü çalışma

Amaç: Bu çalışmanın amacı, 20 saniyelik MCA Doppler ultrasonografi ve bitter çikolatanın, non-stres test (NST) paternleri; anne tarafından hissedilen fetal hareketler ve sezaryen doğum oranlarına etkisini karşılaştırmaktır. Yöntemler: 36-41 hafta arası reaktif olmayan NST paterni olan tekil gebelikler çalışmaya dahil edildi ve prospektif olarak Doppler ultrason, bitter çikolata ve müdahalesiz kontrol gruplarına randomize edildi. Hastaların 5. ve 30. dakikadaki NST'leri incelendi. Bulgular: Anne tarafından hissedilen fetal hareketlerdeki iyileşme oranı gruplar arasında anlamlı farklılık göstermedi (p ˃ 0.05). Doppler grubunda 5. dakika reaktif NST oranı, takip ve çikolata grubuna göre anlamlı olarak daha yüksekti (p ˂ 0.05). Çikolatalı ve müdahalesiz kontrol grubunda 5. dakika reaktif NST oranı anlamlı farklılık göstermedi (p ˃ 0.05). 30. dakika NST'de, reaktif olmayan sonuçları olan hastalarda, Doppler grubunda diğer gruplara göre anlamlı derecede daha yüksek fetal distres oranları vardı (p ˂ 0.05). Sonuç: Doppler uygulaması ile hastanede kalış süresinin ve buna bağlı olarak hastanın kaygısının azalacağını düşünüyoruz. Ayrıca yanlış tepkisizliği hızla düzelttiği için hasta fetal distres açısından daha dikkatli izlenmelidir.

Anahtar Kelimeler:

chocolate, Doppler, non-stress test

Chocolate Or Fetal Doppler Sonography For Non-Reactive Non-Stress Test Patterns: Randomized Prospective Controlled Study

Aim: The aim of this study is to compare the effect of 20-second MCA Doppler ultrasonography and bitter chocolate on non-stress test (NST) patterns, fetal movements felt by the mother and cesarean delivery rates. Methods: Single pregnancies between 36-41 weeks with non-reactive NST pattern were included in the study and prospectively randomized to Doppler ultrasound, bitter chocolate, and non-intervention control groups. NSTs of the patients at the 5th and 30th minutes were examined. Results: The rate of improvement in the fetal movements felt by the mother did not differ significantly among groups (p ˃ 0.05). The 5th minute reactive NST ratio in the Doppler group was significantly higher (p ˂ 0.05) than in the follow-up and chocolate group. In the chocolate and non-intervention control group, the 5th minute reactive NST ratio did not differ significantly (p ˃ 0.05). In the 30th minute NST, patients with non-reactive results had significantly higher fetal distress rates in the Doppler group compared to the other groups (p ˂ 0.05). Conclusions: We think that with the application of Doppler, the length of hospital stay and accordingly patient’s anxiety will reduce. In addition, the patient should be monitored more carefully in terms of fetal distress because it quickly corrects false non-reactivity.

Keywords:

Chocolate, Doppler, non-stress test,

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