Sümeyya Betül KIZRAK, Aytül HADIMLI, Birsen KARACA SAYDAM

Güncellenmiş Uluslararası Rehberler Doğrultusunda Ektopik Gebeliklere Yaklaşım

Ektopik (ekstrauterin, dış) gebelik blastokistin uterusun endometriyal kavitesi dışında herhangi bir yere yerleşmesidir. Dünyada rapor edilen tüm gebeliklerin %1-2’sini oluşturur. Ülkemizde son yıllarda cinsel ilişki yaşının düşmesi ile cinsel yolla geçen enfeksiyonların daha sık görülmeye başlaması, sezaryen oranındaki yükseklik, kadınların çalışma hayatına daha aktif katılmalarıyla ileri yaş gebeliklerin artması gibi nedenlerle dış gebelik görülme insidansında artış söz konusudur. Seçilen tedavinin başarısının artmasında eğitim, bakım ve danışmanlığın önemine dikkat çekilmektedir. Bu kapsamda acil obstetrik bakım ve yönetiminde aktif rol alan ebelerin ve hemşirelerin dış gebelik hakkında uygun bakım ve danışmanlık hizmetini sunmaları beklenmektedir. Bu derlemede; dış gebelik konusunda var olan bilgilerimize ek olarak jinekoloji literatüründe başvuru kaynağı olan rehberler eşliğinde güncel yaklaşımı gözden geçirmek amaçlanmıştır. Makalenin derlenmesinde; Amerikan Obstetrik ve Jinekoloji Koleji (ACOG), Royal Obstetrik ve Jinekoloji Koleji (RCOG), İngiltere Ulusal Klinik Uygulamaları Mükemmeliyet Enstitüsü (NICE) ve Amerikan Aile Hekimleri Akademisi (AAFP) önerileri incelenmiştir. Ülkemizde ilk trimester gebeliğe bağlı anne ölümlerinin en sık nedeni olan ektopik gebeliğin yönetiminde koruyucu sağlık hizmetleri kapsamında ebe ve hemşirelerin güncel literatürü takip etmeleri kadın sağlığının korunması ve yükseltilmesi açısından değerlidir.

Anahtar Kelimeler:

Ektopik gebelik, Rehber, Hemşirelik, Ebelik

Updated To International Guidelines Approach to Ectopic Pregnancies

Ectopic (extrauterine) pregnancy, blastocyst is the location of the uterus anywhere outside the endometrial cavity. It constitutes 1% to 2% of all pregnancies reported in the world. In our country, there is an increase in the incidence of ectopic pregnancy due to the decrease in the age of sexual intercourse in recent years, the occurrence of sexually transmitted infections more frequently, high cesarean rate, increased participation of advanced age pregnancies with the more active participation of women in working life. Attention is drawn to the importance of education, care and counseling in increasing the success of the selected treatment. In this context, midwives and nurses who take an active role in emergency obstetric care and management are expected to provide appropriate care and counseling services about ectopic pregnancy. In this review; In addition to our existing information on ectopic pregnancy, it is aimed to review the current approach in the gynecology literature, accompanied by guides who are the reference source. In the compilation of the article; Recommendations of the American College of Obstetrics and Gynecology (ACOG), the Royal College of Obstetrics and Gynecology (RCOG), National Institute of Clinical Practices (NICE) and the American Academy of Family Physicians (AAFP) were examined. In the management of ectopic pregnancy, which is the most common cause of maternal deaths due to first trimester pregnancy in our country, it is valuable for the midwives and nurses to follow the current literature in terms of protecting and promoting women's health.

Keywords:

Ectopic pregnancy, Guideline, Nursing, Midwifery,

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