Teksin ÇIRPAN, Fuat AKERCAN, Levent AKMAN, M. Coşan TEREK, HÜSEYİN YILMAZ, Ömer DİNÇER

Doğum şeklinin maternal ve umblikal kord serum lipid düzeylerine etkisi

Amaç : Bu çalışmanın amacı, normal vajinal doğum ile elektif sezaryen olan gebelerde maternal ve umblikal kord serum lipid düzeylerinin karşılaştırılmasıdır. Yöntem : Yirmi normal vajinal doğum ve 44 elektif sezaryen olan toplam 64 gebe incelendi. Gebelerden eş zamanlı olarak maternal ve umblikal venden kan örnekleri alınarak serum total kolesterol (TK), trigliserid (TG), yüksek dansiteli lipopretein (HDL) ve düşük dansiteli lipoprotein (LDL) düzeyleri çalışıldı. Elde edilen değerler birbiri ile ve iki grup arasında karşılaştırıldı. Bulgular: Çalışmamızda, iki grup arasında (normal vajinal ve sezaryen) maternal yaş, gestasyonel hafta ve doğum kiloları açısından anlamlı fark gözlenmedi. Sezaryen ile doğum yapan grupta, maternal ve umblikal vende sadece HDL düzeyleri arasında karşılıklı pozitif ilişki saptandı (p

Anahtar Kelimeler:

Göbek bağı, Lipidler, Doğum, obstetrik, Lipoproteinler, LDL, Lipoproteinler, HDL

The effect of mode delivery on maternal and umbilical serum lipid levels

Objective : The aim of the present study is to compare the vaginal and cesarean section births with respect to maternal and umbilical cord serum lipid levels. Method: Totally 64 pregnant women, 20 vaginal deliveries and 44 cesarean sections are included for the study. Serum lipid levels are investigated in maternal and cord blood. Total cholesterol (TC), triglyceride (TG), high density lipoprotein (HDL) and low density lipoprotein (LDL) levels are determined and compared between the groups. Results : The groups are not different with respect to maternal age, gestational week and birthweights. There was a positive correlation between the HDL levels of maternal and umbilical venous samples (p<0.001 r=0.529). The LDL level was significantly higher in the vaginal delivery group of patients (p<0.04). TG and HDL levels were significantly higher in thevaginally delivered patients in umbilical venous samples (p<0.0004). Conclusion : Umbilical cord HDL and TG levels increase during the vaginal

Keywords:

Umbilical Cord, Lipids, Delivery, Obstetric, Lipoproteins, LDL, Lipoproteins, HDL,

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