Mehmet BAYRAK, Kemal GÜNGÖRDÜK, Gökhan YILDIRIM, Ali TEKİRDAĞ

Ağır Preeklampsi, Eklampsi ve HELLP Sendromu Tanısıyla Komplike Olmuş Gebeliklerin Maternal ve Perinatal Sonuçları

Amaç: Araştırmamızın amacı ağır preeklampsi, eklampsi ve HELLP sendromu tanılı hastaların maternal ve perinatal morbidite ve mortalite oranlarının saptanması ve literatür verileriyle karşılaştırılmasıdır. Gereç ve Yöntem: İki yıllık sürede ağır preeklampsi, eklampsi ve Hellp sendromu tanısı ile izlenen ve elektronik veri bilgi sistemine kaydedilen hastaların verileri retrospektif olarak incelendi. Bulgular: Çalışma periyodu boyunca toplam 33719 doğum gerçekleşti. Hastanemizde ağır preeklampsi oranı %1.2 (n =407), Eklampsi oranı %0.12 (n =41), HELLP sendromu oranı %0.2 (n =65) olarak tespit edildi. Çalışmamızda maternal yaş, gravide ve parite HELLP sendromu grubunda, ağır preeklampsi ve eklampsi grubuna göre daha yüksek saptandı. Sezaryen doğum oranı eklampsi grubunda, preeklampsi ve HELLP sendromu grubuna göre daha yüksek saptandı (sırasıyla %80.5, %75.4, %68.8) (p =0.005). Maternal morbidite oranı HELLP sendromu ve eklampsi gruplarında, preeklampsi grubuna göre daha fazla saptandı (sırasıyla %13.8, %12.2, %4) (p

Maternal and Perinatal Outcomes of Pregnancies Complicated with Severe Preeclampsia, Eclampsia and HELLP Syndrome

Objective: The aim of our study is to determine the maternal and perinatal morbidity and mortality rates of patients with severe preeclampsia, eclampsia and HELLP syndrome and to compare them with the literature data. Material and Method: The data of the patients who were followed up with the diagnosis of severe preeclampsia, eclampsia and Hellp syndrome for two years and recorded in the electronic data information system were analyzed retrospectively. Results: During the study period 33719 delivery was occurred in our hospital. The preeclampsia, eclampsia and HELLP syndrome rate were found as 1.2% (n =407), 0.12% (n =41) and 0.2% (n =65) respectively. Maternal age, gravidity and parity were found to be higher in the HELLP syndrome group than in the severe preeclampsia and eclampsia groups. Women in the eclampsia group were more likely to deliver by Caesarean section than those in the HELLP syndrome and severe preeclampsia groups (80.5%, 75.4%, 68.8%, respectively) (p =0.005). The rates of adverse maternal outcomes for women in the HELLP syndrome and eclampsia groups were higher than the rates of adverse maternal outcomes in the severe preeclampsia group (13.8%, 12.2%, 4%, respectively) (p

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