Mehmet İNCEBIYIK, Sibel SAK, Muhammet Erdal SAK

Plasenta Perkrata Hastalarının Sosyodemografik Özelliklerinin Retrospektif Analizi

Öz Amaç:Bu retrospektif çalışma, Plasenta Perkreta(PP) hastalarının sosyodemografik özelliklerini değerlendirmek amacıyla yapılmıştır. Yöntemler: Harran Üniversitesi Araştırma ve Uygulama Hastanesi Kadın Hastalıklarıve Doğum Kliniğinde Mart 2021-Mart 2022 tarihleri arasında opere olan ve histopatolojikolarak plasentaperkrata tanısı alan hastaların dosyaları geriye dönük olarak incelendi ve elde edilen sosyodemografik veriler tarafımızca hazırlanan bilgi formlarına kaydedildi.Bilgi formlarından elde edilen sosyo demografik özellikler istatistiksel olarak analiz edildi. Bulgular: Araştırmaya katılan 110 hastanın yaş ortalaması 31.18 ± 5.55, kilo ortalaması 67.18 ±11.96, boy ortalaması 156.54 ±4.48cm, BMI ortalaması 25,8 ±2.7 idi. Hastaların gravidası 4.81±2.37, paritesi 3.27±1.69 ve sezeryan sayısı 3.22±1.68 dı. Hastaların çoğunlukla köyde (%50) ikamet ettikleri,çoğunluğunun yeşil kartlı(%50) olduğu, %90’nın hiç sigara kullanmadığı, hiç kimsenin alkol kullanmadığı, büyük çoğunluğunun okur yazar olmadığı (%40.9) belirlenmiştir. Hastaların mesleki çalışma durumu incelendiğinde büyük çoğunluğunun çalışmadığı (%94.5) gözlenmiştir. Hastaların vatandaşlık durumları incelendiğinde ise %82.7’sinin Türkiye Cumhuriyeti vatandaşı, % 17.3’nün ise Suriye uyruklu olduğu ortaya çıkmıştır. Sonuç : Sonuç olarak Plasenta perkrata , maternalmorbidite ve mortalitenin önemli nedenleri arasındadır. Bu araştırma, plasenta perkratahastalarını sosyo-demografik olarak değerlendiren ilk araştırmadır. Çalışmasonunda bu hastaların çoğunlukla kırsal kesimde yaşayan ve sezeryan sayılarının oldukça yüksek olduğu gözlenmiştir. Plasenta perkratamaternalmorbidite ve mortaliteninönemli nedenleri arasında olduğundan dolayı, özellikle kırsal bölgelerde yaşayan anne adaylarının doğum kontrol yöntemleriyle ilgili eğitimler verilmelive sağlık okuryazarlığı artırılmadır. Bu şekilde farkındalık yaratılarak maternalmorbiditeve mortaliteazaltılabilinir.

Anahtar Kelimeler:

Plasenta Perkrata, Retrospektif Çalışma, Sosyodemografik Özellik

Retrospective Analysis of Sociodemographic Characteristics of Placenta Perkrata Patients

Background: This study was conducted to evaluate the retrospective analysis of sociodemographic characteristics of patientswith Placenta Percreta. Materials and Methods: The files of the patients who were operated on in the Gynecology and Obstetrics Clinic of Harran University Research and Application Hospital between March 2021 and March 2022 and who were diagnosed with placenta percrata histopathologically were reviewed retrospectively, and the sociodemographic data obtained were recorded in the information forms prepared by us. The socio-demographic characteristics obtained from the information forms were statistically analyzed. Results: The meanage of 110 patients participating in the study was 31.18 ±5.55, the average weight was 67.18 ±11.96, the average height was 156.54 ± 4.48, the mean body mass index was 25,8 ±2.7 .The gravida of the patients was 4.81±2.37, the parity was 3.27±1.69, and the cesarean section number was 3.22±1.68. It was obser-ved that the patients mostly resided in the village (50%), most of them had greencards (50%), 90% of them never smoked, nobody used alcohol, and the majority of them were illiterate (40.9%). When the occupational employ-ment status of the patients was examined, it was observed that the majority of them (94.5%) did not work. When the citizens hipstatus of the patients was examined, it was observed that 82.7% were citizens of the Republic of Turkey and 17.3% were Syrian nationals. Conclusions: In conclusion, placenta perkrata is among the important causes of maternal morbidity and mortality. This study is the first to investigate the socio-demographic characteristics of placenta perkrata patients. At the end of the study, it was observed that these patients mostly lived in rural are asand the number of cesarean sections was quite high. Since placenta percreta is among the important causes of maternal morbidity and morta-lity, placenta percreta can be reduced by increasing education and health literacy about birth control methods, especially for mothers living in rural areas. By raising awareness in this way, maternal deaths can be prevented as well as maternal morbidity and maternal mortality can be reduced.

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