Volkan KARATAŞLI, Abdurrahman Hamdi İNAN, Ahkam Göksel KANMAZ, Emrah BEYAN, Adnan BUDAK, Alaattin KARABULUT

UMBİLİKAL KORD PROLAPSUSUNUN OBSTETRİK VE NEONATAL SONUÇLARI

Giriş: Umbilikal kord prolapsusu (UKP) predikte etmesi zor olan ciddi neonatal morbidite ve mortaliteye yol açabilen bir durumdur. Önlemek için çeşitli maternal risk faktörleri değerlendirilmiştir. Bu çalışmada amaç UKP gelişen gebelerin obstetrik ve neonatal sonuçlarını incelemektir. Gereç ve Yöntem: Ocak 2013 ve Mart 2017 tarihleri arasındaTepecik Eğitim ve Araştırma Hastanesi’nde doğum yapan olgular retrospektif incelendi. Eylem esnasında UKP oluşan gebeler obstetrik ve neonatal sonuçlar açısından analiz edildi. Bulgular: Toplamda 37.271 doğum içerisinde UKP saptanan 45 (%0.12) olgu incelendi. Ortalama yaş 27.5 ± 6.4 yıl idi. Multiparite oranı %66.7’ydi. Tüm olgular tekil gebeliklerden oluşmuştu. Sadece bir olguda (%2.2) polihidroamniyoz mevcuttu. Olguların tamamında doğum yöntemi sezaryendi. En sık (%86.7) fetal prezentasyon baş prezentasyonuydu. En sık (%6.7) malprezentasyon ise makat prezentasyondu. Üç olguda (%6.7) ablasyo plasenta hali izlendi. Preterm eylem (

OBSTETRIC AND NEONATAL OUTCOMES OF UMBILICAL CORD PROLAPSE

Introduction: Umbilical cord prolapse (UCP) is a condition that is difficult to predict and can cause neonatal morbidity and mortality. Various maternal risk factors have been evaluated to prevent UCP. The aim of this study is to examine the obstretric and neonatal results of pregnant women with UCP. Material and Methods: The cases who delivered at Tepecik Training and Research Hospital between January 2013 and March 2017 were retrospectively examined. Pregnant women who developed UCP during labor were analyzed for obstetric and neonatal outcomes. Results: A total of 45 (0.12%) cases with UCP in 37.271 births were examined. The mean age was 27.5 ± 6.4 years. Multiparity rate was 66.7%. All pregnants consisted of single pregnancies. Only one case (2.2%) had polyhydroamniosis. Delivery method was cesarean section in all cases. The most common (86.7%) fetal presentation was vertex presentation. The most common (6.7%) malpresentation was breech presentation. Placental abruption was observed in three cases (6.7%). The rate of preterm labor (

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