Emine KARABÜK, Pınar KADİROĞULLARI, Nazlı ALBAYRAK, Talat Umut Kutlu DİLEK, Özlem PATA

Servikal Yetmezlikte Acil Serklaj Sonrası Gebelik Sonuçları Retrospektif Çalışma

Amaç : Servikal yetmezlik nedeniyle acil serklaj yapılan hastaların maternal ve fetal sonuçlarını, serklajın etkinliğini ve güvenliğini değerlendirmek amaçlanmaktadır. Gereç ve yöntem : Şubat 2010-Ocak 2019 tarihleri arasında, Acıbadem Mehmet Ali Aydınlar Üniversitesi ve Mersin Üniversitesi Kadın Hastalıkları ve Doğum kliniğinde servikal yetmezlik nedeniyle acil serklaj uygulanan, canlı tekil gebeliği olan kadınlardan elde edilen veriler retrospektif olarak değerlendirildi. Bulgular : 29 hastaya McDonald tekniği ile acil serklaj uygulandı. Ortalama anne yaşı 31,82±4,449 yıl (21–38), Serklaj uygulanan hastaların operasyon sırasındaki ortalama gebelik haftası 22,17±2,071 hafta idi (18-28). Canlı gebelik oranı 79,3% (n=23) idi. Serklaj ve doğum arasındaki ortalama aralık 9,24±5,723 hafta (0-18), doğumda ortalama gebelik haftası 31,4±5,02 hafta (23-39) ve doğum ağırlığı 1873±903 g (650-3782) idi. Prosedürle ilgili komplikasyonlar görülmedi. 9 (30%) hasta sezaryen ile doğum yaptı. Sonuç : Acil servikal serklaj, servikal yetmezliği olan kadınlarda gebelik süresini uzatmakta ve yenidoğan sonuçlarını iyileştirmede etkilidir. Erken gebelik haftalarında servikal dilatasyonu olan kadınlar için uygun bir seçenek olarak düşünülmelidir.

Anahtar Kelimeler:

Preterm doğum, servikal serklaj, servikal yetmezlik, servikal uzunluk

Pregnancy Outcomes After Emergency Cerclage For Cervical Insufficiency A Retrospective Study

Aim: Evaluation of maternal and fetal outcomes, effectiveness and reliability of the cerclage for the emergently cerclaged cases due to cervical insufficiency Materials and Methods: Clinical data from live singleton pregnancies who were diagnosed cervical insufficiency were reviewed retrospectively between the Feb 2010-Jan 2019, at Acıbadem University and Mersin University, Department of Obstetrics and Gynecology. Results: During the study period, total 29 cervical cerclage operation was performed by McDonald technique. Mean maternal age 31.82±4.449 years (21–38), mean gestational age at diagnosis and cerclage placement was 22.17±2.071 weeks (18-28). Take home baby rate was 79.3 % (n=23). Mean time interval between the cerclage and the birth is 9.24±5.723 weeks (0-18), mean pregnancy week during the birth is 31.4±5.02 weeks (23-39) and mean birth weight is 1873±903 g (650-3782). There was no surgical complication reported from the studied population. Thirty percent (9) of the patients were delivered by C-section. Discussion: Emergency cerclage prolongs the pregnancy duration of the women with cervical insufficiency, and has marked effects on improving the neonatal outcomes. It is thought to be an appropriate choice for the women with cervical dilatation at the earlier pregnancy weeks.

Keywords:

Preterm birth, Cervical cerclage, Cervical insufficiency, Cervical length,

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