Hiperemezis Gravidarumun Gebelik Sonuçlarına Etkisi

Amaç: Hiperemezis gravidarum (HG) tanısı ile takip edilen hastaların klinik özelliklerini değerlendirdik. Bu hastalarda HG'nin gebelik sonuçları üzerindeki etkilerini belirlemeyi amaçladık. Gereç ve Yöntemler: Bu retrospektif çalışma 2018-2020 yılları arasında hastanemiz kadın hastalıkları bölümünde gerçekleştirildi. Çalışma grubu, 20. gebelik haftasından önce HG tanısı alan ve hastanemizde tedavi edilerek doğum yapılan gebelerden oluşturuldu. Hastalar HG varlığına göre iki gruba ayrıldı. Her iki grup plasental disfonksiyon ve yenidoğan sonuçları açısından karşılaştırıldı. HG'nin şiddeti değerlendirildi ve sınıflandırıldı. Hafif ve ağır vakaları karşılaştıran HG grubunun bir alt analizi yapıldı. Bulgular: Çalışmaya HG tanısı almış 213 hasta ve HG tanısı olmayan 218 sağlıklı gebe dahil edildi. Preterm doğum (p = 0.034) ve gestasyonel yaşa göre küçük (SGA) (p = 0.016) HG grubunda kontrol grubuna göre anlamlı olarak yüksek bulundu. HG tanısı alan gebelerin % 78,8'i hafif,% 21,1'i ağır HG idi. Ağır HG grubundaki kadınlar ile hafif HG grubundaki kadınlar karşılaştırıldığında, şiddetli HG'nin daha yüksek SGA (p = 0,042), erken doğum (p = 0,001) ve Yenidoğan Yoğun Bakım Ünitesine yatış (p = 0,031) ile ilişkili olduğunu bulduk. Sonuçlar: Hiperemetik hamile kadınlardan doğan bebekler, sağlıklı hamile kadınlardan doğan bebeklere kıyasla SGA ve erken doğum için önemli bir risk altındadır. Özellikle ağır HG'li gebelerde bu risk artar.

Anahtar Kelimeler:

Hiperemezis gravidarum, gebelik sonuçları, gebelik yaşına göre küçük

The Effect of Hyperemesis Gravidarum on Pregnancy Outcomes

Objective: We evaluated the clinical characteristics of the patients followed with the diagnosis of hyperemesis gravidarum (HG). We aimed to determine the effects of HG on pregnancy outcomes in these patients. Materials and Methods: This retrospective study was conducted in the department of obstetrics of our hospital between the years 2018–2020. The study group consisted of pregnant women who were diagnosed with HG before the 20th gestational week and were treated and delivered at our hospital. The patients were divided into two groups based on the presence of HG. Both groups were compared in terms of placental dysfunction and newborn outcomes. The severity of the HG was assessed and classified. A sub-analysis of the HG group comparing mild and severe cases was performed. Results: The study included 213 patients diagnosed with HG and 218 healthy pregnant women without HG diagnosis. Preterm birth (p=0.034) and small for gestational age (SGA) (p=0.016) were significantly higher in the HG group compared to the control group. 78.8% of the pregnant women diagnosed with HG were mild and 21.1% were severe HG. When women in the severe HG group and mild HG group were compared, we found that severe HG is associated with a higher chance of SGA (p=0.042), preterm birth (p=0.001) and admission to Neonatal Intensive Care Unit (p=0.031). Conclusions: Babies born from hyperemetic pregnant women are at a significant risk for SGA and preterm birth compared to babies born from healthy pregnant women. This risk increases especially in pregnant women with severe HG.

Keywords:

Hyperemesis gravidarum, pregnancy outcomes, small for gestational age,

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