MAKAT PREZENTASYON NEDENİYLE SEZARYEN DOĞUM YAPAN KADINLARIN RETROSPEKTİF DEĞERLENDİRİLMESİ VE PREDİSPOZAN FAKTÖRLERİN İNCELENMESİ

Amaç: Sezaryen ile makat prezentasyonda doğum yapan gebeleri ve makat prezentasyona predispozan faktörleri incelemek Gereç ve yöntemler: Retrospektif olarak Nisan 2019-Eylül 2021 tarihleri arasında hastanemizde gerçekleşen canlı, tekil 1711 doğum incelendi. Makat prezentasyonla sezaryen doğum yapan 78 hasta analiz edildi. Hastaların tıbbi kayıtları geriye dönük taranarak yaşı, gravidası, paritesi, kaçıncı sezaryeni olduğu, ek hastalık olup olmadığı, bebekle ilgili cinsiyeti, doğum ağırlığı, boyu, baş çevresi, APGAR’ı, doğum haftası ve yeni doğan yoğun bakım ihtiyacı olup olmadığı gibi bilgiler kaydedildi. Elde edilen bilgiler karşılaştırmalı olarak analiz edildi. Bulgular: Makat prezentasyon oranı tüm canlı doğumlarda %4,5 olarak saptandı. Makat prezentasyon grubundaki bebeklerin ortalama doğum haftası, ağırlığı ve boyu vertex prezentasyon doğan bebeklere göre anlamlı (p<0.05) olarak daha düşüktü. Makat prezentasyon grubunda nulliparite oranı, geçirilmiş sezeryan oranı vertex prezentasyon grubundan anlamlı olarak daha yüksekti (p<0.05). Daha önce geçirilmiş sezaryeni bulunan kadınlar arasında yapılan analizde makat prezentasyon oranı geçirilmiş sezaryenı olmayanlara göre anlamlı olarak daha düşük saptandı (p<0,05). Sonuç: Makat prezentasyon gebelikler yaratabileceği gestasyonel komplikasyonlar, fetal sonuçlar ve altta yatan patolojiler olabilmesi nedeniyle yakın takip edilmesi gereken bir gebelik grubudur.

Anahtar Kelimeler:

makat prezentasyon, sezaryen doğum, gebelik

Retrospective Evaluation of Women Who Had Cesarean Section Due to Breech Presentation and Examination of Predisposing Factors

Objective: Investigate pregnant women who had cesarean section due to breech presentation and evaluate the factors predisposing to breech presentation. Material and Methods: We retrospectively analyzed 1711 single live births in our hospital between April 2019 and September 2021. Seventy eight patients who had cesarean section with breech presentation were investigated. The medical records of the patients were scanned retrospectively, and data such as age, gravida, parity, number of previous cesarean section, chronic diseases of the mother, gender, birth weight, height, head circumference, APGAR score, gestational week at birth, and need for neonatal intensive care of the baby were recorded. All data were analyzed comparatively. Results: The breech presentation rate was found to be 4.5% in all live births. The mean birth week, weight and height of the babies in the breech presentation group were significantly lower than the babies born with vertex presentation (p< 0.05). The nulliparity rate and previous cesarean section rate were significantly higher in the breech presentation group than the vertex presentation group (p < 0.05). In the analysis performed among women with previous cesarean section, breech presentation rate was found to be significantly lower than women without previous cesarean section (p<0.05). Conclusion: Breech presentation pregnancies should be followed closely because of possible gestational complications, underlying pathologies and adverse fetal outcomes.

Keywords:

breech presentation, cesarean section, pregnancy,

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