Seda ATEŞ, Osman ŞEVKET, Ayşegül ÖZEL, Levent YAŞAR, Kadir SAVAN

Tekrarlayan Gebelik Kaybı Olan Gebelerin Tekrarlayan Gebelik Kaybı Olmayan Gebelerle Doğum ve Neonatal Bulgularının Karşılaştırılması

Amaç: Bu çalışmanın amacı tekrarlayan gebelik kaybı sonrası oluşan gebeliklerde doğum ve neonatal bulguların geçmişinde düşük öyküsü olmayan kontrol grubu primigravid ve multigravid kadınlarla karşılaştırılması. Gereç ve Yöntem: 2001 – 2006 yılları arasında Süleymaniye Kadın Hastalıkları ve Doğum Hastanesine başvuran tekrarlayan iki veya daha fazla düşük sonrası gebe kalan 45 hasta (abort grubu) ile 139 gebeden oluşan (74 primigravid, 65 multigravid) kontrol grubunun kayıtları retrospektif olarak incelendi. Bulgular: Tekrarlayan düşük sonrası gebe kalan hastaların sezaryen oranı (% 47,8) primigravid ve multigravidlere göre anlamlı olarak fazladır (p

Anahtar Kelimeler:

Tekrarlayan düşük; sezaryen; kıymetli gebelik

Tekrarlayan Gebelik Kaybı Olan Gebelerin Tekrarlayan Gebelik Kaybı Olmayan Gebelerle Doğum ve Neonatal Bulgularının Karşılaştırılması

Objective: We compared the neonatal outcomes and the route of delivery in women who have had recurrent spontaneous abortions with the primigravid and multigravid women without a history of spontaneous abortion. Material and Methods: This study included 45 women with a history of recurrent spontaneous abortions and 139women as the control group who gave birth at Suleymaniye Obstetrics and Gynecology Hospital between 2001-2006. The control group was divided into two subgroups: 74 primiravid women and 65 multigravid women. Data were collected from hospital records retrospectively. Results: The rate of cesarian section in the recurrent abortion group (47.8 %) were found to be significantly higher than the other groups (p

Keywords:

Recurrent abortion; ceasarian section; precious pregnancy,

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Stephenson M, Kutteh W. Evaluation and management of recurrent early pregnancy loss. Clin Obstet Gynecol 2007;50(1):132-45.
Sheiner E, Levy A, Katz M, Mazor M. Pregnancy outcome following recurrent spontaneous abortions. Eur J Obstet Gynecol Reprod Biol 2005;118(1):61-5.
Li TC, Makris M, Tomsu M, Tuckerman E, Laird S. Recurrent miscarriage: aetiology, management and prognosis. Hum Reprod Update 2002;8(5):463–81.
Christiansen OB, Nielsen HS, Kolte A. Research methodology and epidemiology of relevance in recurrent pregnancy loss. Semin Reprod Med 2006;24(1):5-16.
Jauniaux E, Farquharson RG, Christiansen OB. Evidence based guidelines for the investigation and medical treatment of recurrent miscarriage. Hum Reprod 2006;21(9):2216-22.
Meng LL, Chen H, Tan JP, et al. Evaluation of etiological characteristics of Chinese women with recurrent spontaneous abortions: a single-centre study. Chin Med J (Engl) 2011;124(9):1310-5.
Brigham SA, Conlon C, Farquharson RG. A longitudinal study of pregnancy outcome following idiopathic recurrent miscarriage. Hum Reprod 1999;14(11):2868–71.
Weissmann-Brenner A, Simchen MJ, Zilberberg E, et al. Maternal and neonatal outcomes of macrosomic 2012;18(9):77-81. Med Sci Monit
Aisien AO, Lawson JO, Adebayo AA. A five year appraisal of caesarean section in a northern Nigeria university teaching hospital. Niger Postgrad Med J 2002;9(3):146-50.
Minkoff HL, Berkowitz R. The myth of the precious baby. Obstet Gynecol 2005;106(3):607–9.
Ilesanmi AO, Fawole O, Olaleye DO, Arowojolu A. Pregnancy outcome in the elderly primigravidae. J Obstet Gynaecol 1998;18(1):40-3.
Edge V, Laros RK Jr. Pregnancy outcome in nulliparous women aged 35 or older. Am J Obstet Gynecol 1993;168(6 Pt 1):1881-4.
Cammu H, Martens G, Keirse MJ. Mothers' level of education and childbirth interventions: a population-based study in Flanders, Northern Belgium. Birth 2011;38(3):191-9.
Gillet E, Martens E, Martens G, Cammu H. Prelabour caesarean section following IVF/ICSI in older-term nulliparous women: too precious to push? J Pregnancy 2011;2011:362518.
Jivraj S, Anstie B, Cheong YC, Fairlie FM, Laird SM, Li TC. Obstetric and neonatal outcome in women with a history of recurrent miscarriage: a cohort study. Hum Reprod 2001;16(1):102-6.
Blickstein I, Salihu HM, Keith LG, Alexander GR. The association between small-for-gestational age triplet pregnancies and neonatal mortality:a novel approach to growth assessment in multiple gestations. Pediatr Res 2006;59(4 Pt 1):565-9.
Alberman E, Roman E, Pharoah PO, Chamberlain G. Birth weight before and after spontaneous abortion. Br. J. Obstet. Gynaecol 1980;87(4):275–80.
Hammoud AO, Merhi ZO, Diamond M, Baumann P. Recurrent pregnancy loss and obstetric outcome. Int J Gynaecol Obstet 2007;96(1):28-9.
Hughes N, Hamilton EF, Tulandi T. Obstetric outcome in women after multiple spontaneous abortions. J Reprod Med 1991;36(3):165-6.