Özgür Deniz TURAN, Ezgi ÖZDEMİR, Tolga ATAKUL, Emre ZAFER

Relationship Between the Number of Cesarean Deliveries and Maternal-fetal Complications

Objective: Cesarean operation is very common and it is being performed increasingly all over the world. In this study, the effect of the number of cesarean deliveries on maternal and fetal health was evaluated. Materials and Methods: We included patients who underwent cesarean section in our clinic between October 2014 and October 2017, who had no additional disease, between 38 and 40 gestational weeks, and ages between 18 and 40 years. Postnatal records were retrospectively reviewed. Patients who had pregnancy complications such as pregnancy hypertension, gestational diabetes, oligohydramnios, polyhydramnios, or who had a dysmorphic appearing baby or with any genetic syndrome were excluded. Patients were divided into three groups according to the number of cesareans they had undergone. Group 1 consisted of patients with history of two cesarean deliveries, group 2 consisted of patients with 3 cesarean deliveries and group three consisted of patients with 4 or more cesarean deliveries. Groups were then compared to each other for their demographic data and maternal - fetal outcomes. Results: Mean age of the patients studied was 32.4 years [standard deviation (SD): 4.4], mean gestational week was 38 weeks and 2 days (SD: 0.55), and mean hospitalization duration was: 4.4 days (SD: 1.0). There was no significant correlation between the number of cesarean section and the parameters of birth weight, duration of hospital stay, and appearance, pulse, grimace, activity, and respiration scores. Conclusion: The history for the number of previous cesarean deliveries for a pregnancy may not seem to be correlated with increased maternal or fetal complications up to four previous cesarean deliveries. There is a need for future studies with even larger patients to support our findings.

Sezeryan Sayısının Anne ve Çocuk Komplikasyonları ile İlişkisi

Amaç: Sezeryan operasyonu tüm dünyada çok yaygın olarak ve giderek artan oranlarda yapılmaktadır. Sunulan bu çalışmada sezeryan sayısının maternal ve fetal sağlığı üzerine etkilerinin incelenmesidir. Gereç ve Yöntemler: Çalışmaya 1 Ekim 2014 - 1 Ekim 2017 tarihleri arasında kliniğimizde sezeryan operasyonu geçirmiş ve ek hastalığı olmayan, gebelik haftası 38-40 hafta arasında olan, gebeliği 18-40 yaşlarında olan kişiler dahil edilmiştir. Bu kişilerin doğum sonrası kayıtları retrospektif olarak incelenmiştir. Gebelik tansiyonu, gestasyonel diyabet, oligohidramniyoz, polihidroamniyoz gibi gebelik komplikasyonu olan ya da bebeğe ait anomali ya da herhangi bir genetik sendrom tanısı konmuş olan hastalar çalışma dışında bırakıldı. Hastalar sezeryan sayılarına göre üç gruba ayrıldı. Sezeryan sayısı 2 ise grup 1, üç ise grup 2, dört ise grup 3 olarak tanımlandı. Her bir grup demografik veriler, maternal ve fetal sonuçlar açısından karşılaştırıldı. Bulgular: Çalışmaya alınan hastaların yaş ortalaması 32,4 [standart daviasyon (SD): 4,4], ortalama gebelik haftası: 38 hafta iki gün (SD: 0,55), ortalama hastanede kalma süreleri: 4,4 (SD: 1,0). gündü Sezeryan sayısı ile doğum ağırlığı, hastanede kalış süresi, 1. ve 5. dakika görünüm, nabız, yüz buruşturma, etkinlik ve solunum skorları arasında anlamlı korelasyon gözlenmedi. Sonuç: Dördüncü sezeryan sayısına kadar geçirilmiş sezeryan öyküsü; gebelikte maternal ve fetal komplikasyonlarla korelasyon göstermeyebilir. Bulgularımızı desteklemek için gelecekte daha büyük hastalarla yapılacak olan çalışmalara ihtiyaç vardır.

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