Şule ÖZEL, Nesrin Ünal KARAGÖZOĞLU, Sabriye KORKUT, Aysegul ÖKSUZOGLU, Yaprak ENGİN-USTUN

Kadın sağlığı hastanesinde sigara bırakma poliklinik hizmetleri ve gebelikte sigara içen kadınların gebelik sonuçları

Amaç: Gebelikte tütün ürünleri kullanımı hem anneyi hem de bebeğini olumsuz olarak etkilemektedir. Bu çalışmada sigara kullanan gebelerde saptanan medikal komplikasyonları, gebelerin doğum özelliklerini ve yenidoğan bulgularını tanımlamayı ve ikincil olarak, hastanemize başvuran gebelerdeki sigara kullanma oranını saptamayı amaçladık.Yöntem: Bu retrospektif kesitsel çalışmada, 1 Ocak 30 Mayıs 2018 tarihleri arasında Sigara Bırakma Birimine SBB gönüllü olarak başvuran postpartum hastalar sigaranın etkilerini değerlendirmek için, hastanemiz antenatal kliniklerine başvuran tüm gebe kadınlar ise sigara içme oranını saptamak için çalışmaya dahil edildi. Verilerin analizi SPSS 17 istatistik programı ile yapıldı. İçilen günlük sigara miktarının doğum haftası, bebeğin Apgar skoru, doğum ağırlığı ve boyu üzerine etkisi parametrik veriler için Pearson, nonparametrik değerler için Spearman korelasyon analizi ile değerlendirildi.Bulgular: Antenatal polikliniğine başvuran 50.140 gebenin 3181 %6,34 ’i sigara kullandığını beyan etti. Bu kadınların 41 %1,29 tanesi sigarayı bırakmak için gönüllü olarak SBB’ ye başvurdu. Doğum sonrası SBB’ den gönüllü olarak tedavi almayı kabul eden toplam 103 kadın vardı. Results: In total 50,140 pregnant women applied to our antenatal clinics. 3181 6.3% of them were cigarette smoker. 41 1.9% of smoker women applied to SCU volunteraly. Among postpartum cases, 103 women accepted smoking cessation theraphy and volunteraly applied to SCU. In these 103 cases we observed 9 8.70% intrauterine-ex, 11 9.67% abortus imminens, 7 6.79% anemia, 2 1.94% preeclampsia, 2 1.94% gestational diabetes, 2 1.94% placenta previa, 2 1.94% hyperemesis gravidarum, 1 0.97% oligohydramniosis. In multigravid cases, 95% 76/80 of cases declared that they smoked during previous pregnancies. In 94 livebirths, birth method was vaginal delivery in 28 29.8% cases and cesarean section in 66 70% of which 48% was primary. Preterm birth ratio was 9.96% n: 9 , low birth weight ratio was 11.8% n: 11 . We didn’t find any statistically significant correlation between number of cigarette smoked per day and birth week p = 0.39, rho = 0.09 , birth weight p = 0.96, r = 0.04 , 5th minute Apgar score p =0.49, rho = 0.07 and length of baby p = 0.97, rho = 0.01 .Conclusion: Intrauterine-ex ratio in our study was higher than the reported ratios in literature. Other pregnancy complication ratios detected in our study is compatible with the results of the reported studies in the literature. Smoking during pregnancy ratio in our hospital is higher than world avarage

Anahtar Kelimeler:

Sigara, tütün, gebelik, düşük doğum ağırlığı, sezaryen doğum

Smoking cessation unit services and pregnancy outcomes of smoking women during pregnancy in a maternal health hospital

Objective: The use of tobacco products during pregnancy has negative effects both on the mother and newborn. It is aimed to determine the ratios of medical complications, birth charaterictics and newborn findings in smoking pregnant women. Our second purpose was to detect the ratio of smoking in pregnant women who apply to our hospital.Methods: Between January 2018 and May 2018, smoking postpartum women who applied to Smoking Cessation Unit SCU of our hospital volunteraly were included into this retrospective cross sectional study to examine advers effects of smoking on both mother and newborn. All pregnant women who applied to antenatal clinics of our hospital were included into study for determination of smoking ratio. In postpartum cases we searched for daily smoked cigarette number, pregnancy complications, birth characteristics and newborn charaterictics. It was searched for any possible correlation between daily cigarette number and birth week, birth weight and newborn length and Apgar score of the baby. Data analysis was performed by SPSS 17. It was used for parametric values Pearson correlation analysis and for parametric values Srearman correlation analysis was used.abruptio placenta, ölü doğum gibi gebelik Gebelikte sigara kullanımının plasenta previa, GIRIŞ Results: In total 50,140 pregnant women applied to our antenatal clinics. 3181 6.3% of them were cigarette smoker. 41 1.9% of smoker women applied to SCU volunteraly. Among postpartum cases, 103 women accepted smoking cessation theraphy and volunteraly applied to SCU. In these 103 cases we observed 9 8.70% intrauterine-ex, 11 9.67% abortus imminens, 7 6.79% anemia, 2 1.94% preeclampsia, 2 1.94% gestational diabetes, 2 1.94% placenta previa, 2 1.94% hyperemesis gravidarum, 1 0.97% oligohydramniosis. In multigravid cases, 95% 76/80 of cases declared that they smoked during previous pregnancies. In 94 livebirths, birth method was vaginal delivery in 28 29.8% cases and cesarean section in 66 70% of which 48% was primary. Preterm birth ratio was 9.96% n: 9 , low birth weight ratio was 11.8% n: 11 . We didn’t find any statistically significant correlation between number of cigarette smoked per day and birth week p = 0.39, rho = 0.09 , birth weight p = 0.96, r = 0.04 , 5th minute Apgar score p =0.49, rho = 0.07 and length of baby p = 0.97, rho = 0.01 .Conclusion: Intrauterine-ex ratio in our study was higher than the reported ratios in literature. Other pregnancy complication ratios detected in our study is compatible with the results of the reported studies in the literature. Smoking during pregnancy ratio in our hospital is higher than world avarage

Keywords:

smoking, tobacco, pregnancy, low birth weight, cesarean birth,

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