Yıldız AKDAŞ REİS, Arife AKAY, Büşra ŞAHİN, Seval YILMAZ ERGANİ, Salim ERKAYA

Gebeliğin Birinci ve İkinci Trimesterinde Görülen Vajinal Kanama ile Kötü Obstetrik Sonuçlar Arasındaki İlişki

Amaç: Abortus imminens 20.gestasyonel haftadan önce servikal değişiklikler olmaksızın vajinal kanama görülmesi olarak tanımlanır ve gebelik sonuçlarını etkileyen bir klinik durumdur. Çalışmamızın amacı abortus imminensin (Aİ) gebeliğin birinci veya ikinci trimesterinde izlenmesinin obstetrik sonuçlara etkisini araştırmaktır. Gereç ve Yöntem: Bu retrospektif çalışmaya Ocak 2017 ve Aralık 2019 yılları arasında erken gebelik servisine Aİ nedeniyle yatışı olan 831 tekil gebelik dahil edildi. Aİ tanısını aldığı gestasyonel haftaya göre olgular 1. ve 2. trimester (Grup 1 ve Grup 2) olmak üzere ikiye ayrılarak obstetrik sonuçlar karşılaştırıldı. Bulgular: Toplam 831 olgunun 622’si (%75,8) grup 1’e ve 209’u (%25,2) grup 2’ye ait idi. Grup 1’dekilerin %51,1’inde ve grup 2’dekilerin %44,2’sinde hematom mevcuttu (p=0,075). Gebeliğin sonlandığı gestasyonel hafta grup 2’dekilerde daha uzundu (33,04±8,8 karşın 28,14±13,94, p

Anahtar Kelimeler:

Abortus imminens, hematom, gebelik, obstetrik sonuçlar

The Relationship Between Vaginal Bleeding in The First and Second Trimester of Pregnancy and Poor Obstetric Outcomes

Aim: Abortus imminens is defined as the occurrence of vaginal bleeding without cervical changes before the 20th gestational week and is a clinical condition that affects pregnancy outcomes. The aim of this study is to investigate the effect of monitoring abortus imminens (AI) in the first or second trimester of pregnancy on obstetric outcomes. Materials and Methods: Between January 2017 and December 2019, 831 singleton pregnancies with hospitalization to service due to AI were included in this retrospective study. Obstetric results were compared by dividing the cases into 1st and 2nd trimesters (group 1 and group 2) according to the gestational week at which the AI was diagnosed. Result: Of the 831 cases, 622 (75.8%) were in group 1 and 209 (25.2%) were in group 2. Hematoma was present in 51.1% of those in group 1 and 44.2% of those in group 2 (p=0.075). The gestational week when the pregnancy ended was longer in group 2 (33.04±8.8 vs. 28.14±13.94, p

Keywords:

Abortus imminens, hematoma, pregnancy, obstetric results,

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