Seval YILMAZ ERGANİ, Yıldız AKDAŞ REİS, Susam ÇELİK, Müjde Can İBANOĞLU, Okan AYTEKİN, Metin ALTAY, Leyla MOLLAMAHMUTOĞLU, Cantekin İSKENDER

İlk Trimesterde Bradikardik Olan Fetuslar Terme Ulaşıyor Mu?

Amaç: İlk trimesterde bradikardi saptanan fetüslerin kontrol grubu ile kıyaslanarak obstetrik ve perinatal sonuçlarının değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Retrospektif kohort dizayn edilen bu çalışmayla hastanemizde takip ve tedavisi yapılmış ilk trimesterde bradikardi tespit edilen 58 gebe ve 276 normal gebe kontrol grubu olarak alınarak çalışmaya dahil edildi. Her hasta için fetal kalp hızı, yaş, parite, abortus sayısı, gebelik haftası, vücut kitle indeksi (VKİ), yardımcı üreme teknikleri kullanılıp kullanılmadığı, 11-14 hafta arası ölçülen nukal translusensi (NT) değeri, gebeliğin nasıl sonuçlandığı, doğum haftası, doğum şekli, yenidoğan yoğun bakım ünitesinde kaç gün yatış olduğu, fetal cinsiyet not alındı ve bu iki grubun perinatal sonuçları karşılaştırıldı. Bulgular: Ortalama yaş bradikardik grupta 27.8 ± 6.1 olup, kontrol grubunda 28.2±6.0 idi. İlk trimester NT ortalaması bradikardik grupta 1.56 ± 0.61 olup, kontrol grubunda 1.26 ± 0.34 ölçüldü. Bradikardik grubun NT’si istatistiksel olarak anlamlı düzeyde kontrol grubundan daha fazla idi (p

Anahtar Kelimeler:

Abortus, fetal bradikardi, ilk trimester

Do Fetuses Who Are Bradycardic in The First Trimester Reach Term?

Objective: The aim of this study was to evaluate the obstetric and perinatal outcomes of fetuses diagnosed with bradycardia in the first trimester by comparing them with the control group. Material and Method: In this study, which was designed as a retrospective cohort study, 58 pregnant women who were followed up and treated in our hospital and diagnosed with bradycardia in the first trimester were included as the study group. 276 normal pregnant women were included in the study as a control group. For each patient, fetal heart rate, age, parity, number of abortions, gestational week, body mass index (BMI), whether assisted reproductive techniques were used, NT value measured between 11-14 weeks, type of abortion, week of delivery, type of delivery, neonatal intensive care unit admission, number of hospital days, and fetal sex were noted, and the perinatal outcomes of these two groups were compared. Results: The mean age was 27.8 ± 6.1 years in the bradycardic group and 28.2 ± 6.0 years in the control group. The mean value of NT in the first trimester was 1.56 ± 0.61 in the bradycardic group and 1.26 ± 0.34 in the control group, and the NT of the bradycardic group was statistically significantly higher than that of the control group (p

Keywords:

Abortion, fetal bradycardia, first trimester,

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