Mesut AYDIN, Harun Egemen TOLUNAY, Mustafa AKŞAR, Barış BOZA, Numan ÇİM, Ahmet DÜLGER, Recep YİLDİZHAN

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İnflamatuar bağırsak hastalığı olan gebelerin klinik yönetimi ve sonuçları

Amaç: İnflamatuar Bağırsak Hastalıkları (İBH); ülseratif kolit (ÜK) ve Crohn hastalığı (CH) genç yetişkinleri etkileyen kronik patolojilerdir. Gebelik ve İBH çok boyutludur ve birçok değişkenden etkilenebilir. Bu çalışmada İBH’ı olan gebelerimizin klinik yönetimlerinin ve gebelik sonuçlarının sunulması amaçlandı. Gereç ve Yöntem: İBD’si olan gebeler retrospektif olarak incelendi ve ÜK’i ve CH olan hastalar olarak gruplandırıldı. Toplam dokuz olgu çalışmaya dahil edildi. Bulgular: Hastaların ortalama yaşı 28,5 ± 4,9 idi. Ortalama gravida ve parite sayıları sırasıyla 2,6 ± 1 ve 1,55 ± 1,13 idi. İBD’si olan altı hastada ÜK, üç hastada CH mevcuttu. İki hastaya gebelikleri sırasında yeni tanı konuldu, yedi hastada ise İBH tanısı gebelik öncesinde de mevcuttu. Sekiz hastanın ortalama gebelik haftası 34,2 ± 4,55 hafta idi. Ortalama doğum ağırlığı, birinci ve beşinci dakika APGAR skorları sırasıyla 2,530 ± 956 gr, 7,6 ± 0,91 ve 8,87 ± 0,83 idi (n=8). Sonuç: İBH, çocuk doğurma çağında olan birçok kadını etkilemektedir. Gebelik, maternal ve fetal sonuçlar hastalık aktivitesinden büyük ölçüde etkilenebilmektedir. Hastalık sessiz ise, olası alevlenmelerin hızlı ve etkili yönetimi ile gebe kalınması tavsiye edilebilir. İBH’nın kontrolü obstetrik prognoz için ana faktördür.
Anahtar Kelimeler:

İnflamatuar Bağırsak Hastalıkları, ülseratif kolit, Crohn hastalığı, gebelik, yönetim

Clinical management and outcomes of pregnant women with inflammatory bowel diseases

Objectives: Inflammatory Bowel Diseases (IBD); Ulcerative colitis (UC) and Crohn's disease (CD) are chronic pathologies affecting young adults. Pregnancy and IBD are multidimensional and could be affected by many variables. In this study, we aimed to present our patients with inflammatory bowel diseases and their clinical management. Materials and methods: Pregnants with inflammatory bowel diseases were retrospectively evaluated. Pregnant women with inflammatory bowel disease were grouped as those with Crohn's disease ( CD ) and ulcerative colitis ( UC ). A total of nine cases were included in the study. Results: The mean age of the patients was 28.5 ± 4.9 years. The mean gravida number was 2.6 ± 1, and the mean parity number was 1.55 ± 1.13. Six patients with inflammatory bowel diseases had UC, and three patients had CD. Two patients were newly diagnosed and seven patients had a history of inflammatory bowel disease. The mean gestational week of the 8 patients was 34.2 ± 4.55 weeks. The mean first and fifth minute APGAR scores were 7.6 ± 0.91 and 8.87 ± 0.83, respectively. The mean birth weight of all of the patients was 2530 ± 956. Conclusions: Inflammatory bowel disease affects a large group of women at childbearing age. Pregnancy, maternal and fetal outcomes are widely affected by disease activity. Becoming pregnant can be advised if the disease is quiescent, with rapid and efficient management of possible flare-ups. Controlling IBD is the main obstetrical factor for prognosis.
Keywords:

Inflammatory Bowel Diseases, Ulcerative colitis, Crohn's disease, Pregnancy, Management,

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Türk Kadın Sağlığı ve Neonatoloji Dergisi-Cover
  • Başlangıç: 2019
  • Yayıncı: Sağlık Bilimleri Üniversitesi Etlik Zübeyde Hanım Kadın Hastalıkları Eğitim ve Araştırma Hastanesi
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