Esin ALDEMİR, Sibel ÖZBEK, Sultan KAVUNCUOĞLU, Mehmet Gökhan RAMOĞLU

Kendiliğinden ve in vitro fertilizasyonlu çoğul gebeliklerden erken doğan bebeklerin doğum öncesi ve bedensel büyüme özellikleri

Amaç: Kendiliğinden ve in vitro fertilizasyonla çoğul gebelik sonucu do- ğan, düzeltilmiş yaşı 24-36 aylık olan bebeklerin doğum öncesi ve ye- nidoğan özelliklerini irdelemek; bedensel büyüme özelliklerini sorgula- mak ve etki eden etmenleri karşılaştırarak değerlendirmekti. Gereç ve Yöntemler: Hastanemizde 60ı in vitro fertilizasyon, 65i kendi- liğinden çoğul gebelikler sonucu meydana gelen, doğum tartısı 2 500 g altında ve doğum haftası 37. gebelik haftasından önce olan toplam 125 çocuk çalışmaya alındı. Olgularda anne yaşı ve hastalık, erken membran rüptürü, doğum ağırlığı, gebelik haftası, cinsiyet, APGAR skoru, yenido- ğan döneminde yatış nedenleri, yoğun bakım gereksinimi, doğuştan anomali sıklığı, poliklinik izlem durumu, hastaneye yatışlar ve sosyoeko- nomik düzey sorgulandı. Olguların ayrıntılı fizik muayenesi, güncel boy, ağırlık ve baş çevresi ölçümleri yapılarak, bulgular Neyzi ve ark. tarafın- dan düzenlenen büyüme eğrilerine yerleştirildi. Çalışma için Bakırköy Kadın Doğum ve Çocuk Hastalıkları Eğitim Araştırma Hastanesi Etik Kurul onayı alındı (12.10.2010; no:305). Bulgular: Sezaryen doğum oranı, anne yaşı ortalaması, annede kronik hastalık görülme ve gebelik sırasında ortaya çıkan hastalık oranı in vit- ro fertilizasyon grubunda anlamlı yüksekti (p

Perinatal and somatic growth properties of preterm babies born from spontaneous and in vitro fertilization multiple pregnancies

Aim: The objective of this study was to examine perinatal and neonatal properties of preterm infants with a corrected age of 24-36 months who were born as a result of spontaneous and in vitro fertilization multiple pregnancies, to interrogate somatic growth properties of these infants and evaluate the factors which had an impact by comparing groups. Material and Methods: A total of 125 children with a birth weight below 2 500 g and a gestational age below the 37th gestational week 60 of whom were born as a result of in vitro fertilization multiple pregnancies and 65 of whom were born as a result of spontaneous multiple pregnancies were included in the study. Maternal age and morbidity, early rupture of membranes, birth weigth, gestational week, gender, APGAR score, hospi- talization reasons in the neonatal period, requirement for intensive care, frequency of congenital anomaly, outpatient follow-up status, rehospita- lization and socioeconomic levels were interrogated in the patients. De- tailed physical examination and current height, weight and head circum- ference measurements were performed and the findings were placed in the growth curves of Neyzi et al. Ethics committee approval was received for this study from the ethics committee of Bakırköy Gynecology Obstet- rics and Pediatrics Education and Research Hospital (12.10.2010; no:305). Results: The rate of cesarean section, mean maternal age, the rate of chronic disease in the mother and the rate of maternal disease which oc- cured during pregnancy were significantly higher in the in vitro fertiliza- tion group (p

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