Elektif Sezaryen Olgularında Kordon Dolanması

Amaç: Elektif sezaryen doğumlarda kordon dolanması sıklığını ve yenidoğan sonuçlarını araştırmak Gereç ve yöntemler: Ocak 2005 ile Nisan 2011 tarihleri arasında elektif sezaryen ile doğumu gerçekleşen 1786 olgu çalışmaya dahil edildi. Maternal ve fetal komplikasyonlu olgular çalışmaya dahil edilmedi. Çalışma grubunda kordon dolanması insidansı saptandı. Kordon dolanması olan ve olmayan grupların karakteristikleri ve perinatal sonuçları karşılaştırıldı. İstatistiksel değerlendirmede Ki-kare testi kullanıldı. Değerlendirmede p değerinin 0.05den küçük olması anlamlı kabul edildi. Bulgular: Doğumda boyunda kordon dolanması oranı % 10.3 idi. Çalışmaya alınan bebeklerin yenidoğan yoğun bakım ünitesine yatışı, 1. dakika apgar skorları, bebek kiloları, cinsiyetleri ve anne yaşları arasında istatistiksel olarak anlamlı bir fark saptanmadı. Doğumda boyunda kordon dolanması olanların daha ileri haftada doğduğu gözlendi (p

Nuchal Cord Entanglement and Elective Cesarean Delivery

Objective: The aim of this study was to investigate the incidence of nuchal cord entanglement and neonatal outcomes after elective cesarean delivery. Material and methods: In the study, 1784 viable singleton pregnancies who were delivered by elective caesarean at term from January 2005 to April 2011 were included. Maternal and fetal complications were excluded from the study. The incidence of nuchal cord entanglement was found in the study group. Characteristics of the groups with and without cord entanglement and perinatal outcomes were compared. Chi-square test was used for the statistical analysis. Statistical significance was defined as p < 0.05. Results: The incidence of nuchal cord entanglement was 10.3%. There were no statistically significant differences in either NICU admission, maternal age,1-minute Apgar score, neonatal gender and birth weight between the two groups. The incidence of nuchal cord increases as gestational age at delivery increased (p <0.001). Newborns with nuchal cord demonstrated an increased rate for meconium-stained amniotic fluid (p<0.001). Conclusion: There were no statistically significant association between adverse neonatal outcomes and nuchal cord. When evaluating the last trimester and post term pregnancies, we should investigate nuchal cord for preventing the meconium-stained amniotic fluid and complications of meconium.

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