Mehmet B ŞENTÜRK, MEHMET ŞÜKRÜ BUDAK, Yusuf ÇAKMAK, Halit ATAÇ

Vajinal dinoproston sistemi ile yapılan dogum indüksiyonunda başarıyı etkileyen faktörler ve sonuçları

Amaç: Bu çalışma dinoproston vajinal sistem ile yapılan doğum indüksiyonunda, başarıyı etkileyen faktörleri, maternal ve fetal sonuçları araştırmayı hedeflemektedir.Gereç ve Yöntem: Bu retrospektif çalışmada 103 hastanın sonuçları incelendi. Primer sonuç; dinoproston indüksiyonu yapılmış hastaların 24 saat içinde vajinal doğum oranları olarak kabul edildi. Sekonder sonuçlar ise taşisistoli, hiperstimülasyon, oksitosin gerekliliği, sezeryan gerekliliği, fetal distress, mekonyumla boyalı amnion mayisi, diğer yan etkiler hiperprexi, kusma, ishal, postpartum kanama, cervikal ve vaginal yırtık ile 24 saatten sonraki vajinal doğum olarak değerlendirildi. Dinoproston indüksiyonu sonrası 24 saat içerisinde vajinal doğum başarısı ile ilişkili faktörler ile fetal ve maternal sonuçlar değerlendirildi.Bulgular: Dinoproston sonrası 24 saat içerisinde vaginal doğum başarısı % 64.1 olarak bulundu. Yaş, parite ve servikal açıklık başarı ile ilişkil faktörler idi (p<0.01). Sezeryana alınan grup ile vajinal doğum yapan grup arasında maternal ve fetal yan etkiler ile komplikasyonlar arasında fark görülmedi (p>0.05). Apgar skorları benzerdi, maternel ve fetal komplikasyonlar nadirdir.Sonuç: Yaş, parite ve servikal açıklık dinoprostonla yapılan doğum indüksiyonu başarısını etkileyen faktörlerdir. Maternal ve fetal komplikasyonlar ise nadir olarak görülmektedir.

Anahtar Kelimeler:

Doğum, obstetrik, dinoproston, oksitosin, sonuç değerlendirmesi (Sağlık Bakımı), apgar skoru

Factors associated with success of induction of labor with dinoprostone vaginal system and outcomes

Objective: The aim of this study was to evaluate factors associated with success of induction of labor with dinoprostone vaginal system and assess maternal and fetal outcomes.Material and Method: One hundred and three patients were evaluated retrospectively. Primary outcomes were considered proportion of women achieving vaginal delivery within 24 hours. Secondary outcome measures were assessed as tachysystole, hyper stimulation, oxytocin requirement, cesarean section rate, fetal distress, meconium stained liquor, postpartum hemorrhage, cervical-vaginal tears, fetal death and vaginal birth achieved post hours, and side effects such as hyperprexia, vomiting, and diarrhea. The factors associated with success of dinoprostone use were evaluated comparing between vaginal birth and cesarean section groups, and fetal outcomes were also assessed.Results: The success rate of vaginal birth within 24 hours after induction was 28.1%. Age, parity and cervical opening were associated factors with success of achieving vaginal birth within 24 hours (p<0.01). There were no differences between two groups in terms of maternal and fetal outcomes (p>0.05). Apgar scores also were not different between two groups. The maternal and fetal complications which might be attributed to dinoprostone use were rare.Conclusion: Age, parity and cervical opening were associated factors with success of induction of labor with dinoprostone with rare maternal and fetal complications.

Keywords:

delivery, obstetric, dinoprostone, oxytocin, outcome assessment (Health Care), apgar score,

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