Amniyotik sıvı indeksi, plasenta lokalizasyonu ve fetal cinsiyetin fetal ağırlık tahmini üzerine etkisi
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Tarih
2017
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Çalışmamızda amniyotik sıvı miktarı, plasenta lokalizasyonu ve fetal cinsiyetin ultrasonografik yöntemle fetal ağırlık tahmini üzerine etkisini incelemeyi amaçladık. Yöntem: Selçuk Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum Kliniğinde 1 Eylül – 31 Aralık 2016 tarihleri arasında do- ğum yapmış hastaların dosyaları etik kurul onayı sonrası retrospektif olarak incelendi. Doğum ağırlığı 2500 gramdan düşük ve 4500 gramdan büyük olan hastalar, fetal intrauterin gelişme geriliğ i, diyabeti ve ek hastalığı olan hastalar, çoğul gebelikler, intrauterin ölü veya anomalili fetüs doğumları başvuru esnasında servikal açıklığı 4 cm olan hastalar ve maternal vücut kitle indeksi (VK‹) 25 olan hastalar çalışma dışında bırakıldı. Hastaların ultrasonografi muayenesinden doğuma kadar olan maksimum süre 72 saat olarak belirlendi ve daha geç sürede doğum yapan hastalar da çalışma dışında bırakıldı. Veriler fetal cinsiyete göre, plasentanın anterior, posterior, lateral lokalizasyonuna ve amniyotik sıvı indeksinde oligohidramniyoz, polihidramniyoz ve normal değerlerine göre kıyaslandı. ‹statistik analiz için SPSS 22.0 (SPSS Inc., Chicago, IL, ABD) kullanıldı. Veri analizi için Kruskal-Wallis H ve Student t testi kullanıldı. Bulgular: Toplam 387 hasta incelendi. Ortalama yaş 28 olup, hastalarda sezaryen oranı %39.8, normal doğum oranı ise %60.2, ortalama ultrasonografik doğum ağırlığı 3319 g (413 g), ortalama doğum ağırlığı 3330 g (376 g) olarak saptandı. Bütün hastalarda kilo defisiti %7.2 olarak hesaplandı. Fetal cinsiyet, plasenta lokalizasyonu ve amniyotik sıvı indeksine göre gruplar arasında istatistiksel olarak anlamlı bir fark izlenmedi. Sonuç: Çalışmamızda amniyotik sıvı indeksi, plasenta lokalizasyonu ve fetal cinsiyetin tahmini fetal ağırlık üzerinde belirleyici olmadığı bulunmuştur
Objective: In our study, we aimed to investigate the impacts of amniotic fluid index, placental localization and fetal sex on the estimation of fetal weight by ultrasonographic method. Methods: The medical files of the patients who delivered between September 1 and December 31, 2016 in Department of Obstetrics and Gynecology, Faculty of Medicine, Selçuk University were reviewed retrospectively after obtaining the approval of ethics committee. The patients with birth weight less than 2500 g and higher than 4500 g, patients with fetal intrauterine development, diabetes and additional diseases, multiple pregnancies, the deliveries with intrauterine death or fetuses with anomalies, the patients whose cervical dilation was 4 cm during admission, and the patients with maternal body mass index (BMI) 25 were excluded from the study. The maximum duration from the ultrasonographic examination up to delivery of thepatients was determined 72 hours, and the patients who delivered more than this duration were also excluded from the study. The data were compared according to fetal sex, anterior, posterior and lateral placental localizations, and oligohydramnios, polyhydramnios and normal values in the amniotic fluid index. The statistical analysis was carried out by SPSS 22.0 (SPSS Inc., Chicago, IL, USA). Kruskal- Wallis H and Student’s t-tests were used for the data analysis.Results: We evaluated a total of 387 patients. The mean age was 28, the cesarean section rate was 39.8%, normal delivery rate was 60.2%, mean ultrasonographic birth weight was 3319 g (413 g), and mean birth weight was 3330 g (376 g). Weight deficit was calculated as 7.2% in all patients. No statistically significant difference was observed between the groups in terms of fetal sex, placental localization and amniotic fluid index. Conclusion: We found in our study that the amniotic fluid index, placental localization and fetal sex do not have a determining role on the estimation of fetal weight
Objective: In our study, we aimed to investigate the impacts of amniotic fluid index, placental localization and fetal sex on the estimation of fetal weight by ultrasonographic method. Methods: The medical files of the patients who delivered between September 1 and December 31, 2016 in Department of Obstetrics and Gynecology, Faculty of Medicine, Selçuk University were reviewed retrospectively after obtaining the approval of ethics committee. The patients with birth weight less than 2500 g and higher than 4500 g, patients with fetal intrauterine development, diabetes and additional diseases, multiple pregnancies, the deliveries with intrauterine death or fetuses with anomalies, the patients whose cervical dilation was 4 cm during admission, and the patients with maternal body mass index (BMI) 25 were excluded from the study. The maximum duration from the ultrasonographic examination up to delivery of thepatients was determined 72 hours, and the patients who delivered more than this duration were also excluded from the study. The data were compared according to fetal sex, anterior, posterior and lateral placental localizations, and oligohydramnios, polyhydramnios and normal values in the amniotic fluid index. The statistical analysis was carried out by SPSS 22.0 (SPSS Inc., Chicago, IL, USA). Kruskal- Wallis H and Student’s t-tests were used for the data analysis.Results: We evaluated a total of 387 patients. The mean age was 28, the cesarean section rate was 39.8%, normal delivery rate was 60.2%, mean ultrasonographic birth weight was 3319 g (413 g), and mean birth weight was 3330 g (376 g). Weight deficit was calculated as 7.2% in all patients. No statistically significant difference was observed between the groups in terms of fetal sex, placental localization and amniotic fluid index. Conclusion: We found in our study that the amniotic fluid index, placental localization and fetal sex do not have a determining role on the estimation of fetal weight
Açıklama
Anahtar Kelimeler
Kadın Hastalıkları ve Doğum
Kaynak
Perinatoloji Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
25
Sayı
2
