Research Article
BibTex RIS Cite

Antenatal Takip Sayısının Gebelik Sonuçlarına Etkisi

Year 2021, Volume: 18 Issue: 4, 1089 - 1094, 31.12.2021
https://doi.org/10.38136/jgon.1028739

Abstract

Giriş
Antenatal bakımın amacı anne ve bebek morbidite ve mortalitesini en aza indirmek olup tüm ülkelerin genel sağlık politikalarının bir parçasıdır. Her ne kadar optimal sayısı ve içeriği tam olarak kanıta dayalı çalışmalarda desteklenmemiş olsa da önemli bir sağlık uygulamasıdır. Perinatal morbidite ve mortalitenin en aza indirilmesi için gerekli antenatal visit sayısı ile ilgili çalışmalardaki sonuçlar çelişkilidir. Biz de bu çalışmamızda hastanemizde doğum yapan hastalarda Dünya Sağlık Örgütü’nün önerdiği en az 8 ve daha fazla muayeneye gelen gebeler ile daha az gelen gebelerin gebelik sonuçlarını karşılaştırmayı amaçladık.

Materyal-Method
Bu retrospektif kohort çalışmaya Dr. Sami Ulus Kadın Doğum, Çocuk Sağlığı Hastalıkları Eğitim ve Araştırma Hastanesi Kadın Doğum Kliniği’nde Ocak 2020- Nisan 2021 yılları arasında takipleri yapılan ve sonrasında doğumları gerçekleşen gebeler alındı.Hastaların bilgileri bilgisayar sistemi üzerinden ve dosyalardan retrospektif olarak tarandı. Hastalar 8’den az; 8 ve daha fazla takibe gelenler olmak üzere iki gruba ayrıldı. Gebelik sonuçları karşılaştırıldı.

Bulgular
Çalışmamıza Çalışmaya toplam 1612 gebe dahil edildi. Çalışmaya dahil edilen gebelerin ortalama antenatal takip sayısı 7,61 ± 2,12 idi. Gebelerin %42.1 ‘i 8 den az , %57.9’u 8 ve daha fazla antenatal takibe gelmişti. Her iki grup arasında ortama doğum haftası ve doğum kilosu açısından fark saptanmadı.
Sonuç
Dünya Sağlık Örgütü’nün önerdiği şekilde en az 8 ve daha fazla muayeneye gelen gebeler ile daha az gelen gebeler arasında fark tespit edilememiştir, ancak bu konuda daha büyük randomize kontrollü çalışmalara ihtiyaç duyulmaktadır

References

  • 19) Rurangirwa AA, Mogren I, Nyirazinyoye L, Ntaganira J and Krantz G: Determinants of poor utilization of antenatal care services among recently delivered women in Rwanda; a population-based study. BMC Pregnancy Childbirth 2017; 17(1): 142.
  • 20) Jammeh A, Sundby J and Vangen S: Maternal and obstetric risk factors for low birth weight and preterm birth in rural Gambia: a hospital-based study of 1579 deliveries. J Obstet Gynecol 2011; 1: 94-103 . 21) Leal M do C, Esteves-Pereira AP, Nakamura-Pereira M, Torres JA, Theme-Filha M, Domingues RM., et al. Prevalence and risk factors related to preterm birth in Brazil. Reprod Health 2016; 13: 127.
  • 22) Ouboter PE, Landburg GA, Quik JHM, Mol JHA, van der Lugt F. Mercury levels in pristine and gold mining impacted aquatic ecosystems of Suriname, South America. AMBIO. 2012;41(8):873–82.
  • 23)Wickliffe JK, Lichtyeld MY, Zijlmans CW, Ottevanger SM, Shafer M, Dahman C et al. Exposure to total and methylmercury among pregnant women in Suriname: sources and public health implications. J Expo Sci Environ Epidemiol. 2021; 31: 117-125 .
  • 24) Akintije CS, Yorifuji T, Wada T, Mukakarake MG, Mutesa L, Taro. Antenatal Care Visits and Adverse Pregnancy Outcomes at a Hospital in Rural Western Province, Rwanda. Acta Med. Okayama, 2020 ;74:6 (495-503).
  • 25) Baldewsingh GK, Jubitana BC, Van Eer ED, Shankar A, Hindori-Mohangoo AD, Covert HH et al. Adequate antenatal care and ethnicity affect preterm birth in pregnant women living in the tropical rainforest of Suriname. BMC Pregnancy and Childbirth 2020; 20:683
  • 26) Nazim NH, Fan L. Does prenatal healthcare improve child birth weight outcomes in Azerbaijan? Results of the national demo- graphic and health survey. Econ Hum Biol. 2011 Jan;9(1):56–65.

The Effect of Antenatal Care Number on Pregnancy Outcome

Year 2021, Volume: 18 Issue: 4, 1089 - 1094, 31.12.2021
https://doi.org/10.38136/jgon.1028739

Abstract

Aim
The aim of antenatal care is to minimize maternal and infant morbidity and mortality and is a part of general health policies of all countries. Although its optimal number and content has not been fully supported in evidence based studies, it is an important health practice. The results of studies on the number of antenatal visits required to minimize perinatal morbidity and mortality are inconsistent. In this study, we aimed to compare the effect of antenatal visit number on pregnancy and perinatal outcome
Material-method:

This retrospective cohort study was conducted in Dr. Sami Ulus Obstetrics and Gynecology, Pediatric Health and Disease Training and Research Hospital. Pregnant women who gave birth in our hospital between January 2020- April 2021 were included in our study. The patients were grouped as who came antenatal visit less than 8 or 8 and more. The obstetric and perinatal results were compared between groups.

Results:
Our study included 1612 pregnant women. Mean antenatal visit number of the study population was 7,61 ± 2,12. 42.1 % of pregnant women came less than 8, 57.9 % came 8 and more to antenatal visit. There was no statistical difference between in gestational age at birth and birth weight between groups.

Conclusion:
In this study no difference in obstetric outcome could be found between pregnants who came less than 8 or at least 8 visits as recommended by World Health Organization. However larger randomized prospective studies are needed on this subject.

References

  • 19) Rurangirwa AA, Mogren I, Nyirazinyoye L, Ntaganira J and Krantz G: Determinants of poor utilization of antenatal care services among recently delivered women in Rwanda; a population-based study. BMC Pregnancy Childbirth 2017; 17(1): 142.
  • 20) Jammeh A, Sundby J and Vangen S: Maternal and obstetric risk factors for low birth weight and preterm birth in rural Gambia: a hospital-based study of 1579 deliveries. J Obstet Gynecol 2011; 1: 94-103 . 21) Leal M do C, Esteves-Pereira AP, Nakamura-Pereira M, Torres JA, Theme-Filha M, Domingues RM., et al. Prevalence and risk factors related to preterm birth in Brazil. Reprod Health 2016; 13: 127.
  • 22) Ouboter PE, Landburg GA, Quik JHM, Mol JHA, van der Lugt F. Mercury levels in pristine and gold mining impacted aquatic ecosystems of Suriname, South America. AMBIO. 2012;41(8):873–82.
  • 23)Wickliffe JK, Lichtyeld MY, Zijlmans CW, Ottevanger SM, Shafer M, Dahman C et al. Exposure to total and methylmercury among pregnant women in Suriname: sources and public health implications. J Expo Sci Environ Epidemiol. 2021; 31: 117-125 .
  • 24) Akintije CS, Yorifuji T, Wada T, Mukakarake MG, Mutesa L, Taro. Antenatal Care Visits and Adverse Pregnancy Outcomes at a Hospital in Rural Western Province, Rwanda. Acta Med. Okayama, 2020 ;74:6 (495-503).
  • 25) Baldewsingh GK, Jubitana BC, Van Eer ED, Shankar A, Hindori-Mohangoo AD, Covert HH et al. Adequate antenatal care and ethnicity affect preterm birth in pregnant women living in the tropical rainforest of Suriname. BMC Pregnancy and Childbirth 2020; 20:683
  • 26) Nazim NH, Fan L. Does prenatal healthcare improve child birth weight outcomes in Azerbaijan? Results of the national demo- graphic and health survey. Econ Hum Biol. 2011 Jan;9(1):56–65.
There are 7 citations in total.

Details

Primary Language Turkish
Subjects Obstetrics and Gynaecology
Journal Section Research Articles
Authors

Çağanay Soysal 0000-0002-4381-6099

Publication Date December 31, 2021
Submission Date November 26, 2021
Acceptance Date December 20, 2021
Published in Issue Year 2021 Volume: 18 Issue: 4

Cite

Vancouver Soysal Ç. Antenatal Takip Sayısının Gebelik Sonuçlarına Etkisi. JGON. 2021;18(4):1089-94.