Yıl: 2020 Cilt: 51 Sayı: 2 Sayfa Aralığı: 113 - 116 Metin Dili: İngilizce DOI: 10.16948/zktipb.683420 İndeks Tarihi: 20-05-2021

Does 75-g OGTT Influence Maternal and Fetal Doppler Parameters in Healthy Pregnancies? A Cross-Sectional Observational Study

Öz:
Objective: Oral glucose challenge test (OGTT) is widely usedaround the world screening for gestational diabetes mellitus(GDM). In our study, we aimed to evaluate the effect of 75 g OGTTon maternal and fetal Doppler parameters.Material and Methods: Measurements of umbilical artery PI, RI,S/D, middle cerebral artery (MCA) PSV, PI, RI and mean PI, RIS/D of uterine arteries assessed 1 hour before OGTT and 1 hourfollowing the test in 46 pregnancies between 24-28 weeks of gestation. The chi-square test was employed to compare variables.Statistical significance was established at p<0.05.Results: The mean age of pregnant women was 24.6±5.4, the meangravity status was 2.3±0.8, the mean BMI was 25.5±5.5 kg/m, andthe mean gestational age was 26.5±1.6 Mean umbilical arteryPI: 1.14±0.26, RI: 0.71±0.14, S/D ratio 2.24±0.73 calculated 1hour before test and mean PI: 1.04±0.43, RI: 0.58±0.21, S/D ratio 2.01±0.44 and there was no significance (p: 0.64, 0,56, 0.71).Mean MCA PSV: 30.4±11.3 cm/sn, PI:1.89±0.36, RI: 0.81±0.19measured 1 hour before test and 1 hour following test Mean MCAwere PSV: 38.4±13.2 cm/sn, PI: 2.11±0.24, RI: 0.68± 0.21 andthere was no difference (p: 0.83, 0.66, 0.82). Mean uterine arteries PI:1.13±0.21, RI: 0.69±0.11, S/D ratio 2.03±0.34 measuredbefore the test and mean PI:1.24±0.11, RI: 0.74±0.16, S/D ratio1.87±0.22 calculated after the test and these results were similar(p: 0.72, 0.79, 0.56).Conclusion: There was no significant effect on maternal and fetalDoppler parameters of 75 g OGTT among healthy pregnancies.
Anahtar Kelime:

75 gr Oral Glukoz Tolerans Testi Sağlıklı Gebelerde Maternal ve Fetal Doppler Parametrelerini Etkiler mi? Kesitsel-Gözlemsel Bir Çalışma

Öz:
Amaç: Oral glukoz tolerans testi (OGTT) gestasyonel diyabet (GDM) taramasında tüm dünyada yaygın olarak kullanılmaktadır. Bu çalışmada Van Bölge Eğitim ve Araştırma hastanesine başvuran ve 75 gr OGTT yapılan ve GDM saptanmayan gebelerde testin maternal ve fetal Doppler parametrelerine etkisini inceledik. Gereç ve Yöntemler: Kliniğimizde takip edilen, 24-28 gebelik haftaları arasında 75 gr OGTT uygulanan ve GDM saptanmayan 46 sağlıklı gebede OGTT’den 1 saat önce ve testin tamamlanmasından 1 saat sonra umblikal arter PI, RI, ve S/D, MCA PSV, PI, RI ve her iki uterin arterin ortalama PI, RI,S/D değerleri kaydedildi. Veriler SPSS-16 programı ve Mann Whitney-U testi kullanılarak analiz edildi ve p değeri<0.05 anlamlı kabul edildi. Bulgular: Olguların ortalama yaşı 24.6±5.4 yıl, ortalama gebelik sayısı 2.3±0.8, ortalama vücut kitle indeksi (VKİ) 25.5±5.1 kg/ m2 ve ortalama gebelik haftası 26.5±1.5 bulundu. Testten 1 saat önce ortalama umblikal arter PI: 1.14±0.26, RI: 0.71±0.14 ve S/D oranı 2.24±0.73 saptandı. Testin tamamlanmasından 1 saat sonra ise ortalama umblikal arter PI: 1.04±0.43, RI: 0.58±0.21 ve S/D oranı 2.01±0.44 saptandı ve bu fark istatistiksel anlamlı değildi (p:0.64, 0,56, 0.71). Testten 1 saat önce ortalama MCA PSV 30.4±11.3 cm/sn, ortalama PI: 1.89±0.36 ve RI: 0.81±0.19 saptandı. Testin tamamlanmasından 1 saat sonra ise ortalama MCA PSV 38.4±13.2 cm/sn, ortalama PI: 2.11±0.24 ve RI: 0.68± 0.21 saptandı ve bu fark istatistiksel anlamlı değildi (p:0.83, 0.66, 0.82). Test öncesi her iki uterin arter ortalama PI:1.13±0.21, RI: 0.69±0.11 ve S/D oranı 2.03±0.34 bulundu. Test sonrası ise her iki uterin arter ortalama PI:1.24±0.11, RI: 0.74±0.16 ve S/D oranı 1.87±0.22 saptandı ve bu fark anlamlı bulunmadı (p:0.72, 0.79, 0.56).
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA TÜRKYILMAZ G, ertürk e, TÜRKYILMAZ Ş, KARAASLAN O (2020). Does 75-g OGTT Influence Maternal and Fetal Doppler Parameters in Healthy Pregnancies? A Cross-Sectional Observational Study. , 113 - 116. 10.16948/zktipb.683420
Chicago TÜRKYILMAZ Gürcan,ertürk emircan,TÜRKYILMAZ Şebnem,KARAASLAN ONUR Does 75-g OGTT Influence Maternal and Fetal Doppler Parameters in Healthy Pregnancies? A Cross-Sectional Observational Study. (2020): 113 - 116. 10.16948/zktipb.683420
MLA TÜRKYILMAZ Gürcan,ertürk emircan,TÜRKYILMAZ Şebnem,KARAASLAN ONUR Does 75-g OGTT Influence Maternal and Fetal Doppler Parameters in Healthy Pregnancies? A Cross-Sectional Observational Study. , 2020, ss.113 - 116. 10.16948/zktipb.683420
AMA TÜRKYILMAZ G,ertürk e,TÜRKYILMAZ Ş,KARAASLAN O Does 75-g OGTT Influence Maternal and Fetal Doppler Parameters in Healthy Pregnancies? A Cross-Sectional Observational Study. . 2020; 113 - 116. 10.16948/zktipb.683420
Vancouver TÜRKYILMAZ G,ertürk e,TÜRKYILMAZ Ş,KARAASLAN O Does 75-g OGTT Influence Maternal and Fetal Doppler Parameters in Healthy Pregnancies? A Cross-Sectional Observational Study. . 2020; 113 - 116. 10.16948/zktipb.683420
IEEE TÜRKYILMAZ G,ertürk e,TÜRKYILMAZ Ş,KARAASLAN O "Does 75-g OGTT Influence Maternal and Fetal Doppler Parameters in Healthy Pregnancies? A Cross-Sectional Observational Study." , ss.113 - 116, 2020. 10.16948/zktipb.683420
ISNAD TÜRKYILMAZ, Gürcan vd. "Does 75-g OGTT Influence Maternal and Fetal Doppler Parameters in Healthy Pregnancies? A Cross-Sectional Observational Study". (2020), 113-116. https://doi.org/10.16948/zktipb.683420
APA TÜRKYILMAZ G, ertürk e, TÜRKYILMAZ Ş, KARAASLAN O (2020). Does 75-g OGTT Influence Maternal and Fetal Doppler Parameters in Healthy Pregnancies? A Cross-Sectional Observational Study. Zeynep Kamil Tıp Bülteni, 51(2), 113 - 116. 10.16948/zktipb.683420
Chicago TÜRKYILMAZ Gürcan,ertürk emircan,TÜRKYILMAZ Şebnem,KARAASLAN ONUR Does 75-g OGTT Influence Maternal and Fetal Doppler Parameters in Healthy Pregnancies? A Cross-Sectional Observational Study. Zeynep Kamil Tıp Bülteni 51, no.2 (2020): 113 - 116. 10.16948/zktipb.683420
MLA TÜRKYILMAZ Gürcan,ertürk emircan,TÜRKYILMAZ Şebnem,KARAASLAN ONUR Does 75-g OGTT Influence Maternal and Fetal Doppler Parameters in Healthy Pregnancies? A Cross-Sectional Observational Study. Zeynep Kamil Tıp Bülteni, vol.51, no.2, 2020, ss.113 - 116. 10.16948/zktipb.683420
AMA TÜRKYILMAZ G,ertürk e,TÜRKYILMAZ Ş,KARAASLAN O Does 75-g OGTT Influence Maternal and Fetal Doppler Parameters in Healthy Pregnancies? A Cross-Sectional Observational Study. Zeynep Kamil Tıp Bülteni. 2020; 51(2): 113 - 116. 10.16948/zktipb.683420
Vancouver TÜRKYILMAZ G,ertürk e,TÜRKYILMAZ Ş,KARAASLAN O Does 75-g OGTT Influence Maternal and Fetal Doppler Parameters in Healthy Pregnancies? A Cross-Sectional Observational Study. Zeynep Kamil Tıp Bülteni. 2020; 51(2): 113 - 116. 10.16948/zktipb.683420
IEEE TÜRKYILMAZ G,ertürk e,TÜRKYILMAZ Ş,KARAASLAN O "Does 75-g OGTT Influence Maternal and Fetal Doppler Parameters in Healthy Pregnancies? A Cross-Sectional Observational Study." Zeynep Kamil Tıp Bülteni, 51, ss.113 - 116, 2020. 10.16948/zktipb.683420
ISNAD TÜRKYILMAZ, Gürcan vd. "Does 75-g OGTT Influence Maternal and Fetal Doppler Parameters in Healthy Pregnancies? A Cross-Sectional Observational Study". Zeynep Kamil Tıp Bülteni 51/2 (2020), 113-116. https://doi.org/10.16948/zktipb.683420