Yıl: 2021 Cilt: 27 Sayı: 1 Sayfa Aralığı: 28 - 33 Metin Dili: İngilizce DOI: 10.21613/GORM.2019.985 İndeks Tarihi: 20-06-2021

Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases

Öz:
OBJECTIVE: To analyze whether the time the patients entering into prenatal care affects the route ofdelivery, maternal, and fetal outcomes.STUDY DESIGN: The electronic medical files of 17,035 women who delivered at the same hospital between January 2008 and December 2014, were retrospectively reviewed. Pregnant women were distributed into one of 5 groups (No-prenatal-visit group, Only-pregestational-visit group, First-visit-prior-to24-weeks-follow-up group, Early-third-trimester-follow-up group, Late-third-trimester-follow-up group)according to the time of their first pregnancy follow-up visit. The route of delivery, maternal anemia, andfetal outcomes were compared among the groups.RESULTS: Pregnant women in the no-prenatal-visit group were younger and showed higher rates ofvaginal delivery (56%), term deliveries (90.7%), and postpartum anemia. Those in the first-visit-prior-to24-weeks group were older and showed higher rates of both primary and secondary cesarean (58%),and higher rates of term deliveries (93.6%) and lower postpartum anemia. Both the primary and secondary cesarean rates were higher in groups with frequent and early follow-up visits than in a no-prenatal-visit group and late-third-trimester-follow-up group (p<0.001).CONCLUSION: The rates of cesarean deliveries were found to be increased prominently in pregnantwomen who began antenatal care early in pregnancy with frequent follow-ups.
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  • 1. Salam RA. Lassi ZS. Das JK. Bhutta ZA. Evidence from district level inputs to improve quality of care for maternal and newborn health: interventions and findings. Reprod Health. 2014;11(Suppl 2): S3.
  • 2. American Academy of Pediatrics and American College of Obstetricians and Gynecologists. Guidelines for Perinatal Care, 5th ed. Elk Grove Village (IL): AAP; Washington, DC: American College of Obstetricians and Gynecologists 2002.
  • 3. U.S. Preventive Services Task Force Guides to Clinical Preventive Services, 2nd ed. Baltimore: Williams & Wilkins 1996.
  • 4. Ryding EL. Lukasse M. Parys AS. Wangel AM. Karro H. Kristjansdottir H. et al. Fear of childbirth and risk of cesarean delivery: a cohort study in six European countries. Birth. 2015;42(1):48-55. doi: 10.1111/birt.12147.
  • 5. WHO. 2006. Pregnancy, Childbirth, Postpartum and Newborn Care: A guide for essential care. Geneva, WHO. (http://whqlibdoc.who.int/publications/2006/924159084X _eng.pdf).
  • 6. USAID/Population Council. 2006. Acceptability and Sustainability of the WHO Focused Antenatal Care package in Kenya. Washington DC, USAID.(http://www.popcouncil.org/pdfs/frontiers/FR_FinalReports/Kenya_ANC. pdf)
  • 7. USAID/Core Group. 2004. Maternal and Newborn Standards and Indicators Compendium. Washington DC, USAID/CORE Group. (http://www.coregroup.org/storage/documents/Workingpapers/safe_motherhood_checklists-1.pdf)
  • 8. USAID. 2009. Child Survival and Health Grants Program (CSHGP), Technical Reference Materials: Maternal and Newborn Care. Washington DC, USAID (http://www. usaid.gov/our_work/global_health/home/Funding/cs_gra nts/cs_index.html)
  • 9. Mailman School of Public Health. 2007. Package of Care to be provided according to type of Health facility. New York City, Columbia University/Mailman SPH Website. (http://cumc.columbia.edu/dept/icap/resources/pmtct/PM TCTpackagecare092507.pdf)
  • 10. Halfdansdottir B. Smarason AK. Olafsdottir OA. Hildingsson I. Sveinsdottir H. Outcome of planned home and hospital births among low-risk women in Iceland in 2005-2009: a retrospective cohort study. Birth. 2015; 42(1):16-26. doi: 10.1111/birt.12150.
  • 11. Tugut N. Tirkes D. Demirel G. Preparedness of pregnant women for childbirth and the postpartum period: their knowledge and fear. J Obstet Gynaecol. 2015; 35(4):336-40. doi: 10.3109/01443615.2014.960375.
APA Calis P, Gultekin I, öcal f, Akgul G, Alkan A (2021). Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases. , 28 - 33. 10.21613/GORM.2019.985
Chicago Calis Pinar,Gultekin Ismail Burak,öcal fatma doğa,Akgul Gurcan,Alkan Afra Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases. (2021): 28 - 33. 10.21613/GORM.2019.985
MLA Calis Pinar,Gultekin Ismail Burak,öcal fatma doğa,Akgul Gurcan,Alkan Afra Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases. , 2021, ss.28 - 33. 10.21613/GORM.2019.985
AMA Calis P,Gultekin I,öcal f,Akgul G,Alkan A Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases. . 2021; 28 - 33. 10.21613/GORM.2019.985
Vancouver Calis P,Gultekin I,öcal f,Akgul G,Alkan A Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases. . 2021; 28 - 33. 10.21613/GORM.2019.985
IEEE Calis P,Gultekin I,öcal f,Akgul G,Alkan A "Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases." , ss.28 - 33, 2021. 10.21613/GORM.2019.985
ISNAD Calis, Pinar vd. "Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases". (2021), 28-33. https://doi.org/10.21613/GORM.2019.985
APA Calis P, Gultekin I, öcal f, Akgul G, Alkan A (2021). Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases. GORM:Gynecology Obstetrics & Reproductive Medicine, 27(1), 28 - 33. 10.21613/GORM.2019.985
Chicago Calis Pinar,Gultekin Ismail Burak,öcal fatma doğa,Akgul Gurcan,Alkan Afra Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases. GORM:Gynecology Obstetrics & Reproductive Medicine 27, no.1 (2021): 28 - 33. 10.21613/GORM.2019.985
MLA Calis Pinar,Gultekin Ismail Burak,öcal fatma doğa,Akgul Gurcan,Alkan Afra Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases. GORM:Gynecology Obstetrics & Reproductive Medicine, vol.27, no.1, 2021, ss.28 - 33. 10.21613/GORM.2019.985
AMA Calis P,Gultekin I,öcal f,Akgul G,Alkan A Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases. GORM:Gynecology Obstetrics & Reproductive Medicine. 2021; 27(1): 28 - 33. 10.21613/GORM.2019.985
Vancouver Calis P,Gultekin I,öcal f,Akgul G,Alkan A Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases. GORM:Gynecology Obstetrics & Reproductive Medicine. 2021; 27(1): 28 - 33. 10.21613/GORM.2019.985
IEEE Calis P,Gultekin I,öcal f,Akgul G,Alkan A "Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases." GORM:Gynecology Obstetrics & Reproductive Medicine, 27, ss.28 - 33, 2021. 10.21613/GORM.2019.985
ISNAD Calis, Pinar vd. "Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases". GORM:Gynecology Obstetrics & Reproductive Medicine 27/1 (2021), 28-33. https://doi.org/10.21613/GORM.2019.985