Pınar TOKDEMİR ÇALIŞ
(Dr. Sami Ulus Kadın ve Çocuk Sağlığı Eğitim ve Araştırma Hastane, Kadın Hastalıkları ve Doğum Kliniği, Ankara, Türkiye)
İsmail Burak GÜLTEKİN
(Dr. Sami Ulus Kadın ve Çocuk Sağlığı Eğitim ve Araştırma Hastane, Kadın Hastalıkları ve Doğum Kliniği, Ankara, Türkiye)
Fatma Doğa ÖCAL
(Dr. Sami Ulus Kadın ve Çocuk Sağlığı Eğitim ve Araştırma Hastane, Kadın Hastalıkları ve Doğum Kliniği, Ankara, Türkiye)
Gürcan AKGÜL
(Dr. Sami Ulus Kadın ve Çocuk Sağlığı Eğitim ve Araştırma Hastane, Kadın Hastalıkları ve Doğum Kliniği, Ankara, Türkiye)
AFRA ALKAN
(Yıldırım Beyazıt Üniversitesi, Biyoistatistik Bölümü, Ankara, Türkiye)
Yıl: 2021Cilt: 27Sayı: 1ISSN: 1300-4751 / 2602-4918Sayfa Aralığı: 28 - 33İngilizce

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Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases
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.
DergiAraştırma MakalesiErişime Açık
  • 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.

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