Gebelik kayıpları ve preterm doğumun önlenmesinde acil serklajın etkinliği

The efficiency of emergency cerclage for the prevention of pregnancy losses and preterm labor

Özet

Amaç: Klini¤imizde yap›lan acil serklaj olgular›n›n gebelik sonuçlar›n› de¤erlendirmek. Yöntem: 2005–2017 y›llar› aras›nda Memorial fiiflli Hastanesinde acil serklaj yap›lan olgular retrospektif olarak de¤erlendirildi. Olgulardan, a¤r›s› ve uterin kontraksiyonu olmayan, servikal aç›kl›¤› ve amniyotik membran› görünen veya vajene prolabe olan tekil gebelikler çal›flmaya dahil edildi. Servikal aç›kl›¤› olmayan olgular, ço¤ul gebelikler, klinik olarak koryoamnionit, preterm erken membran rüptürü, vajinal kanama ve plasenta dekolman› olan olgular ve yine kronik hastal›¤› olan gebeler çal›flma d›fl› b›rak›ld›. Olgular›n klinik özellikleri ve gebelik sonuçlar› analiz edildi. Bulgular: Çal›flmam›za 28 olgu dahil edildi. Serklaj iflleminin yap›ld›¤› ortalama gebelik haftas› 20.9±3.2, do¤um haftas› 32.4±5.5 ve serklaj ile do¤um aras›ndaki ortalama süre 81.1±42.5 gün (11.6±6.08 hafta) olarak bulundu. ‹ki olguda (%7.1) geç gebelik kayb› saptand›. Preterm (

Abstract

Objective: To analyze the gestational outcomes of the cases who underwent emergency cerclage in our clinic. Methods: The cases which underwent emergency cerclage in Memorial fiiflli Hospital between 2005 and 2017 were analyzed retrospectively. Of the cases with singleton pregnancy, those without pain and uterine contraction, those with visible cervical dilatation and amniotic membrane or those with prolapsed to vagina were included in the study. The cases without cervical dilation, multiple pregnancies, the cases which clinically have chorioamnionitis, preterm premature rupture of membrane, vaginal bleeding and ablatio placentae and the pregnant women with a chronic disease were excluded from the study. The clinical characteristics and gestational outcomes of the cases were analyzed. Results: We included a total of 28 cases in our study. Mean week of gestation was 20.9±3.2 during the cerclage procedure, delivery week was 32.4±5.5, and mean period between cerclage and delivery was 81.1±42.5 days (11.6±6.08 weeks). Late pregnancy loss was seen in two (7.1%) cases. The rates of preterm labor (