Yapay Zeka Hızlı Bakış & Çıkarımlar
AI InsightSince at least one risk factor is present in cases, it is important to manage them to prevent complications.
📌 3 Maddede Bu Makale
Özet
Introduction: This study aimed to evaluate risk factors and pregnancy outcomes of abruption cases. Methods: A total of 91 abruption cases between January 2016 and April 2018 were included in this study. Demographic findings, gestational age, sonographic and clinical findings, predisposing factors, laboratory parameters, birth weight, gender, Apgar scores, neonatal intensive care unit admission, and maternal complications were recorded. Results: The prevalence was 0.43%; and 65.9% were multiparous. Preterm birth was present in 70.3% of cases, hypertension in 40.7%, intrauterine growth restriction in 15.4%, polyhydramnios in 5.5%, cigarette in 17.6%, premature membrane rupture/ preterm delivery in 18.7%, non-vertex presentation in 12.1%, and trauma in 1.1%. The ratio of maternal death was 1.1%, of transfusion 46.2%, of pulmonary edema 1.1%, of acute renal failure 9.9%, of hypovolemic shock 15.4%, and of disseminated intravascular coagulation 13.2%. The mean gestational week was 33.9±4.32, and the mean birth weight was 2337.53±943.78 g. Neonates were generally male. The Apgar score was ≤7 in 37.4% in first and 29.7% at fifth minutes; and first-minute Apgar score was 0 in 18.7%. The neonatal intensive care unit admission rate was 29.7%. Discussion and Conclusion: Early diagnosis is crucial for abruption that is related with maternal and fetal mortality. It must be considered when pain and vaginal bleeding is present in third trimester and even sonography is normal. Since at least one risk factor is present in cases, it is important to manage them to prevent complications.