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Kliniğimizdeki Preeklamptik gebeliklerin değerlendirmesi

The evaluation of Preeclamptic Pregnancies in our clinic

Journal Name:

  • Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2003

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Objective:The evaluation of the results of preeclamptic pregnancies in our clinic. Materials and methods: In this study, in the 215 cases who were diagnosed preeclampsia between the years 1997 and 2001, clinic features, complications and results of it has examined as retrospectively. Results:The average of age was 29.2 6.5 (16-49) and the average of the gestational week of the patients who admited to our clinic with the diagnosis of preeclampsia were 34.5 4.2 (25-40). 108 of the cases were nullipar, 143 cases were multipar. In 143 cases, there occured light preeclampsia (%57), severe preeclampsia (%39.4) in 99 cases, and eclampsia (% 3.4) in 9 cases. Only in 11 cases had a past history of chronic hipertension (%4.3). The averages sistolic blood pressure was 149.5 14.4 mmHg, and the diastolic blood pressure was 99.3 9.8 mmHg. Hellp Syndrome (%14.34) in 36 cases, decolman placenta (%8.8) in 22 cases, acute renal failure (%5.1) in 13 cases, and stilbirth fetus ( % 10.4) in 26 cases, were detected. Conclusions:It is necessary that preeclamptic pregnancies should be controlled closely and the pregnancy be terminated in a suitable time because of the fetal and maternal complications of preeclamptic pregnancies.
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Abstract (Original Language): 
Amaç: Kliniğimizdeki preeklamptik gebeliklerin sonuçlarının değerlendirilmesi Materyal ve Metod: Bu çalışmada 1997-2001 yılları arasında kliniğimizde preeklampsi tanısıyla izlenen 251 hastanın klinik özellikleri, gelişen komplikasyonlar ve sonuçları retrospektif olarak incelendi. Bulgular: Hastaların yaş ortalaması 29.2 6.5 (16-49) yıl olup, preeklampsi tanısı ile kliniğimize müracaat eden gebelerin ortalama gebelik haftası 34.5 4.2 (25-40) idi. Olguların 108'i (%43) nullipar iken, 143'ü (%57) multi-par idi. 143 vakada hafif preeklampsi (%57), 99 vakada ağır preeklampsi (%39.4), 9 vakada ise eklampsi (%3.4) mevcuttu. Sadece 11 olguda (%4.3) kronik hipertansiyon öyküsü vardı. Hastaların ortalama sistolik kan basıncı 149.5 14.4 mmHg., Diastolik kan basıncı ise 99.3 9.8 mmHg. idi. 36 olguda ( % 14.34 ) Hellp sendromu, 22 olguda dekolman plasenta ( % 8.8), 13 vakada ise ( % 5.1) akut böbrek yetmezliği gelişti. 26 olguda ( % 10.4) intrauterin ölü fetüs mevcuttu. Sonuç: Preeklamptik gebeliklerin fetal ve maternal komplikasyonları nedeniyle, preeklamptik gebeliklerin çok yakın takibi ve en uygun zamanda gebeliğin sonlandırılması gerekmektedir.
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REFERENCES

References: 

1. Reddy U, Witter F: Hypertensive disorders of pregnancy. In: Nicholas C, Lambrou AN, Morse EW. The Johns
Hopkins manual of Gynecology and Obstetrics. Lippincott Williams&Wilkins, 1999.
2. Mobie WC, Sibai BM: Hypertensive states of pregnan¬cy. In: Pernoll MI. Current Obstetric-Gynecologic Diagnosis-Treatment (Seventh Ed.), new Jersey, Apleton-Lange: 373-87,1991.
3. Norwitz ER, Chaur D, Repke JJ: Acute complications of preeclampsia. Clin Obstet Gynecol 45(2):720-725, 2002.
4. Sibai BM: The HELLP syndrome. Am J Obstet Gynecol 162:311-6, 1990.
5. Stone JH: HELLP syndrome:Hemolysis elevated liver enzymes and low platelets. Jama 280(6):559-62, 1998.
6. Vigil-De Gracia P. Pregnancy complicated by pre-eclampsia-eclampsia with HELLP syndrome. Int J Gynaecol Obstet 72(1):17-23, 2001.
7. Murphy DJ, Stirrat GM. Mortality and morbidity associated with early-onset preeclampsia. Hypertens Pregnancy 19(2).221-31, 2000.
8. Selçuk NY, Odabaş AR, Çetinkaya R, Tonbul Z, San A: Outcome of pregnancies with HELLP syndrome compli¬cated by acute renal failure (1989-1999). Renal Failure 22(3):319-27, 2000.
9. Drakeley AJ, Le Roux PA, Anthony J, Penny J. Acute renal failure complicating severe preeclampsia requiring admission to an obstetric intensive care unit. Am J Obstet
Gynecol 186(2):253-6, 2002.

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