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Sirotik Olmayan Portal Hipertansiyon ve Gebelik Sonuçları

Non-cirrhotic portal hypertension and pregnancy outcome

Journal Name:

  • Cerrahpaşa Tıp Dergisi

Publication Year:

  • 2009

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Objectives: The aim of the present study was to evaluate complications during pregnancy and pregnancy outcome in women with non-cirrhotic portal fibrosis and portal hypertension. Methods: Eight pregnancies with non-cirrhotic portal fibrosis and portal hypertension managed in our clinic between January 1998 – December 2008 were evaluated. Results: Mean maternal age and nulliparity rate were 27.5 ± 5.2 and 50 % respectively. In two patients (2/8, 25 %) variceal bleeding during pregnancy occured. Mean gestational week of delivery and birth weight were 35.3 ±3.3 and 2525 ± 846 gram respectively. The rates of fetal growth restriction and delivery before 34 weeks gestation were 25% and 12.5% respectively. There was no maternal mortality. Perinatal mortality rate was 12.5%. Conclusion: Pregnancies with non-cirrhotic portal fibrosis should be managed with a team approach. Our results indicate that these pregnancies managed properly have good pregnancy outcomes.
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Abstract (Original Language): 
Amaç: Sirotik olmayan portal fibrozis ve portal hipertansiyon olgular›nda gebelik komplikasyonları ve sonuçlarını irdelemek. Yöntem: Anabilim Dalında Ocak 1998 - Aralık 2008 tarihleri arasında sirotik olmayan portal fibrozis ve portal hipertansiyon tanısı olan ve doğumları kliniğimizde gerçekleşen 8 gebe retrospektif olarak irdelendi. Bulgular: Olgularının ortalama maternal yaşı 27.5 ± 5.2 ve nulliparite oranı %50 olarak saptandı. İki olguda (2/8, %25), ciddi komplikasyon olarak, gebelik sırasında özefagus varis kanaması oldu. Gebelerin ortalama doğum haftası 35.3 ±3.3 ve doğum kilosu 2525 ± 846 gram olarak belirlendi. Fetal gelişim kısıtlılığı ve 34 gebelik haftası öncesi doğum oranları sırasıyla % 25 ve %12.5 olarak saptandı. Grubumuzda maternal mortalite gözlenmezken, perinatal mortalite oranımız %12.5 (1/8) olarak belirlendi. Sonuç: Sirotik olmayan portal fibrozisli olguların gebelikleri uygun yaklaşım ve ekip anlayışı işinde takip edilmelidir. Bu yaklaşım ile gebelik sonuçları genel anlamda olumludur.
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  • 2
68-71
  • Turkish

REFERENCES

References: 

Kaynaklar
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