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Termdeki İkiz Gebeliklerde Sezaryen Doğumla İlişkili Risk Faktörlerinin Değerlendirilmesi

Evaluation of Risk Factors Associated with Cesarean Delivery in Twin Gestations At Term

Journal Name:

  • Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2000

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Objective: The aim of this study was to evaluate the risk factors for cesarean delivery in laboring twin gestations at term. Study Design: Data were collected prospectively on 102 women with twin gestations who underwent a trial of labor. Women who delivered by cesarean were compared with women who delivered vaginally. A multiple logistic regression model was used to determine the factors most strongly associated with cesarean delivery. Results: Among the 102 patients, 20 (19.6%) delivered by cesarean and 82 (80.4%) delivered vaginally. In an univariate analysis, women who delivered by cesarean were more likely to be nulliparous, have a less favorable cervix at both admission and epidural anesthesia, a higher mean oxytocin infusion rate for induction or augmentation of labor, and received magnesium for seizure prophylaxis. Multivariate analysis revealed that nulliparity and timing of epidural administrations were the factors most strongly associated with cesarean delivery. Conclusion: Our study confirms that nulliparous women are at increased risk of cesarean delivery of twin gestations. Additionaly, we found a strong and independent relationship between the use and timing of epidural anesthesia and subsequent cesarean delivery.
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Abstract (Original Language): 
Amağ: Çalışmanın amacı travayda bulunan termdeki ikiz gebeliklerde sezaryen doğuma İlişkin Risk Faktörlerini Değerlendirmekti. Gereç ve Yöntem: İkiz gebeliğe sahip travaydaki 102 kadına ait veriler prospektif olarak toplandı. Sezaryen ile doğufa yapan kadınlar vaginal doğum yapanlarla karşılaştırıldı. Sezaryen ile ilişkili en önemli faktörleri belirlemek amacıyla multipl lojistik regresyon analizi uygulandı. Bulgular: 102 hastanın 20'si (%19.6) sezaryenle, 82'si (%80.4) vaginal yoldan doğum yaptı. Univariat analize göre sezaryenle doğum yapanlar daha fazla oranda nullipariteye, girişte ve epidural anestezi sırasında doğum hazırlığı olmayan bir servikse, daha yüksek oksitosin infüzyon oranlarına sahiptiler ve konvülziyon profılafdşisi amacıyla magnezyum tedavisi almaktaydılar. Multivariat analizde nulliparite ve epidural anestezinin zamanlaması sezaryen doğumla ilişkili en önemli faktörler olarak bulundu. Sonüç: Çalışmamız, ikiz gebeliklerde nulliparların sezaryen açısından daha fazla bir riske sahip olduklarını ortaya koymaktadır. Ayrıca, epidural anestezi ve uygulama zamanı ile sezaryen doğumlar arasında anlamlı bir ilişki sdptadık.
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  • 1
41-45
  • Turkish

REFERENCES

References: 

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