Yıl: 2011 Cilt: 12 Sayı: 4 Sayfa Aralığı: 199 - 203 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

A retrospective analysis of acute poisoning during pregnancy

Öz:
Amaç: Zehirlenme nedeniyle acil servise kabul edilen gebe kadınları araştırmak ve analiz etmektir. Gereç ve Yöntemler: 01.01.2006 ve 01.01.2010 tarihleri arasında acil servise zehirlenme ile başvuran tüm gebe olgular bilgisayar kayıtları ve acil kayıt defteri kullanılarak geriye dönük toplandı; yaş, gravida, gebelik haftası, zehirlenme etkeni, zehirlenmenin özkıyım veya kazara oluşu, başvuru süresi, uygulanan tedaviler ve mortalite sonuçları analiz edildi. Bulgular: Acil servise akut zehirlenme ile başvuran 88 gebe olgunun %77’si özkıyım amaçlı, %23’ü kazara oluşan zehirlenmeler idi. Olguların %74’ü 21-34 yaş grubundaydı. Kazara olan zehirlenmeler karbon monoksit, besin ve temizlik ürünlerine bağlıydı. Özkıyım amaçlı zehirlenmelerin %75.4’ünde etken medikal ilaçlar olup sırasıyla %53 analjezikler, %31 çoklu ilaçlar ve %16 oranında da psikiyatrik ilaçlar saptandı. Gebelik haftasına göre, özkıyım amaçlı zehirlenmelerin %47.4’ü 1. trimesterda olup gebelik haftası ile özkıyım girişimi arasındaki ilişki istatistiksel olarak anlamlı bulundu (p<0.015). Ancak, gravida ile özkıyıma teşebbüs etme arasındaki ilişki istatistiksel olarak anlamlı bulunmadı (p=0.214). Olguların tamamının takip ve tedavisi acil serviste yapıldı, çalışmada ölüm vakasına rastlanmadı. Sonuç: Gebelikteki akut zehirlenme vakalarının çoğu özkıyım amaçlıdır. Gebeler özkıyıma en fazla gebeliğin ilk üç ayında teşebbüs etmektedir. İntihar amacıyla en sık kullanılan madde ise tıbbi ilaçlardır.
Anahtar Kelime:

Konular: Kadın Hastalıkları ve Doğum

Gebelikteki akut zehirlenmelerin geriye dönük incelenmesi

Öz:
Objective: The aim of this study is to investigate and analyse pregnant women who were admitted to our emergency service due to acute poisoning. Material and Methods: All cases were retrospectively collected from our computer records and emergency record book between 01.01.2006 and 01.01.2010; the registration data on age, gravidity, gestational week, whether the poisoning was deliberate or accidental, causative agent, admission time, treatment results and mortality outcome were collected and analyzed. Results: Eighty eight women admitted with acute poisoning were known to be pregnant and the poisoning was accidental in 23% of the cases, while 77% were suicidal intoxications. 74% of patients were in the 21-34 age group. Accidental intoxications were due to carbon monoxide, foods and cleaning products. 75.4% of the suicidal poisonings were caused by medical drugs, with analgesics, multiple drugs and psychiatric drugs being the top culprits and accounted for 53%, 31% and 16% of drug poisonings respectively. In terms of gestational week, 47.4% of suicidal poisonings were within the first trimester and the relationship between suicidal attempt and gestational week was found to be statistically significant (p<0.015). However, the relationship between gravidity and the rate of suicidal attempts was not statistically significant (p=0.214). All patients were followed up and treated in the emergency service and no mortality was observed in the study. Conclusion: Most cases of acute poisonings during pregnancy were suicidal. Pregnant women attempted suicide mostly within the first trimester of gestation. The most common agents used for suicidal attempt were medical drugs.
Anahtar Kelime:

Konular: Kadın Hastalıkları ve Doğum
Belge Türü: Makale Makale Türü: Diğer Erişim Türü: Erişime Açık
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APA Karadaş Bilvanisi S, GULER A, Aydın İ (2011). A retrospective analysis of acute poisoning during pregnancy. , 199 - 203.
Chicago Karadaş Bilvanisi Sevdegül,GULER AYSE,Aydın İrfan A retrospective analysis of acute poisoning during pregnancy. (2011): 199 - 203.
MLA Karadaş Bilvanisi Sevdegül,GULER AYSE,Aydın İrfan A retrospective analysis of acute poisoning during pregnancy. , 2011, ss.199 - 203.
AMA Karadaş Bilvanisi S,GULER A,Aydın İ A retrospective analysis of acute poisoning during pregnancy. . 2011; 199 - 203.
Vancouver Karadaş Bilvanisi S,GULER A,Aydın İ A retrospective analysis of acute poisoning during pregnancy. . 2011; 199 - 203.
IEEE Karadaş Bilvanisi S,GULER A,Aydın İ "A retrospective analysis of acute poisoning during pregnancy." , ss.199 - 203, 2011.
ISNAD Karadaş Bilvanisi, Sevdegül vd. "A retrospective analysis of acute poisoning during pregnancy". (2011), 199-203.
APA Karadaş Bilvanisi S, GULER A, Aydın İ (2011). A retrospective analysis of acute poisoning during pregnancy. Journal of the Turkish-German Gynecological Association, 12(4), 199 - 203.
Chicago Karadaş Bilvanisi Sevdegül,GULER AYSE,Aydın İrfan A retrospective analysis of acute poisoning during pregnancy. Journal of the Turkish-German Gynecological Association 12, no.4 (2011): 199 - 203.
MLA Karadaş Bilvanisi Sevdegül,GULER AYSE,Aydın İrfan A retrospective analysis of acute poisoning during pregnancy. Journal of the Turkish-German Gynecological Association, vol.12, no.4, 2011, ss.199 - 203.
AMA Karadaş Bilvanisi S,GULER A,Aydın İ A retrospective analysis of acute poisoning during pregnancy. Journal of the Turkish-German Gynecological Association. 2011; 12(4): 199 - 203.
Vancouver Karadaş Bilvanisi S,GULER A,Aydın İ A retrospective analysis of acute poisoning during pregnancy. Journal of the Turkish-German Gynecological Association. 2011; 12(4): 199 - 203.
IEEE Karadaş Bilvanisi S,GULER A,Aydın İ "A retrospective analysis of acute poisoning during pregnancy." Journal of the Turkish-German Gynecological Association, 12, ss.199 - 203, 2011.
ISNAD Karadaş Bilvanisi, Sevdegül vd. "A retrospective analysis of acute poisoning during pregnancy". Journal of the Turkish-German Gynecological Association 12/4 (2011), 199-203.