The effects of a history of seizures during pregnancy on umbilical arterial blood gas values in pregnant women with epilepsy

SELİMOVA, Vefa; ARPACI, Ertuğrul; Aslıhan KURT, Funda; özdemir, özhan; Sarı, Mustafa Erkan; ATALAY, Cemal

The effects of a history of seizures during pregnancy on umbilical arterial blood gas values in pregnant women with epilepsy

Özhan ÖZDEMİR, (Ankara Numune Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Ankara, Türkiye)

Mustafa Erkan SARI, (Ankara Numune Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Ankara, Türkiye)

ERTUĞRUL ARPACI, (Ankara Numune Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Ankara, Türkiye)

Funda Aslıhan KURT, (Ankara Numune Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Ankara, Türkiye)

Vefa SELİMOVA, (Ankara Numune Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Ankara, Türkiye)

Cemal Reşat ATALAY (Ankara Numune Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Ankara, Türkiye)

Journal of the Turkish-German Gynecological Association

3 0

Yıl: 2014 Cilt: 15 Sayı: 3 Sayfa Aralığı: 135 - 139 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

The effects of a history of seizures during pregnancy on umbilical arterial blood gas values in pregnant women with epilepsy

Öz:

Objective: The objective of this study is to investigate if the number of seizures that occur during pregnancy has any effect on umbilical arterial blood gas values at delivery. Material and Methods: In total, 55 women who were 37 to 41 weeks pregnant and diagnosed with generalized tonic-clonic epilepsy and 50 pregnant women with similar characteristics but not diagnosed as epileptic were included in this study. The patients diagnosed with epilepsy were divided into two groups: 27 patients with a history of at least 5 epileptic seizures during pregnancy and 28 who had no seizures during pregnancy. All patients diagnosed with epilepsy had a history of caesarean delivery or a caesarean section under general anesthesia on the advice of neurology. Pregnant women in the control group were also chosen from among patients who had a caesarean on account of a previ- ous caesarean delivery. In the cases included in the study, umbilical arterial blood gas sampling was performed immediately after delivery. Results: When the control group without epilepsy was compared with pregnant women who had no history of epileptic seizures during preg- nancy, no difference was found in umbilical arterial blood gas values (p>0.05). When patients with a history of 5 or more epileptic seizures during pregnancy were compared with the control group without epilepsy and the patients with epilepsy who had no history of seizures during pregnancy, there was no statistically significant difference (p>0.05), although their umbilical arterial blood pH values were found to be lower, while partial carbon dioxide pressure (pCO2), values were higher and partial oxygen pressure (pO2) values were lower. Conclusion: Taking potential fetal risks into consideration, maternal generalized tonic-clonic epileptic seizures might be worrying. Tonic-clonic seizures that occur during pregnancy appear to be associated with temporary hypoxia. Therefore, monotherapy for seizures and treatment at the lowest effective dose should be administered to women with epilepsy in the preconception and prenatal term.

Anahtar Kelime:

Konular: Kadın Hastalıkları ve Doğum

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	özdemir ö, Sarı M, ARPACI E, Aslıhan KURT F, SELİMOVA V, ATALAY C (2014). The effects of a history of seizures during pregnancy on umbilical arterial blood gas values in pregnant women with epilepsy. , 135 - 139.
Chicago	özdemir özhan,Sarı Mustafa Erkan,ARPACI Ertuğrul,Aslıhan KURT Funda,SELİMOVA Vefa,ATALAY Cemal The effects of a history of seizures during pregnancy on umbilical arterial blood gas values in pregnant women with epilepsy. (2014): 135 - 139.
MLA	özdemir özhan,Sarı Mustafa Erkan,ARPACI Ertuğrul,Aslıhan KURT Funda,SELİMOVA Vefa,ATALAY Cemal The effects of a history of seizures during pregnancy on umbilical arterial blood gas values in pregnant women with epilepsy. , 2014, ss.135 - 139.
AMA	özdemir ö,Sarı M,ARPACI E,Aslıhan KURT F,SELİMOVA V,ATALAY C The effects of a history of seizures during pregnancy on umbilical arterial blood gas values in pregnant women with epilepsy. . 2014; 135 - 139.
Vancouver	özdemir ö,Sarı M,ARPACI E,Aslıhan KURT F,SELİMOVA V,ATALAY C The effects of a history of seizures during pregnancy on umbilical arterial blood gas values in pregnant women with epilepsy. . 2014; 135 - 139.
IEEE	özdemir ö,Sarı M,ARPACI E,Aslıhan KURT F,SELİMOVA V,ATALAY C "The effects of a history of seizures during pregnancy on umbilical arterial blood gas values in pregnant women with epilepsy." , ss.135 - 139, 2014.
ISNAD	özdemir, özhan vd. "The effects of a history of seizures during pregnancy on umbilical arterial blood gas values in pregnant women with epilepsy". (2014), 135-139.

APA	özdemir ö, Sarı M, ARPACI E, Aslıhan KURT F, SELİMOVA V, ATALAY C (2014). The effects of a history of seizures during pregnancy on umbilical arterial blood gas values in pregnant women with epilepsy. Journal of the Turkish-German Gynecological Association, 15(3), 135 - 139.
Chicago	özdemir özhan,Sarı Mustafa Erkan,ARPACI Ertuğrul,Aslıhan KURT Funda,SELİMOVA Vefa,ATALAY Cemal The effects of a history of seizures during pregnancy on umbilical arterial blood gas values in pregnant women with epilepsy. Journal of the Turkish-German Gynecological Association 15, no.3 (2014): 135 - 139.
MLA	özdemir özhan,Sarı Mustafa Erkan,ARPACI Ertuğrul,Aslıhan KURT Funda,SELİMOVA Vefa,ATALAY Cemal The effects of a history of seizures during pregnancy on umbilical arterial blood gas values in pregnant women with epilepsy. Journal of the Turkish-German Gynecological Association, vol.15, no.3, 2014, ss.135 - 139.
AMA	özdemir ö,Sarı M,ARPACI E,Aslıhan KURT F,SELİMOVA V,ATALAY C The effects of a history of seizures during pregnancy on umbilical arterial blood gas values in pregnant women with epilepsy. Journal of the Turkish-German Gynecological Association. 2014; 15(3): 135 - 139.
Vancouver	özdemir ö,Sarı M,ARPACI E,Aslıhan KURT F,SELİMOVA V,ATALAY C The effects of a history of seizures during pregnancy on umbilical arterial blood gas values in pregnant women with epilepsy. Journal of the Turkish-German Gynecological Association. 2014; 15(3): 135 - 139.
IEEE	özdemir ö,Sarı M,ARPACI E,Aslıhan KURT F,SELİMOVA V,ATALAY C "The effects of a history of seizures during pregnancy on umbilical arterial blood gas values in pregnant women with epilepsy." Journal of the Turkish-German Gynecological Association, 15, ss.135 - 139, 2014.
ISNAD	özdemir, özhan vd. "The effects of a history of seizures during pregnancy on umbilical arterial blood gas values in pregnant women with epilepsy". Journal of the Turkish-German Gynecological Association 15/3 (2014), 135-139.