Yıl: 2015 Cilt: 21 Sayı: 1 Sayfa Aralığı: 10 - 13 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

An Obstetrics Index for the Assessment of Risk Levels of High Risk Pregnancy Groups

Öz:
AMAÇ: Farklı yüksek riskli gebelik gruplarının değerlendiril- mesinde Beksaç Obstetrik İndeksi (BOİ/BOİp) nin kullanılabi- lirliğinin değerlendirilmesi. GEREÇ VE YÖNTEM: Bu çalışma 3 grup hastadan oluştu. Grup 1 kontrol hastalarını (n=65), Grup 2 MTHFR enzimi için homozigot veya compound heterozigot mutasyonu olan hasta- ları (n=140), Grup 3 ise otoantikor pozitifliği olan (Anti-dsDNA, anti-fosfolipid Ig G/M, anti-kardiolipin Ig G/M, ASMA, APA, ENA, anti-mitokondrial antikor varlığı bulunan) ancak herhangi bir herediter trombofilisi bulunmayan hastaları (n=76) içermek- teydi. Bu çalışmada (Yaşayan çocuk sayısı+π/10)/Gravida ola- rak tanımlanan BOİ farklı yüksek riskli gebelik gruplarında olumsuz klinik durumları göstermek için kullanıldı. BULGULAR: Ortalama BOİp değerleri (±SD) kontrol grubunda 0,41±0,22, MTHFR polimorfizm grubunda 0,29±0,21 ve otoan- tikor grubunda 0,40±0,23 idi. İstatistiksel anlamlılık MTHFR po- limorfizmi grubu ile diğer gruplar arasındaki farktan kaynaklan- maktaydı (p=0,002). SONUÇ: Farklı yüksek riskli gebelik gruplarında risk düzeyinin değerlendirilmesinde kullanılabileceğini gösterdik.
Anahtar Kelime:

Konular: Hematoloji Hücre Biyolojisi

Yüksek Riskli Gebelik Gruplarının Değerlendirilmesi için Bir Obstetrik İndeks

Öz:
OBJECTIVE: To validate the usability of Beksaç Obstetrics Index (BOI/BOIp) in the evaluation of dif- ferent high risk pregnancy groups. STUDY DESIGN: This study is consisted of 3 groups of patients; 1) Pregnancies without MTHFR poly- morphisms (n=65), 2) Pregnancies with methylenetetrahydrofolate reductase (MTHFR; homozygous or compound heterozygous) polymorphisms (n=140), 3) Pregnancies with autoimmune antibody positiv- ity without any other type of hereditary thrombophilia (Anti-dsDNA, anti-phospholipid Ig G/M, anti-car- diolipin Ig G/M, ASMA, APA, ENA, anti-mitochondrial antibodies) (n=76). In this study, BOI which is (number of child +π/10)/Gravida is used in order to demonstrate the risk levels/scale of different high risk pregnancy groups. RESULTS: The mean BOIp (±SD) values are 0,41±0,22; 0,29±0,21; and 0,40±0,23 for Control, MTHFR and Autoimmune groups respectively. We have demonstrated statistically significantly decreased BOIp level in MTHFR group compared to the other groups (p:0,002). CONCLUSION: We have demonstrated that BOI/BOIp can be used in the assessment of risk levels of different high risk pregnancy groups. Keywords: Perinatal morbidity & mortality, High risk pregnancy, Beksac obstetrics index
Anahtar Kelime:

Konular: Hematoloji Hücre Biyolojisi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Conde-Agudelo A1, Belizán JM. Maternal morbidity and mortality associated with interpregnancy interval: cross sectional study. BMJ 2000 Nov 18;321(7271):1255-9. 2. Steinhardt A, Hinner P, Kühn T, Roehr CC, Rüdiger M, Reichert J. Influences of a dedicated parental training pro- gram on parent-child interaction in preterm infants. Early Hum Dev 2015 Feb 9;91(3):205-210. 3. Facco F, You W, Grobman W. Genetic thrombophilias and intrauterine growth restriction: A meta-analysis. Obstet Gynecol 2009;113:1206-1216. 4. Rudge MV, Lima SA, El Dib RP, Marini G, Magalhães C, Calderon Ide M. Effect of ambulatory versus hospital treatment for gestational diabetes or hyperglycemia on in- fant mortality rates: a systematic review. Sao Paulo Med J 2013;131(5):331-7. 5. Rush RW, Keirse MJ, Howat P, Baum JD, Anderson AB, Turnbull AC. Contribution of preterm delivery to perina- tal mortality. Br Med J 1976 Oct 23;2(6042):965-8. 6. Bramham K, Parnell B, Nelson-Piercy C, Seed PT, Poston L, Chappell LC. Chronic hypertension and pregnancy out- comes: systematic review and meta-analysis. BMJ 2014 Apr 15;348:g2301. 7. Luque-Fernandez MA, Ananth CV, Jaddoe VW, Gaillard R, Albert PS, Schomaker M, McElduff P, Enquobahrie DA, Gelaye B, Williams MA. Is the fetoplacental ratio a differential marker of fetal growth restriction in small for gestational age infants? Eur J Epidemiol 2015 Jan 29. 8. Nelen WL, Blom HJ, Steegers EA, den Heijer M, Eskes TK. Hyperhomocysteinemia and recurrent early preg- nancy loss: A meta-analysis. Fertil Steril 2000;74:1196-9 9. Nurk E, Tell GS, Refsum H, Ueland PM, Vollset SE: Associations between maternal methylenetetrahydrofolate reductase polymorphisms and adverse outcomes of preg- nancy: The hordaland homocysteine study. Am J Med 2004;117:26- 31. 10. Mecacci F1, Pieralli A, Bianchi B, Paidas MJ. The impact of autoimmune disorders and adverse pregnancy outcome. Semin Perinatol 2007;31(4):223-6.
APA BEKSAÇ M, Aydın E, TURĞAL M, KARAAGAOGLU E (2015). An Obstetrics Index for the Assessment of Risk Levels of High Risk Pregnancy Groups. , 10 - 13.
Chicago BEKSAÇ Mehmet Sinan,Aydın Emine,TURĞAL Mert,KARAAGAOGLU ERGUN An Obstetrics Index for the Assessment of Risk Levels of High Risk Pregnancy Groups. (2015): 10 - 13.
MLA BEKSAÇ Mehmet Sinan,Aydın Emine,TURĞAL Mert,KARAAGAOGLU ERGUN An Obstetrics Index for the Assessment of Risk Levels of High Risk Pregnancy Groups. , 2015, ss.10 - 13.
AMA BEKSAÇ M,Aydın E,TURĞAL M,KARAAGAOGLU E An Obstetrics Index for the Assessment of Risk Levels of High Risk Pregnancy Groups. . 2015; 10 - 13.
Vancouver BEKSAÇ M,Aydın E,TURĞAL M,KARAAGAOGLU E An Obstetrics Index for the Assessment of Risk Levels of High Risk Pregnancy Groups. . 2015; 10 - 13.
IEEE BEKSAÇ M,Aydın E,TURĞAL M,KARAAGAOGLU E "An Obstetrics Index for the Assessment of Risk Levels of High Risk Pregnancy Groups." , ss.10 - 13, 2015.
ISNAD BEKSAÇ, Mehmet Sinan vd. "An Obstetrics Index for the Assessment of Risk Levels of High Risk Pregnancy Groups". (2015), 10-13.
APA BEKSAÇ M, Aydın E, TURĞAL M, KARAAGAOGLU E (2015). An Obstetrics Index for the Assessment of Risk Levels of High Risk Pregnancy Groups. GORM:Gynecology Obstetrics & Reproductive Medicine, 21(1), 10 - 13.
Chicago BEKSAÇ Mehmet Sinan,Aydın Emine,TURĞAL Mert,KARAAGAOGLU ERGUN An Obstetrics Index for the Assessment of Risk Levels of High Risk Pregnancy Groups. GORM:Gynecology Obstetrics & Reproductive Medicine 21, no.1 (2015): 10 - 13.
MLA BEKSAÇ Mehmet Sinan,Aydın Emine,TURĞAL Mert,KARAAGAOGLU ERGUN An Obstetrics Index for the Assessment of Risk Levels of High Risk Pregnancy Groups. GORM:Gynecology Obstetrics & Reproductive Medicine, vol.21, no.1, 2015, ss.10 - 13.
AMA BEKSAÇ M,Aydın E,TURĞAL M,KARAAGAOGLU E An Obstetrics Index for the Assessment of Risk Levels of High Risk Pregnancy Groups. GORM:Gynecology Obstetrics & Reproductive Medicine. 2015; 21(1): 10 - 13.
Vancouver BEKSAÇ M,Aydın E,TURĞAL M,KARAAGAOGLU E An Obstetrics Index for the Assessment of Risk Levels of High Risk Pregnancy Groups. GORM:Gynecology Obstetrics & Reproductive Medicine. 2015; 21(1): 10 - 13.
IEEE BEKSAÇ M,Aydın E,TURĞAL M,KARAAGAOGLU E "An Obstetrics Index for the Assessment of Risk Levels of High Risk Pregnancy Groups." GORM:Gynecology Obstetrics & Reproductive Medicine, 21, ss.10 - 13, 2015.
ISNAD BEKSAÇ, Mehmet Sinan vd. "An Obstetrics Index for the Assessment of Risk Levels of High Risk Pregnancy Groups". GORM:Gynecology Obstetrics & Reproductive Medicine 21/1 (2015), 10-13.