PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE
Yıl: 2020 Cilt: 83 Sayı: 1 Sayfa Aralığı: 17 - 22 Metin Dili: İngilizce DOI: 10.26650/IUITFD.2019.0031 İndeks Tarihi: 27-04-2020
PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE
Öz: Objective: To evaluate the outcomes of pregnancies with maternalheart disease.Material and Method: The results of 115 patients in our clinicbetween 2013 and 2018 were retrospectively analyzed. The typeof heart disease and functional classification of the New YorkHeart Association were taken into consideration when evaluatingthe cases.Results: According to the New York Heart Association classification,the distribution of patients was 67.1% for stage I, 18.2%for stage II, and 14.7% for stage III–IV. There was no maternalor perinatal mortality. The incidence of rheumatic and congenitalheart diseases was 51.3% and 27.8%, respectively. Maternalmorbidity was observed in 18 cases (15.6%). Mean gestationalage and birth weight were significantly higher in the stage I–IIfunctional capacity group (p<0.001). Maternal morbidity and admissionrates to neonatal intensive care unit were significantlyhigher in the stage III–IV functional capacity group (p<0.001).There was no significant difference between stage I–II and stageIII–IV groups in terms of cesarean delivery rates and fetal growthrestriction (p>0.05).Conclusion: It is possible to obtain satisfactory results for bothmother and fetus in the majority of pregnant women with heartdisease when managed with a multidisciplinary approach.
Anahtar Kelime: MATERNAL KALP HASTALIĞI OLAN 115 GEBELİK OLGUSUNUN SONUÇLARI
Öz: Amaç: Maternal kalp hastalığı bulunan gebeliklerin sonuçlarını değerlendirmek. Gereç ve Yöntem: 2013-2018 yılları arasında bir kliniğimizdeki 115 maternal kalp hastalığı olan olgunun sonuçları retrospektif olarak incelenmiştir. Olgular değerlendirilirken kalp hastalıklarının türü ve New York Kalp Derneği’nin fonksiyonel sınıflaması göz önünde bulundurulmuştur. Bulgular: New York Kalp Derneği sınıflamasına göre hastaların dağılımı evre I için %67,1, evre II için %18,2, evre III–IV için ise %14,7 idi. Maternal ya da perinatal mortalite saptanmadı. Romatizmal ve konjenital kalp hastalıklarının görülme oranı sırasıyla %51,3 ve %27,8 olarak bulundu. Maternal morbidite 18 olguda (%15,6) gözlendi. Ortalama doğum haftası ve doğum kilosu evre I–II fonksiyonel kapasiteli grupta belirgin yüksekti (p<0,001). Maternal morbidite ve yenidoğan yoğun bakım ünitesine kabul oranları ise evre III–IV fonksiyonel kapasiteli grupta belirgin yüksekti (p<0,001). Evre I–II ve evre III–IV grupları arasında sezeryan ile doğum oranları ve fetal gelişim kısıtlılığı görülme sıklığı açısından anlamlı fark saptanmadı (p>0,05). Sonuç: Multidisipliner bir yaklaşımla yönetildiğinde kalp hastalığı bulunan gebelerin çoğunluğunda hem anne hem fetüs için memnun edici sonuçların alınması mümkündür.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Ozel A, HAMZAOĞLU K, Durmaz E, Madazli R (2020). PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE. , 17 - 22. 10.26650/IUITFD.2019.0031 |
| Chicago | Ozel Aysegul,HAMZAOĞLU Kübra,Durmaz Eser,Madazli Riza PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE. (2020): 17 - 22. 10.26650/IUITFD.2019.0031 |
| MLA | Ozel Aysegul,HAMZAOĞLU Kübra,Durmaz Eser,Madazli Riza PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE. , 2020, ss.17 - 22. 10.26650/IUITFD.2019.0031 |
| AMA | Ozel A,HAMZAOĞLU K,Durmaz E,Madazli R PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE. . 2020; 17 - 22. 10.26650/IUITFD.2019.0031 |
| Vancouver | Ozel A,HAMZAOĞLU K,Durmaz E,Madazli R PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE. . 2020; 17 - 22. 10.26650/IUITFD.2019.0031 |
| IEEE | Ozel A,HAMZAOĞLU K,Durmaz E,Madazli R "PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE." , ss.17 - 22, 2020. 10.26650/IUITFD.2019.0031 |
| ISNAD | Ozel, Aysegul vd. "PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE". (2020), 17-22. https://doi.org/10.26650/IUITFD.2019.0031 |
| APA | Ozel A, HAMZAOĞLU K, Durmaz E, Madazli R (2020). PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE. İstanbul Tıp Fakültesi Dergisi, 83(1), 17 - 22. 10.26650/IUITFD.2019.0031 |
| Chicago | Ozel Aysegul,HAMZAOĞLU Kübra,Durmaz Eser,Madazli Riza PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE. İstanbul Tıp Fakültesi Dergisi 83, no.1 (2020): 17 - 22. 10.26650/IUITFD.2019.0031 |
| MLA | Ozel Aysegul,HAMZAOĞLU Kübra,Durmaz Eser,Madazli Riza PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE. İstanbul Tıp Fakültesi Dergisi, vol.83, no.1, 2020, ss.17 - 22. 10.26650/IUITFD.2019.0031 |
| AMA | Ozel A,HAMZAOĞLU K,Durmaz E,Madazli R PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE. İstanbul Tıp Fakültesi Dergisi. 2020; 83(1): 17 - 22. 10.26650/IUITFD.2019.0031 |
| Vancouver | Ozel A,HAMZAOĞLU K,Durmaz E,Madazli R PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE. İstanbul Tıp Fakültesi Dergisi. 2020; 83(1): 17 - 22. 10.26650/IUITFD.2019.0031 |
| IEEE | Ozel A,HAMZAOĞLU K,Durmaz E,Madazli R "PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE." İstanbul Tıp Fakültesi Dergisi, 83, ss.17 - 22, 2020. 10.26650/IUITFD.2019.0031 |
| ISNAD | Ozel, Aysegul vd. "PREGNANCY OUTCOMES OF 115 CASES WITH MATERNAL HEART DISEASE". İstanbul Tıp Fakültesi Dergisi 83/1 (2020), 17-22. https://doi.org/10.26650/IUITFD.2019.0031 |
