Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases

Yıl: 2021 Cilt: 27 Sayı: 1 Sayfa Aralığı: 28 - 33 Metin Dili: İngilizce DOI: 10.21613/GORM.2019.985
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Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases

Öz:
OBJECTIVE: To analyze whether the time the patients entering into prenatal care affects the route ofdelivery, maternal, and fetal outcomes.STUDY DESIGN: The electronic medical files of 17,035 women who delivered at the same hospital between January 2008 and December 2014, were retrospectively reviewed. Pregnant women were distributed into one of 5 groups (No-prenatal-visit group, Only-pregestational-visit group, First-visit-prior-to24-weeks-follow-up group, Early-third-trimester-follow-up group, Late-third-trimester-follow-up group)according to the time of their first pregnancy follow-up visit. The route of delivery, maternal anemia, andfetal outcomes were compared among the groups.RESULTS: Pregnant women in the no-prenatal-visit group were younger and showed higher rates ofvaginal delivery (56%), term deliveries (90.7%), and postpartum anemia. Those in the first-visit-prior-to24-weeks group were older and showed higher rates of both primary and secondary cesarean (58%),and higher rates of term deliveries (93.6%) and lower postpartum anemia. Both the primary and secondary cesarean rates were higher in groups with frequent and early follow-up visits than in a no-prenatal-visit group and late-third-trimester-follow-up group (p<0.001).CONCLUSION: The rates of cesarean deliveries were found to be increased prominently in pregnantwomen who began antenatal care early in pregnancy with frequent follow-ups.
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APA ALKAN A, AKGÜL G, GÜLTEKİN İ, ÇALIŞ P, ÖCAL F (2021). Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases. GORM:Gynecology Obstetrics & Reproductive Medicine, 27(1), 28 - 33. 10.21613/GORM.2019.985
Chicago ALKAN AFRA,AKGÜL Gürcan,GÜLTEKİN İsmail Burak,ÇALIŞ Pınar TOKDEMİR,ÖCAL Fatma Doğa Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases. GORM:Gynecology Obstetrics & Reproductive Medicine 27, no.1 (2021): 28 - 33. 10.21613/GORM.2019.985
MLA ALKAN AFRA,AKGÜL Gürcan,GÜLTEKİN İsmail Burak,ÇALIŞ Pınar TOKDEMİR,ÖCAL Fatma Doğa Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases. GORM:Gynecology Obstetrics & Reproductive Medicine, vol.27, no.1, 2021, ss.28 - 33. 10.21613/GORM.2019.985
AMA ALKAN A,AKGÜL G,GÜLTEKİN İ,ÇALIŞ P,ÖCAL F Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases. GORM:Gynecology Obstetrics & Reproductive Medicine. 2021; 27(1): 28 - 33. 10.21613/GORM.2019.985
Vancouver ALKAN A,AKGÜL G,GÜLTEKİN İ,ÇALIŞ P,ÖCAL F Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases. GORM:Gynecology Obstetrics & Reproductive Medicine. 2021; 27(1): 28 - 33. 10.21613/GORM.2019.985
IEEE ALKAN A,AKGÜL G,GÜLTEKİN İ,ÇALIŞ P,ÖCAL F "Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases." GORM:Gynecology Obstetrics & Reproductive Medicine, 27, ss.28 - 33, 2021. 10.21613/GORM.2019.985