TY  - JOUR
TI  - Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases
AB  - 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.
AU  - Gultekin, Ismail Burak
AU  - Akgul, Gurcan
AU  - Calis, Pinar
AU  - Alkan, Afra
AU  - öcal, fatma doğa
DO  - 10.21613/GORM.2019.985
PY  - 2021
JO  - GORM:Gynecology Obstetrics & Reproductive Medicine
VL  - 27
IS  - 1
SN  - 1300-4751
SP  - 28
EP  - 33
DB  - TRDizin
UR  - http://search/yayin/detay/425359
ER  -