Research Article
Year 2020,
Volume: 17 Issue: 3, 458 - 462, 30.09.2020
Abstract
Amaç: Amacımız maternal beden kitle indeksi (BKİ), fetal büyüklük, gebelikte kilo kazanımı ve düşük doğum ağırlıklı (DDA) bebek doğuran annelerin beden kitle indekslerinin 2. evre süresine etkisini değerlendirmektir.
Gereçler ve Yöntem: Bu vaka-kontrol çalışma Haziran- Aralık 2017 tarihleri arasında vajinal doğum yapan hastaların dosya kayıtları retrospektif olarak incelenerek yapıldı. Çalışmaya düşük doğum ağırlıklı bebek doğuran 141 hasta ile normal doğum ağırlıklı bebek doğuran 204 hasta olmak üzere toplam 345 hasta alındı. 36-42 gestasyonel hafta arası, nullipar, DDA ve normal doğum ağırlığında (NDA) tekil bebek doğuran ve 1. trimester sonuna ait boy, kilo kaydı bulunanlar çalışmaya dahil edildi. Sezaryen, çoğul gebelik, fetal anomali, epidural analjezi, maternal BKİ ne göre düşük kilolu olanlar, makrozomik bebek doğuranlar dışlandı.
Bulgular: Çalışma popülasyonunun ortalanca yaşı 26.0 (IQR:7), doğumda ortanca gestasyonel hafta 39.0 (IQR:2) idi. 2. Evre süresi normal kilolu, fazla kilolu ve obezler arasında farklı değildi (p=0,867). Doğum ağırlığına göre değerlendirildiğinde, DDA ile NDA doğumlarda 2.evrenin süresi benzerdi (34 dk’ya karşı 32 dk; p=0,223). Sadece DDA doğumlar 1. trimester sonundaki maternal BKİ göre normal, fazla kilolu, obez olarak gruplandırıldığında, 2. evre süresi gruplarda benzerdi. (p=0,486) 2. evre süresinin gebelikte alınan kilo ile anlamlı olarak uzadığı saptandı. (sırasıyla, yetersiz kilo alanlarda 20 (10-45) dk, normal kilo alanlarda 28 (10-60) dk , fazla kilo alanlarda 35 (10-60) dk) (p=0,001).
Sonuç:2. Evre süresinin 1. trimester sonundaki BKİ’den, bebeğin doğum ağırlığından etkilenmediği, buna karşılık gebelikte alınan kilodan etkilendiği sonucuna ulaşıldı.
Keywords
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References
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Ashton-Miller JA, Delancey JO. On the biomechanics of vaginal birth and common sequelae. Annual review of biomedical engineering. 2009;11:163-76. 8. Palmer J. Physiological pushing in the second stage of labour: The future for midwifery care. Australian College of Midwives Incorporated Journal. 1996;9(3):15-20. 9. Chen L, Low LK, DeLancey JO, Ashton-Miller JA. In vivo estimation of perineal body properties using ultrasound quasistatic elastography in nulliparous women. Journal of biomechanics. 2015;48(9):1575-9. 10. Institute of M, National Research Council Committee to Reexamine IOMPWG. The National Academies Collection: Reports funded by National Institutes of Health. In: Rasmussen KM, Yaktine AL, editors. Weight Gain During Pregnancy: Reexamining the Guidelines. Washington (DC): National Academies Press (US) National Academy of Sciences.; 2009. 11. Siega-Riz AM, Adair LS, Hobel CJ. Institute of Medicine maternal weight gain recommendations and pregnancy outcome in a predominantly Hispanic population. Obstetrics and gynecology. 1994;84(4):565-73. 12. Maged AM, Belal DS, Marie HM, Rashwan H, Abdelaziz S, Gabr AA, et al. Prospective study of the effect of maternal body mass index on labor progress in nulliparous women in Egypt. International Journal of Gynecology & Obstetrics. 2017;139(3):329-35. 13. Fyfe EM, Anderson NH, North RA, Chan EH, Taylor RS, Dekker GA, et al. Risk of first-stage and second-stage cesarean delivery by maternal body mass index among nulliparous women in labor at term. Obstetrics and gynecology. 2011;117(6):1315-22. 14. Kashanian M, Dadkhah F, Baradaran HR, Bakoui F. Evaluation of the relationship between high maternal weight and the duration of different stages of labor, delivery rout, neonatal weight and Apgar score. Obesity Research & Clinical Practice. 2008;2(4):225-30. 15. Kominiarek MA, Zhang J, Vanveldhuisen P, Troendle J, Beaver J, Hibbard JU. Contemporary labor patterns: the impact of maternal body mass index. Am J Obstet Gynecol. 2011;205(3):244.e1-8. 16. Simic M, Cnattingius S, Petersson G, Sandstrom A, Stephansson O. Duration of second stage of labor and instrumental delivery as risk factors for severe perineal lacerations: population-based study. BMC pregnancy and childbirth. 2017;17(1):72. 17. Cheniere S, Menard S, Lamau MC, Goffinet F, Le Ray C. [Risks factors of cesarean delivery after 3hours of delayed pushing]. Gynecologie, obstetrique, fertilite & senologie. 2017;45(2):70-6. 18. WHO Guidelines Approved by the Guidelines Review Committee. WHO recommendations: Intrapartum care for a positive childbirth experience. Geneva: World Health Organization Copyright (c) World Health Organization 2018.; 2018. 19. Schiessl B, Janni W, Jundt K, Rammel G, Peschers U, Kainer F. Obstetrical parameters influencing the duration of the second stage of labor. European journal of obstetrics, gynecology, and reproductive biology. 2005;118(1):17-20. 20. O'Connell MP, Hussain J, Maclennan FA, Lindow SW. Factors associated with a prolonged second state of labour--a case-controlled study of 364 nulliparous labours. Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology. 2003;23(3):255-7. 21. Melzer K, Schutz Y, Soehnchen N, Othenin-Girard V, Martinez de Tejada B, Irion O, et al. Effects of recommended levels of physical activity on pregnancy outcomes. American Journal of Obstetrics and Gynecology. 2010;202(3):266.e1-.e6. 22. Barakat R, Franco E, Perales M, Lopez C, Mottola MF. Exercise during pregnancy is associated with a shorter duration of labor. A randomized clinical trial. European journal of obstetrics, gynecology, and reproductive biology. 2018;224:33-40. 23. Kuo YC, Chen CP, Wang KG. Factors influencing the prolonged second stage and the effects on perinatal and maternal outcomes. The journal of obstetrics and gynaecology research. 1996;22(3):253-7. 24. Turner MJ, Rasmussen MJ, Turner JE, Boylan PC, MacDonald D, Stronge JM. The influence of birth weight on labor in nulliparas. Obstetrics and gynecology. 1990;76(2):159-63. 25. Chen H, Cao L, Cao W, Wang H, Zhu C, Zhou R. Factors affecting labor duration in Chinese pregnant women. Medicine. 2018;97(52):e13901. 26. Salman L, Shmueli A, Aviram A, Hiersch L, Chen R, Gabbay-Benziv R. The association between neonatal head circumference and second stage duration. The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstet. 2018:1-7.
Year 2020,
Volume: 17 Issue: 3, 458 - 462, 30.09.2020
Abstract
References
- 1. Yogev Y, Catalano PM. Pregnancy and obesity. Obstetrics and gynecology clinics of North America. 2009;36(2):285-300, viii. 2. Verdiales M, Pacheco C, Cohen WR. The effect of maternal obesity on the course of labor. Journal of perinatal medicine. 2009;37(6):651-5. 3. Vahratian A, Zhang J, Troendle JF, Savitz DA, Siega-Riz AM. Maternal prepregnancy overweight and obesity and the pattern of labor progression in term nulliparous women. Obstetrics and gynecology. 2004;104(5 Pt 1):943-51. 4. Jensen H, Agger AO, Rasmussen KL. The influence of prepregnancy body mass index on labor complications. Acta obstetricia et gynecologica Scandinavica. 1999;78(9):799-802. 5. Robinson BK, Mapp DC, Bloom SL, Rouse DJ, Spong CY, Varner MW, et al. Increasing maternal body mass index and characteristics of the second stage of labor. Obstetrics and gynecology. 2011;118(6):1309-13. 6. Sagady M. Renewing our faith in second stage. Midwifery today and childbirth education. 1995(33):28-31, 41-3. 7. Ashton-Miller JA, Delancey JO. On the biomechanics of vaginal birth and common sequelae. Annual review of biomedical engineering. 2009;11:163-76. 8. Palmer J. Physiological pushing in the second stage of labour: The future for midwifery care. Australian College of Midwives Incorporated Journal. 1996;9(3):15-20. 9. Chen L, Low LK, DeLancey JO, Ashton-Miller JA. In vivo estimation of perineal body properties using ultrasound quasistatic elastography in nulliparous women. Journal of biomechanics. 2015;48(9):1575-9. 10. Institute of M, National Research Council Committee to Reexamine IOMPWG. The National Academies Collection: Reports funded by National Institutes of Health. In: Rasmussen KM, Yaktine AL, editors. Weight Gain During Pregnancy: Reexamining the Guidelines. Washington (DC): National Academies Press (US) National Academy of Sciences.; 2009. 11. Siega-Riz AM, Adair LS, Hobel CJ. Institute of Medicine maternal weight gain recommendations and pregnancy outcome in a predominantly Hispanic population. Obstetrics and gynecology. 1994;84(4):565-73. 12. Maged AM, Belal DS, Marie HM, Rashwan H, Abdelaziz S, Gabr AA, et al. Prospective study of the effect of maternal body mass index on labor progress in nulliparous women in Egypt. International Journal of Gynecology & Obstetrics. 2017;139(3):329-35. 13. Fyfe EM, Anderson NH, North RA, Chan EH, Taylor RS, Dekker GA, et al. Risk of first-stage and second-stage cesarean delivery by maternal body mass index among nulliparous women in labor at term. Obstetrics and gynecology. 2011;117(6):1315-22. 14. Kashanian M, Dadkhah F, Baradaran HR, Bakoui F. Evaluation of the relationship between high maternal weight and the duration of different stages of labor, delivery rout, neonatal weight and Apgar score. Obesity Research & Clinical Practice. 2008;2(4):225-30. 15. Kominiarek MA, Zhang J, Vanveldhuisen P, Troendle J, Beaver J, Hibbard JU. Contemporary labor patterns: the impact of maternal body mass index. Am J Obstet Gynecol. 2011;205(3):244.e1-8. 16. Simic M, Cnattingius S, Petersson G, Sandstrom A, Stephansson O. Duration of second stage of labor and instrumental delivery as risk factors for severe perineal lacerations: population-based study. BMC pregnancy and childbirth. 2017;17(1):72. 17. Cheniere S, Menard S, Lamau MC, Goffinet F, Le Ray C. [Risks factors of cesarean delivery after 3hours of delayed pushing]. Gynecologie, obstetrique, fertilite & senologie. 2017;45(2):70-6. 18. WHO Guidelines Approved by the Guidelines Review Committee. WHO recommendations: Intrapartum care for a positive childbirth experience. Geneva: World Health Organization Copyright (c) World Health Organization 2018.; 2018. 19. Schiessl B, Janni W, Jundt K, Rammel G, Peschers U, Kainer F. Obstetrical parameters influencing the duration of the second stage of labor. European journal of obstetrics, gynecology, and reproductive biology. 2005;118(1):17-20. 20. O'Connell MP, Hussain J, Maclennan FA, Lindow SW. Factors associated with a prolonged second state of labour--a case-controlled study of 364 nulliparous labours. Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology. 2003;23(3):255-7. 21. Melzer K, Schutz Y, Soehnchen N, Othenin-Girard V, Martinez de Tejada B, Irion O, et al. Effects of recommended levels of physical activity on pregnancy outcomes. American Journal of Obstetrics and Gynecology. 2010;202(3):266.e1-.e6. 22. Barakat R, Franco E, Perales M, Lopez C, Mottola MF. Exercise during pregnancy is associated with a shorter duration of labor. A randomized clinical trial. European journal of obstetrics, gynecology, and reproductive biology. 2018;224:33-40. 23. Kuo YC, Chen CP, Wang KG. Factors influencing the prolonged second stage and the effects on perinatal and maternal outcomes. The journal of obstetrics and gynaecology research. 1996;22(3):253-7. 24. Turner MJ, Rasmussen MJ, Turner JE, Boylan PC, MacDonald D, Stronge JM. The influence of birth weight on labor in nulliparas. Obstetrics and gynecology. 1990;76(2):159-63. 25. Chen H, Cao L, Cao W, Wang H, Zhu C, Zhou R. Factors affecting labor duration in Chinese pregnant women. Medicine. 2018;97(52):e13901. 26. Salman L, Shmueli A, Aviram A, Hiersch L, Chen R, Gabbay-Benziv R. The association between neonatal head circumference and second stage duration. The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstet. 2018:1-7.
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Details
| Primary Language | Turkish |
|---|---|
| Subjects | Obstetrics and Gynaecology |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | September 30, 2020 |
| Submission Date | December 12, 2019 |
| Acceptance Date | May 14, 2020 |
| Published in Issue | Year 2020 Volume: 17 Issue: 3 |
