Abstract
SüleymanDemirel Üniversitesi
TIP FAKÜLTESİ DERGİSİ: 2007 Mart; 14(1)
Prematür gebeliklerde doğum yöntemleri
Mekin Sezik, Okan Özkaya
SDÜ Tıp Fakültesi Kadın Hastalıkları ve Doğum AD, Isparta
Özet
Prematür doğum, perinatal mortalite artışı ve uzun dönemde kötü sonuçlara yol açabilen, önemli bir obstetrik problemdir. İyi kontrollü çalışmalarda, sezaryen doğumun özellikle düşük kilolu ve verteks gelişli bebeklerde ek avantaj sağlamadığı sonucuna varılmıştır. Ancak 1500 g altında doğum ağırlığı azaldıkça vajinal doğumun riski artmaktadır. Preterm makat gelişlerde sezaryen doğumu önermek için yeterli veriye sahip değiliz. Fakat tahmini doğum ağırlığı 1500 g ve altında ise, önde gelen kısımdan bağımsız olarak sezaryen doğum daha güvenli olabilir. Bu konuda daha fazla çalışmaya ihtiyaç duyulmaktadır.
Anahtar kelimeler: Prematür gebelik, Doğum Yöntemi, Sezaryen
Abstract
Mode of delivery in premature pregnancies
Premature birth is an important obstetric problem associated with increased perinatal mortality and poor long-term outcomes. Properly-controlled studies have demonstrated no additional benefit of cesarean delivery in low-birthweight infants with vertex presentation. However, hazards of vaginal delivery seem to increase with decreasing birthweight below 1500 g. We do not have sufficient data to recommend cesarean delivery for all cases of preterm breech presentation. Nevertheless, cesarean section might be safer if estimated birthweight is less than 1500 g regardless of fetal presentation. Further investigations are needed on this controversial issue.
Key words: Premature Pregnancy, Mode of Delivery, Cesarean
Keywords
References
- Skerman JH, Rajab K. Obstetric, neonatal and anesthetic considerations for preterm labor and delivery. Saudi Med J 2003; 24: 582-93.
- Lumley J. Method of delivery for the preterm infant. BJOG 2003; 110: 88-92.
- Malloy MH, Onstad L, Wright E. The effect of cesarean delivery on birth outcome in very low birth weight infants. National Institute of Child Health and Human Development Neonatal Research Network. Obstet Gynecol 1991; 77: 498- 503.
- Riskin A, Riskin-Mashiah S, Lusky A, Reichman B; Israel Neonatal Network. The relationship between delivery mode and mortality in very low birthweight singleton vertex-presenting infants. BJOG 2004; 111: 1365-71.
- Deulofeut R, Sola A, Lee B, Buchter S, Rahman M, Rogido M. The impact of vaginal delivery in premature infants weighing less than 1,251 grams. Obstet Gynecol 2005; 105: 525-31.
- Cibils LA, Karrison T, Brown L. Factors influencing neonatal outcomes in the very-low- birth-weight fetus (< 1500 grams) with a breech presentation. Am J Obstet Gynecol 1994; 171: 35-42.
- Brown L, Karrison T, Cibils LA. Mode of delivery and perinatal results in breech presentation. Am J Obstet Gynecol 1994; 171: 28-34.
- Lee KS, Khoshnood B, Sriram S, Hsieh HL, Singh J, Mittendorf R. Relationship of cesarean delivery to lower birth weight-specific neonatal mortality in singleton breech infants in the United States. Obstet Gynecol 1998; 92: 769-74.
- Mattern D, Straube B, Hagen H. Effect of mode of delivery on early morbidity and mortality of premature infants (< or = 34th week of pregnancy). Z Geburtshilfe Neonatol 1998; 202: 19-24.
Abstract
References
- Skerman JH, Rajab K. Obstetric, neonatal and anesthetic considerations for preterm labor and delivery. Saudi Med J 2003; 24: 582-93.
- Lumley J. Method of delivery for the preterm infant. BJOG 2003; 110: 88-92.
- Malloy MH, Onstad L, Wright E. The effect of cesarean delivery on birth outcome in very low birth weight infants. National Institute of Child Health and Human Development Neonatal Research Network. Obstet Gynecol 1991; 77: 498- 503.
- Riskin A, Riskin-Mashiah S, Lusky A, Reichman B; Israel Neonatal Network. The relationship between delivery mode and mortality in very low birthweight singleton vertex-presenting infants. BJOG 2004; 111: 1365-71.
- Deulofeut R, Sola A, Lee B, Buchter S, Rahman M, Rogido M. The impact of vaginal delivery in premature infants weighing less than 1,251 grams. Obstet Gynecol 2005; 105: 525-31.
- Cibils LA, Karrison T, Brown L. Factors influencing neonatal outcomes in the very-low- birth-weight fetus (< 1500 grams) with a breech presentation. Am J Obstet Gynecol 1994; 171: 35-42.
- Brown L, Karrison T, Cibils LA. Mode of delivery and perinatal results in breech presentation. Am J Obstet Gynecol 1994; 171: 28-34.
- Lee KS, Khoshnood B, Sriram S, Hsieh HL, Singh J, Mittendorf R. Relationship of cesarean delivery to lower birth weight-specific neonatal mortality in singleton breech infants in the United States. Obstet Gynecol 1998; 92: 769-74.
- Mattern D, Straube B, Hagen H. Effect of mode of delivery on early morbidity and mortality of premature infants (< or = 34th week of pregnancy). Z Geburtshilfe Neonatol 1998; 202: 19-24.
Details
| Primary Language | English |
|---|---|
| Journal Section | Derlemeler |
| Authors | |
| Publication Date | April 30, 2009 |
| Submission Date | April 30, 2009 |
| Published in Issue | Year 2007 Volume: 14 Issue: 1 |
Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi/Medical Journal of Süleyman Demirel University is licensed under Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International.