Erken Doğum Tehditini Önceden Belirlemede Risk Puanı Servikal Uzunluk ve Maternal Tükrük Östriol Seviyesinin Rolü

İngilizce (OpenAlex)

Objective: The aim of this study is to determine the rate of vacuum extraction, and its relationship with parity and intrauterine fetal condition.Methods: This study was conducted at Diyarbakır Maternity Hospital in Turkey during 2012 with 20050 newborns who were delivered at the obstetrics/gynecology clinics.Two hundred and forty-nine of them were vacuum deliveries.Parity, maternal age, gestational age, birth weight and APGAR(Activity, Pulse, Grimace, Appearance, Respiration) scores were recorded for each delivery.Results: Vacuum extraction deliveries were conducted in 249 cases (1.24%).The features and outcomes of the 249 vacuum assisted deliveries were as follows.Mean maternal age was 23.56±4.27years, and mean gestational 38.73±1.56weeks and mean parity was 1.95±1.57.Mean first, and fifth minute APGAR scores of the newborns were 7.43±1.33and 9.24±1.29 points respectively.Parity and birth weights were positively correlated with gestational weeks.APGAR scores observed by the first and fifth minutes were negatively correlated with parity.There was no correlation between birth weights and APGAR scores at any time point.Parity was the only effective parameter on the APGAR scores estimated at the first and fifth minutes.Conclusions: According to the results of this study, rates of vacuum extraction delivery which have not used frequentlt in recent times were lower when compared with most of the developed countries.Incidence of cesarean section was 25.4 percent.Cesarean delivery rates were higher than the suggested cesarean rates (15%) by World Health Organisation (WHO).Parity is the major factor that effects the APGAR scores of the neonates.Vacuum extraction delivery may be suggested more often especially for the deliveries of low parity women so as to decrease the cesarean section rates.