Evaluation of maternal, fetal and neonatal outcome in an Üniversity Clinic

Amaç Evaluation of maternal, fetal and neonatal outcome in our clinic during last 5 years.

Yöntem

Two thousand out of 7200 delivery occurred in İnönü University Faculty of Medicine Department of Obstetric and Gynecology between January 1997 and July 2002 were retrieved with 40% sampling and maternal, fetal and neonatal features were evaluated.

Bulgular

The maternal mean age was 28.2±6.12. Mean parity was 3.45±1.2. Antenatal care rate was %62 and cesarean section rate of our clinic was 35%. Completion of high school or university education rate was 52% and only 9% of pregnant women were illiterate. When we evaluated pregnancy related complications; 12.9% were hypertensive, 8.4% had preterm labor, 4.3% had antenatal hemorrhage and 5% had premature rupture of membranes. The rate of hypertension was lower in higher education levels (p<0.001) and was higher among nulliparous pregnant. Inciclence of preterm delivery was increasing with parity (p<0.001). The rate of small for gestational age (SGA) was 10 % and the rate of macrosomia was 6.2 %. Incidence of macrosomia was increasing with parity and birth weight of the previous neonate (p<0.001, p<0.001). Maternal mortality rate was 400 per 100000 live birth and intrauterine exitus rate was 2.7%.

Sonuç

Regular antenatal follow-up may lower both pregnancy related complications and maternal - fetal mortality significantly. Effective antenatal care can be achieved by increasing the education level.

Anahtar Kelimeler

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