Öz
Amaç
Vakum yardımlı vajinal doğum gerçekleştiren primigravid ve multigravid kadınlar arasında maternal ve neonatal sonuçlar karşılaştırılarak obstetrik sonuçların değerlendirilmesi amaçlanmıştır.
Yöntem: Çalışma retrospektif olarak 65 vakum yardımlı vajinal doğum yapan gebenin obstetrik sonuçları incelenmiş, primigravid ve multigravid gruplar arasında maternal ve neonatal sonuçlar istatistiksel olarak karşılaştırılmıştır.
Bulgular
Çalışmada travay süresi, yenidoğan doğum ağırlığı ve baş çevresi açısından gruplar arasında anlamlı fark tespit edilmiştir (p<0,05). Primigravid kadınlarda travay süresi belirgin şekilde daha uzunken, multigravid kadınlarda doğum ağırlığı ve baş çevresi daha büyük bulunmuştur. Epizyotomi oranları primigravid grubunda anlamlı derecede daha yüksekti (p<0,001). Bununla birlikte, yenidoğan yoğun bakım ünitesi kabulü, neonatal komplikasyonlar ve maternal komplikasyonlar açısından gruplar arasında anlamlı fark bulunmamıştır (p>0,05).
Sonuç
Bu çalışma, vakum yardımlı vajinal doğum sonuçları üzerinde paritenin etkisini ortaya koymuş; neonatal sonuçlar açısından gruplar arasında anlamlı fark olmadığını göstermiştir. Vakum yardımı, doğum sürecini hızlandırarak asfiksiye neden olmaktan ziyade asfiksiyi önleyici bir müdahale olarak değerlendirilebilir. Vakum yardımlı vajinal doğumlar, gereksiz sezaryen doğumların önlenmesinde etkili bir alternatif olarak kullanılabilir.
Anahtar Kelimeler: Apgar, asfiksi, komplikasyonlar, normal doğum, vakum yardımlı doğum
Kaynakça
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