Membrane Stripping Method’s Effect on Pregnancy Period for Term Pregnants

Fatih Adanacıoğlu; Kadir Güzin

Makale detayları

Membrane Stripping Method’s Effect on Pregnancy Period for Term Pregnants

Yazarlar:

Fatih Adanacıoğlu | Kadir Güzin

Yayıncı:

Kahramanmaras Sutcu Imam University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi Vol.18 Issue 3, pp.55-61

Belge Tipi:

Makale

Yayın Tarihi:

11/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001303779

pISSN:

1303-6610

Anahtar kelimeler:

Özet:

 Objective: The membrane-stripping birth induction method is frequently used in term pregnant women in obstetrics; it is non-pharmacological. Here, the aim was to investigate the effects of this method on the delivery process, its effectiveness in terms of initiating delivery and shortening the gestation period, preventing post-term pregnancy, reducing the need for induction, and the factors affecting its efficacy and fetal and maternal outcomes related to this method. Materials and Method: Our study was performed on 213 cases with 38-40 weeks of pregnancy without any problem preventing vaginal birth. The control group consisted of 105 patients 48 multiparous and 57 nulliparous, while the study group consisted of 108 patients 42 multiparous and 66 nulliparous. Results: The mean time day from application to delivery was 7.04  3.96 in the study group and 9.24  5.01 in the control group. The vaginal delivery rate in the study group 68.5 and the rate of delivery before the 41st week of gestation in the study group 84.3 were statistically significantly higher than the control group 43.8 and 69.5. The induction requirement was statistically significantly lower in the study group 11.1 compared to the control group 23.8. The groups were similar regarding delivery, early membrane rupture, neonatal results, and maternal infection. Conclusion: The study showed that the membrane stripping method is effective and reliable in reducing uncomplicated term pregnancies between 38-40 weeks without changing the maternal-fetal results, from application to delivery, post-term pregnancy rates, and induction requirement.

 Objective: The membrane-stripping birth induction method is frequently used in term pregnant women in obstetrics; it is non-pharmacological. Here, the aim was to investigate the effects of this method on the delivery process, its effectiveness in terms of initiating delivery and shortening the gestation period, preventing post-term pregnancy, reducing the need for induction, and the factors affecting its efficacy and fetal and maternal outcomes related to this method. Materials and Method: Our study was performed on 213 cases with 38-40 weeks of pregnancy without any problem preventing vaginal birth. The control group consisted of 105 patients 48 multiparous and 57 nulliparous, while the study group consisted of 108 patients 42 multiparous and 66 nulliparous. Results: The mean time day from application to delivery was 7.04  3.96 in the study group and 9.24  5.01 in the control group. The vaginal delivery rate in the study group 68.5 and the rate of delivery before the 41st week of gestation in the study group 84.3 were statistically significantly higher than the control group 43.8 and 69.5. The induction requirement was statistically significantly lower in the study group 11.1 compared to the control group 23.8. The groups were similar regarding delivery, early membrane rupture, neonatal results, and maternal infection. Conclusion: The study showed that the membrane stripping method is effective and reliable in reducing uncomplicated term pregnancies between 38-40 weeks without changing the maternal-fetal results, from application to delivery, post-term pregnancy rates, and induction requirement.

 Objective: The membrane-stripping birth induction method is frequently used in term pregnant women in obstetrics; it is non-pharmacological. Here, the aim was to investigate the effects of this method on the delivery process, its effectiveness in terms of initiating delivery and shortening the gestation period, preventing post-term pregnancy, reducing the need for induction, and the factors affecting its efficacy and fetal and maternal outcomes related to this method. Materials and Method: Our study was performed on 213 cases with 38-40 weeks of pregnancy without any problem preventing vaginal birth. The control group consisted of 105 patients 48 multiparous and 57 nulliparous, while the study group consisted of 108 patients 42 multiparous and 66 nulliparous. Results: The mean time day from application to delivery was 7.04  3.96 in the study group and 9.24  5.01 in the control group. The vaginal delivery rate in the study group 68.5 and the rate of delivery before the 41st week of gestation in the study group 84.3 were statistically significantly higher than the control group 43.8 and 69.5. The induction requirement was statistically significantly lower in the study group 11.1 compared to the control group 23.8. The groups were similar regarding delivery, early membrane rupture, neonatal results, and maternal infection. Conclusion: The study showed that the membrane stripping method is effective and reliable in reducing uncomplicated term pregnancies between 38-40 weeks without changing the maternal-fetal results, from application to delivery, post-term pregnancy rates, and induction requirement.

 Amaç: Doğum indüksiyon metodlarından membran sıyırma veya stripping yöntemi obstetrikte miadında gebelerde sık kullanılan işlemlerden biridir, non-farmakolojik yöntemlerdendir. Çalışmada bu yöntemin doğum sürecindeki etkileri, doğumu başlatma ve gebelik süresini kısaltma, postterm gebeliği önleme, indüksiyon gereksinimini azaltma yönlerinden etkinliği, etkinliğine etki eden faktörleri ve bu yönteme bağlı fetal ve maternal sonuçları araştırmak hedeflendi. Gereç ve Yöntemler: Çalışmaya, ilk obstetrik değerlendirmede tekil canlı gebeliği olan, 38-40 hafta arası miadında olan, CS sezaryen veya herhangi bir uterin cerrahi geçirmemiş olan, Bishop skoru 4 veya daha küçük olan, vajinal yoldan doğum için kontrendikasyonu olmayan olgular alındı. Çalışma toplam 216 olgu üzerinde yapıldı. 108 olgu 42 multipar, 66 nullipar çalışma, 105 olgu 48 multipar, 57 nullipar kontrol grubunu oluşturdu. Bulgular: Çalışma grubunda uygulamadan doğuma kadar geçen süre gün ortalaması 7,04  3,96 kontrol grubunda ise 9,24  5,01 bulundu. Çalışma grubunda 7 gün içerisinde vajinal doğum yapma oranı 68,5, kontrol grubundan 43,8 istatistiksel olarak ileri düzeyde anlamlı yüksek bulundu. Çalışma grubunda 41. Gebelik haftasından önce doğum yapma oranı 84,3, kontrol grubundan 69,5 istatistiksel olarak anlamlı düzeyde yüksek bulundu. İndüksiyon gereksinimi çalışma grubunda 11,1 kontrol grubuna 23,8 kıyasla istatistiki olarak anlamlı düzeyde düşük bulunmuştur. Her iki grup doğum şekli, erken membran rüptürü, neonatal sonuçlar, maternal enfeksiyon açısından karşılaştırıldıklarında sonuçlar benzer bulundu. Sonuç: Membran sıyırma yönteminin, komplike olmayan 38-40 hafta arasındaki term gebelerde, maternal-fetal sonuçları değiştirmeden, uygulamadan doğuma kadar geçen süreyi, postterm gebelik oranlarını ve indüksiyon gereksinimini azaltma açısından etkili ve güvenilir bir yöntem olduğu gözlemlenmiştir.

Makale detayları

Membrane Stripping Method’s Effect on Pregnancy Period for Term Pregnants

Yazarlar:

Fatih Adanacıoğlu | Kadir Güzin

Yayıncı:

Kahramanmaras Sutcu Imam University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi Vol.18 Issue 3, pp.55-61

Belge Tipi:

Makale

Yayın Tarihi:

11/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001303779

pISSN:

1303-6610

Cervical ripening

Prolonged pregnancy

Induction of labordoğum indüksiyonu

miad aşımı

servikal olgunlaştırma

Sayı

Makale detayları

Membrane Stripping Method’s Effect on Pregnancy Period for Term Pregnants

Yazarlar: Fatih Adanacıoğlu | Kadir Güzin

Yayıncı: Kahramanmaras Sutcu Imam University

Ana Başlıklar: Sağlık Kurumları Yönetimi

Dergi: Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi Vol.18 Issue 3, pp.55-61

Belge Tipi: Makale

Yayın Tarihi: 11/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001303779

pISSN: 1303-6610

Cervical ripening

Prolonged pregnancy

Induction of labordoğum indüksiyonu

miad aşımı

servikal olgunlaştırma

Sayı

Yazarlar:

Fatih Adanacıoğlu | Kadir Güzin

Yayıncı:

Kahramanmaras Sutcu Imam University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi Vol.18 Issue 3, pp.55-61

Belge Tipi:

Makale

Yayın Tarihi:

11/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001303779

pISSN:

1303-6610