Comparison Of Postpartum Hemoglobin Decrease Levels In Patients Who Had Normal Vaginal Delivery Versus Cesarean Section

Senol Senturk; Mehmet Kağıtcı; Sibel Doğan Polat; İlknur Merve Ayazoğlu; Nalan Kuruca; Bülent Yılmaz

Makale detayları

Comparison Of Postpartum Hemoglobin Decrease Levels In Patients Who Had Normal Vaginal Delivery Versus Cesarean Section

Yazarlar:

Senol Senturk | Mehmet Kağıtcı | Sibel Doğan Polat | İlknur Merve Ayazoğlu | Nalan Kuruca | Bülent Yılmaz

Yayıncı:

Kahramanmaras Sutcu Imam University

Ana Başlıklar:

Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi Vol.19 Issue 3, pp.109-114

Belge Tipi:

Makale

Yayın Tarihi:

4/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001330133

pISSN:

1303-6610

Anahtar kelimeler:

Özet:

 Introduction: Cesarean section is an operation that carries a higher risk compared to normal vaginal delivery in terms of bleeding. In this study, we aimed to compare hemoglobin decreases in pregnant women who had normal vaginal delivery and cesarean section. Material and methods: In this study, pregnant women who had normal vaginal delivery and cesarean section between 01.01.2021 and 30.06.2022 in a university hospital were analyzed retrospectively. The pregnant women included in the study were standardized as those between the ages of 18-45, who did not have any systemic disease, and who gave birth to a baby between 2000-4000 gr at 37-41 weeks of gestation. The patients included in the study were divided into two groups as those who had normal vaginal delivery and cesarean section, and those who delivered by cesarean section were divided into two groups as primary cesarean section and previous cesarean section, and the decreases in hemoglobin levels taken before and at the 6th hour after delivery were statistically evaluated. Results: It was determined that 199 of the 473 pregnant women included in the study had normal delivery and 274 had a cesarean section 119 had a previous cesarean section and 155 had a primary cesarean section. Among the pregnant women included in the study, the mean postpartum Hb decrease was 0.73  0.90 gdl in the pregnant women who had normal delivery, and 1.41  0.93 gdl in those who delivered by cesarean section, the difference was found to be statistically significant p0.000. The mean postpartum Hb decrease in those who underwent cesarean section with a previous cesarean indication was 1.30  0.73 gdl, and 1.49 0.9 gdl in primary cesarean sections, the difference was statistically significant p0.045. Conclusion: With these results determined in accordance with the literature, it would be appropriate to take the necessary precautions by taking these findings into account when making a cesarean section decision.

 Introduction: Cesarean section is an operation that carries a higher risk compared to normal vaginal delivery in terms of bleeding. In this study, we aimed to compare hemoglobin decreases in pregnant women who had normal vaginal delivery and cesarean section. Material and methods: In this study, pregnant women who had normal vaginal delivery and cesarean section between 01.01.2021 and 30.06.2022 in a university hospital were analyzed retrospectively. The pregnant women included in the study were standardized as those between the ages of 18-45, who did not have any systemic disease, and who gave birth to a baby between 2000-4000 gr at 37-41 weeks of gestation. The patients included in the study were divided into two groups as those who had normal vaginal delivery and cesarean section, and those who delivered by cesarean section were divided into two groups as primary cesarean section and previous cesarean section, and the decreases in hemoglobin levels taken before and at the 6th hour after delivery were statistically evaluated. Results: It was determined that 199 of the 473 pregnant women included in the study had normal delivery and 274 had a cesarean section 119 had a previous cesarean section and 155 had a primary cesarean section. Among the pregnant women included in the study, the mean postpartum Hb decrease was 0.73  0.90 gdl in the pregnant women who had normal delivery, and 1.41  0.93 gdl in those who delivered by cesarean section, the difference was found to be statistically significant p0.000. The mean postpartum Hb decrease in those who underwent cesarean section with a previous cesarean indication was 1.30  0.73 gdl, and 1.49 0.9 gdl in primary cesarean sections, the difference was statistically significant p0.045. Conclusion: With these results determined in accordance with the literature, it would be appropriate to take the necessary precautions by taking these findings into account when making a cesarean section decision.

 Introduction: Cesarean section is an operation that carries a higher risk compared to normal vaginal delivery in terms of bleeding. In this study, we aimed to compare hemoglobin decreases in pregnant women who had normal vaginal delivery and cesarean section. Material and methods: In this study, pregnant women who had normal vaginal delivery and cesarean section between 01.01.2021 and 30.06.2022 in a university hospital were analyzed retrospectively. The pregnant women included in the study were standardized as those between the ages of 18-45, who did not have any systemic disease, and who gave birth to a baby between 2000-4000 gr at 37-41 weeks of gestation. The patients included in the study were divided into two groups as those who had normal vaginal delivery and cesarean section, and those who delivered by cesarean section were divided into two groups as primary cesarean section and previous cesarean section, and the decreases in hemoglobin levels taken before and at the 6th hour after delivery were statistically evaluated. Results: It was determined that 199 of the 473 pregnant women included in the study had normal delivery and 274 had a cesarean section 119 had a previous cesarean section and 155 had a primary cesarean section. Among the pregnant women included in the study, the mean postpartum Hb decrease was 0.73  0.90 gdl in the pregnant women who had normal delivery, and 1.41  0.93 gdl in those who delivered by cesarean section, the difference was found to be statistically significant p0.000. The mean postpartum Hb decrease in those who underwent cesarean section with a previous cesarean indication was 1.30  0.73 gdl, and 1.49 0.9 gdl in primary cesarean sections, the difference was statistically significant p0.045. Conclusion: With these results determined in accordance with the literature, it would be appropriate to take the necessary precautions by taking these findings into account when making a cesarean section decision.

 Amaç: Sezaryen kanama açısından normal vajinal doğuma kıyasla daha fazla risk taşıyan bir operasyondur. Bu çalışmada normal vajinal doğum ile sezaryenle doğum yapan gebelerdeki hemoglobin düşüşlerini karşılaştırmayı amaçladık. Gereç ve yöntem: Bu çalışmada bir üniversite hastanesinde 01.01.2021-30.06.2022 tarihleri arasında, normal vajinal doğum ve sezaryen ile doğum yapan gebeler retrospektif olarak analiz edilmiştir. Çalışmaya alınan gebeler, 18-45 yaş arasında, sistemik hastalığı bulunmayan 37-41 gebelik haftasında 2000-4000 gr arasında bebek doğurmuş olanlar şekilde standardize edildi. Çalışmaya alınan hastalar normal vajinal doğum ve sezaryen doğum yapanlar, sezaryenle doğum yapanlar da kendi aralarında primer sezaryen ve geçirilmiş sezaryen olarak iki gruba ayrılarak doğum öncesi ve doğum sonrası 6. saatte alınmış hemoglobin seviyelerindeki düşüşleri istatistiksel olarak değerlendirildi. Bulgular: Çalışmaya alınan toplam 473 gebenin 199unun normal doğum, 274ünün sezaryenle doğum yaptığı 119u geçirilmiş sezaryen 155i primer sezaryen belirlendi. Çalışmaya alınan gebelerden normal doğum yapan gebelerin doğum sonrası Hb düşüşü ortalamaları 0.73 0.90 grdl, sezaryenle doğum yapanların 1.41  0.93 grdl olarak tespit edildi, fark istatistiksel olarak anlamlı bulundu p0,000. Geçirilmiş sezaryen endikasyonuyla sezaryen yapılanların postpartum Hb düşüşü ortalamaları 1.30  0.73 grdl, primer sezaryenlerin 1.49 0.9 grdl olarak tespit edildi, fark istatistiksel olarak anlamlı bulundu p0,045. Sonuç: Literatürle uyumlu olarak saptanan bu sonuçlarla sezaryen kararı alırken bu bulgular göz önüne alınarak gerekli tedbirlerin alınması uygun olacaktır.

Makale detayları

Comparison Of Postpartum Hemoglobin Decrease Levels In Patients Who Had Normal Vaginal Delivery Versus Cesarean Section

Yazarlar:

Senol Senturk | Mehmet Kağıtcı | Sibel Doğan Polat | İlknur Merve Ayazoğlu | Nalan Kuruca | Bülent Yılmaz

Yayıncı:

Kahramanmaras Sutcu Imam University

Ana Başlıklar:

Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi Vol.19 Issue 3, pp.109-114

Belge Tipi:

Makale

Yayın Tarihi:

4/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001330133

pISSN:

1303-6610

cesarean section

hemoglobine

vaginal deliveryhemoglobin

sezeryan

vajinal doğum

Sayı

Makale detayları

Comparison Of Postpartum Hemoglobin Decrease Levels In Patients Who Had Normal Vaginal Delivery Versus Cesarean Section

Yazarlar: Senol Senturk | Mehmet Kağıtcı | Sibel Doğan Polat | İlknur Merve Ayazoğlu | Nalan Kuruca | Bülent Yılmaz

Yayıncı: Kahramanmaras Sutcu Imam University

Ana Başlıklar: Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi: Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi Vol.19 Issue 3, pp.109-114

Belge Tipi: Makale

Yayın Tarihi: 4/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001330133

pISSN: 1303-6610

cesarean section

hemoglobine

vaginal deliveryhemoglobin

sezeryan

vajinal doğum

Sayı

Yazarlar:

Senol Senturk | Mehmet Kağıtcı | Sibel Doğan Polat | İlknur Merve Ayazoğlu | Nalan Kuruca | Bülent Yılmaz

Yayıncı:

Kahramanmaras Sutcu Imam University

Ana Başlıklar:

Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi Vol.19 Issue 3, pp.109-114

Belge Tipi:

Makale

Yayın Tarihi:

4/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001330133

pISSN:

1303-6610