Objective:In this study, we aimed to evaluate some laboratory and clinical factors in the prediction of latency period for pregnant patients complicated with preterm premature rupture of the membranes.Materials and Methods:Sixty-five pregnant patients between 24 and 34 weeks of gestation, who were admitted to University of Çukurova School of Medicine Hospital with the diagnosis of preterm premature rupture of the membranes (PPROM) between January 01, 2013 and December 31, 2013, were included in this study. Serum CRP, procalcitonin, sedimentation rate, leukocyte count and cervical length (measured with transvaginal ultrasound) of patients were analyzed for the correlation with the latency period.Results:None of the parameters were found to be correlated with the latency period. However, patients with cervical length of <25 mm were found to have shorter duration of latency.Conclusion:Although preterm premature rupture of the membranes is thought to be either an infection-based disease or a disease increasing the risk of infectious complications, major infection markers are not found to be helpful criteria for the prediction of latency period. Patients with a cervical length of <25 mm can be expected to deliver earlier and, therefore, can be referred to a tertiary center earlier.
A Am ma aç ç: : Primer infertilite, tekrarlayan gebelik kaybı, preterm doğum öyküsü veya sekonder infertilite tanısı ile kliniğimize başvuran ve uterin septum tespit edilen olgularda, histeroskopik cerrahi müdahale sonrası gebelik sonuçlarının incelenmesi amaçlanmıştır. G Ge er re eç ç v ve e Y Yö ön n--t te em ml le er r: : Ocak 2008-Aralık 2014 tarihleri arasında Çukurova Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum Kliniği İnfertilite Polikliniğine primer infertilite, tekrarlayan gebelik kaybı, preterm doğum öyküsü veya sekonder infertilite tanısı ile başvuran ve histerosalpingografide uterin septum tespit edilen 118 hasta çalışmaya dahil edildi. Tüm olgulara genel anestezi altında laparoskopi eşliğinde histeroskopik septum insizyonu uygulandı. Hastalar postop 24 ay gebelik açısından takip edildi. B Bu ul lg gu ul la ar r: : Hastaların 48'i (%40,6) primer infertil, 70'i (%59,3) sekonder infertildi. 44 (%37,2) hastanın komplet septumu, 74 (%62,7) hastanın inkomplet septumu mevcuttu. Toplam 118 hastanın operasyon sonuçları 84 (%71,1)'sı gebe kaldı, 34 (%28,8)'sında gebelik oluşmadı.Toplam gebelik sayısı 164 idi. Bunun 28 (%17)'i spontan abortus, 23 (%14)'i preterm doğum, 113 (%68,9)'i term doğum olarak saptandı. 118 hastadan toplam doğum yapan hasta sayısı 74 (%62,7) bulundu. Toplam preterm ve term doğum sayısı; komplet septumu olan 44 hastadan 30 (%68,1)'unda, inkomplet septumu olan 74 hastadan 54 (%72,9)'ünde tespit edildi. S So on nu uç ç: : Uterus septumun tekrarlayan in vitro fertilizasyon (IVF) başarısızlığı, düşük, preterm eylem gibi gebelik kayıplarıyla ilişkili olduğu bilinmektedir. Uterin septumun histeroskopik insizyonu kolay uygulanabilir ve gebelik sonuçları üzerine olumlu etkileri olan bir yöntemdir.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Histeroskopik cerrahi; infertilite; gebelik sonuçları A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The pregnancy outcomes after the hyteroscopic surgery of the patients who presented with primary/secondary infertility, recurrent pregnancy loss and preterm birth and who were diagnosed with uterine septum, were aimed to be evaluated. M Ma at te er ri ia al ls s a an nd d M Me et th ho od ds s: : 118 patients who presented to Cukurova University Medical School Department of Obstetrics and Gynecology Infertility Clinic between January 2008 and December 2014 and who presented with primary/secondary infertility, recurrent pregnancy loss and preterm birth and who were diagnosed with uterine septum with the hysterosalpingography were admitted to the study. All patients had laparoscopy together with hysteroscopic septum incision under general anesthesia. Patients were followed up for 24 months for pregnancy. R Re es su ul lt ts s: : 48 patients (40.6%) had primary infertility, 70 patients (59.3%) had secondary infertility. 44 patients (37.2%) had complete septum and 74 patients had incomplete septum (62.7%). 84 patients (71.1%) got pregnant, but 34 patients (28.8%) could not get pregnant after the surgery. Total pregnancy number was ...
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