Akademik Veri Yönetim Sistemi
Jinekoloji ve Obstetrik Dergisi, cilt.18, sa.2, ss.89-96, 2004 (Scopus, TRDizin)
OBJECTIVE: To reveal the incidence of anemia, placenta previa abruptio placentae, preeclampsia, eclampsia as well as cesarean and maternal mortality rates and to compare these rates to the western part of our country and to other countries between years 1991-2000. STUDY DESIGN: The study was carried out by analysing patient files retrospectively in Atatürk University School of Medicine, Department of Obstetrics and Gyneacology during the last 10-years-period between years 1991-2000. Patients were grouped by maternal age, starting from less than or equal to 20 years old, and divided into 6 groups, each 5-year intervals upwards. Cesarean indications were divided into 9 groups to compare with international classifications; eclampsia cases were grouped in three stages as intrapartum, antepartum and postpartum eclampsia; placenta previa cases were evaluated in 4 groups as total, partial, marginal and low lying placenta. Maternal mortality rates in 10-years-period and in each 5-years-interval were evaluated. Data were given as mean ± standard deviation. Data between the first and the last 5-years-period were compared by Mann Whitney U test. RESULT(s): Mean hemoglobin level was recorded as 11.8±1.6. Total number of cesarean deliveries was 2.553 in the 10-years-period (25.7%), and there was no significant difference between the first (1,029 cases, 25.0%) and the last 5-years-periods (1,524 cases, 26.7%). The total number of abruptio placentae cases was 99 (1.0%), 66 cases (1.5%) in first and 33 cases (0.5%) in the last 5-years-periods (p<0.01). Incidence of placenta previa was recorded as 2% and 0.8% in two periods, respectively. Maternal mortality rate was 825/100,000 (33 cases) in the first 5-years-period whereas 498/100,000 (29 cases) in the last 5-years-period. It seemed that maternal mortality rate linearly increased with parity in mothers having 5 or more children when compared to nulliparas. CONCLUSION(s): In 10-years-period between years 1991-2000, the rates of placenta previa, preeclampsia, eclampsia, cesarean deliveries, and the mean hemoglobin level were found to be 1.0%, 6.0%, 1.0%, 25.7% and 11.8±1.6, respectively. Even though the maternal mortality rate dropped in the last 5-years-period in comparison to the first 5 years, this rate is almost close to the rate in African Countries which is 630/100,000. Although it is very difficult to reduce the maternal. mortality rate in our region in the short run, it is our primary goal to have a closer rate to the western parts of Turkey, and then to the levels in the developed countries.