Retrospective Analysis of the Perinatal Outcomes in Preeclampsia and Eclampsia in a Tertiary Care Center/Tersiyer Bir Merkezdeki Preeklampsi ve Eklampsi Olgularinin Perinatal Sonuçlarinin Retrospektif Incelenmesi

• Published in: Journal of academic research in medicine 2021-12, Vol.11 (3), p.249
• Main Authors: Helvacioglu, Çaglar, Topçu, Günes, Konak, Gözde, Kale, Ibrahim, Yalçinkaya, Cem, Özel, Aysegül
• Format: Article
• Language: English
• Subjects: Demographic aspects; Eclampsia; Patient outcomes
• ISSN: 2146-6505
• DOI: 10.4274/jarem.galenos.2021.02486

Objective: Preeclampsia is a multisystemic disease of unknown etiology that increases maternal and fetal mortality and morbidity Early diagnosis and appropriate management of the disease are essential to prevent adverse outcomes. This study aims to report the pregnancy and perinatal outcomes of preeclampsia and eclampsia cases. Methods: A total of 510 patients diagnosed with preeclampsia or eclampsia were followed up in our hospital between 2015 and 2020, and they were evaluated retrospectively. Demographic characteristics, laboratory values, maternal, and fetal results of these patients were used for the comparative analysis. Results: The mean age of the patients, gestational weeks at birth, platelet counts, and birth weight of the newborn were 28 years, 37 weeks, 194,000 cells/[mm.sup.3], and 2960 g, respectively. Among the newborns, 34.4% required intensive care. Of the pregnant patients, 48.7% delivered vaginally, while 51.3% delivered by cesarean section. Placental abruption was observed in 2.9%, eclampsia in 2%, and HELLP syndrome was noted in 1% patients. Conclusion: Preeclampsia is one of the hypertensive diseases of pregnancy that can negatively affect the life of the mother and the baby. Therefore, high-risk pregnant women should be examined in the early weeks of pregnancy. The necessity of referral to tertiary centers is vital for optimal management. Keywords: Pregnancy, preeclampsia, eclampsia, perinatal outcomes Amaç: Preeklampsi etiyolojisi bilinmeyen maternal ve fetal mortalite ve morbiditeyi artiran multisistemik bir hastaliktir. Hastaligin erken tanisi uygun yönetimi kötü sonuçlari önlemekte önemlidir. Bu çalismanin amaci preeeklampsi ve eklampsi olgularinin gebelik ve perinatal sonuçlarini aktarmaktir. Yöntemler: 2015-2020 yillari arasinda hastanemizde takip edilen preeklampsi ya da eklampsi tanisi alan toplam 510 hasta retrospektif olarak degerlendirildi. Bu hastalarin demografik özellikleri, biyokimyasal degerleri, maternal ve fetal sonuçlari karsilastirildi. Bulgular: Çalismada yer alan hastalarin ortalama yaslari 28; ortalama dogumda gebelik haftalari 37; ortalama dogum agirliklari 2960 gr; ortalama trombosit sayilari 194,000 hücre/[mm.sup.3] idi. Olgularin %34,4'ü yenidogan yogun bakim ünitesine ihtiyaç duymustu. Olgularin %48,7'si vajinal dogum yaparken, %51,3'ü sezeryan ile dogurmustu. %2,9'unda plasenta dekolmani ve %2'sinde eklampsi ve %1'inde de HELLP sendromu gelismistir. Sonuç: Preeklampsi anne bebek hayatini olumsuz etkileyeb