Predictors of adverse perinatal outcomes in women at 40 weeks or more of pregnancy

dc.authorid0000-0003-1496-3732
dc.authorid0000-0002-6296-6391
dc.authorid0000-0002-8401-2193
dc.authorid0000-0002-7208-2186
dc.contributor.authorSert, Zekiye Soykan
dc.contributor.authorEvren Dilmaç, Ayşegül
dc.contributor.authorAlkan, Ender
dc.contributor.authorSert, Ekrem Taha
dc.date.accessioned2024-04-25T07:01:04Z
dc.date.available2024-04-25T07:01:04Z
dc.date.issued2023
dc.departmentTıp Fakültesi
dc.description.abstractIntroduction and aim. To evaluate the clinical features of women at ?40 weeks of pregnancy and the utility of obstetric Doppler indices in predicting adverse perinatal outcomes in these pregnancies. Material and methods. This prospective study was conducted at a single academic medical center between 2020 and 2022. Women aged 18 years and older with no risk factors who were at ?40 weeks of pregnancy and delivered their babies in our hospital were included in the study. The fetal biometry, placental maturity grading, and doppler velocytometry indices of the pregnant women were evaluated. The cases were divided into two groups according to the development of adverse perinatal outcomes. The relationship between clinical features and adverse perinatal outcomes was evaluated. Results. Adverse perinatal outcomes developed in 19.6% (42) of the 214 cases. The multiple logistic regression analysis was performed to identify factors affecting perinatal outcomes. Accordingly, a maternal age of ?35 years (odds ratio [OR]: 1.74, 95% confidence interval [CI]: 1.29-3.96, p=0.038), nulliparity (OR: 1.42, 95% CI: 1.13-4.63, p=0.040), and grade 3 placental calcification (OR: 1.98, 95% CI: 1.11-4.53, p=0.029) were independent predictors of adverse perinatal outcomes. Conclusion. Care should be taken in terms of adverse perinatal outcomes in the presence of nulliparity, a maternal age of ?35 years, and grade 3 placental calcification in ?40 week pregnancies.
dc.identifier.doi10.15584/ejcem.2023.4.4
dc.identifier.endpage715en_US
dc.identifier.issn2544-2406
dc.identifier.issue4en_US
dc.identifier.scopusqualityQ4
dc.identifier.startpage711en_US
dc.identifier.urihttps:/dx.doi.org10.15584/ejcem.2023.4.4
dc.identifier.urihttps://hdl.handle.net/20.500.12451/11709
dc.identifier.volume21en_US
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherPublishing Office of the University of Rzeszow
dc.relation.ispartofEuropean Journal of Clinical and Experimental Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAdverse Perinatal Outcomes
dc.subjectDoppler Velocytometry
dc.subjectPlacental Maturity grading
dc.subjectProlonged Pregnancy
dc.titlePredictors of adverse perinatal outcomes in women at 40 weeks or more of pregnancy
dc.typeArticle

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