Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases
Objective: To analyze whether the time the patients entering into prenatal care affects the route of delivery, maternal, and fetal outcomes. Study Design: The electronic medical files of 17,035 women who delivered at the same hospital between January 2008 and December 2014, were retrospectively re...
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| Format: | Article |
| Language: | English |
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Medical Network
2021-04-01
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| Series: | Gynecology Obstetrics & Reproductive Medicine |
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| Online Access: | https://gorm.com.tr/index.php/GORM/article/view/985 |
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| _version_ | 1823857401458065408 |
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| author | Pinar Calis Burak Gultekin Fatma Doga Ocal Gurcan Akgul Afra Alkan |
| author_facet | Pinar Calis Burak Gultekin Fatma Doga Ocal Gurcan Akgul Afra Alkan |
| author_sort | Pinar Calis |
| collection | DOAJ |
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Objective: To analyze whether the time the patients entering into prenatal care affects the route of delivery, maternal, and fetal outcomes.
Study Design: The electronic medical files of 17,035 women who delivered at the same hospital between January 2008 and December 2014, were retrospectively reviewed. Pregnant women were distributed into one of 5 groups (No-prenatal-visit group, Only-pregestational-visit group, First-visit-prior-to-24-weeks-follow-up group, Early-third-trimester-follow-up group, Late-third-trimester-follow-up group) according to the time of their first pregnancy follow-up visit. The route of delivery, maternal anemia, and fetal outcomes were compared among the groups.
Results: Pregnant women in the no-prenatal-visit group were younger and showed higher rates of vaginal delivery (56%), term deliveries (90.7%), and postpartum anemia. Those in the first-visit-prior-to-24-weeks group were older and showed higher rates of both primary and secondary cesarean (58%), and higher rates of term deliveries (93.6%) and lower postpartum anemia. Both the primary and secondary cesarean rates were higher in groups with frequent and early follow-up visits than in a no-prenatal-visit group and late-third-trimester-follow-up group (p<0.001).
Conclusion: The rates of cesarean deliveries were found to be increased prominently in pregnant women who began antenatal care early in pregnancy with frequent follow-ups.
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| format | Article |
| id | doaj-art-17b551ef546a492f971a73ade3d6c0eb |
| institution | Kabale University |
| issn | 1300-4751 2602-4918 |
| language | English |
| publishDate | 2021-04-01 |
| publisher | Medical Network |
| record_format | Article |
| series | Gynecology Obstetrics & Reproductive Medicine |
| spelling | doaj-art-17b551ef546a492f971a73ade3d6c0eb2025-02-11T21:11:49ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182021-04-0127110.21613/GORM.2019.985Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 CasesPinar Calis0Burak Gultekin1Fatma Doga Ocal2Gurcan Akgul3Afra Alkan4Dr. Sami Ulus Women's and Children's Health Training and Research HospitalDr. Sami Ulus Women's and Children's Health Training and Research HospitalDr. Sami Ulus Women's and Children's Health Training and Research Hospital,Dr. Sami Ulus Women's and Children's Health Training and Research HospitalYildirim Bayezit University Objective: To analyze whether the time the patients entering into prenatal care affects the route of delivery, maternal, and fetal outcomes. Study Design: The electronic medical files of 17,035 women who delivered at the same hospital between January 2008 and December 2014, were retrospectively reviewed. Pregnant women were distributed into one of 5 groups (No-prenatal-visit group, Only-pregestational-visit group, First-visit-prior-to-24-weeks-follow-up group, Early-third-trimester-follow-up group, Late-third-trimester-follow-up group) according to the time of their first pregnancy follow-up visit. The route of delivery, maternal anemia, and fetal outcomes were compared among the groups. Results: Pregnant women in the no-prenatal-visit group were younger and showed higher rates of vaginal delivery (56%), term deliveries (90.7%), and postpartum anemia. Those in the first-visit-prior-to-24-weeks group were older and showed higher rates of both primary and secondary cesarean (58%), and higher rates of term deliveries (93.6%) and lower postpartum anemia. Both the primary and secondary cesarean rates were higher in groups with frequent and early follow-up visits than in a no-prenatal-visit group and late-third-trimester-follow-up group (p<0.001). Conclusion: The rates of cesarean deliveries were found to be increased prominently in pregnant women who began antenatal care early in pregnancy with frequent follow-ups. https://gorm.com.tr/index.php/GORM/article/view/985Cesarean deliveryPregnancyPrenatal care |
| spellingShingle | Pinar Calis Burak Gultekin Fatma Doga Ocal Gurcan Akgul Afra Alkan Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases Gynecology Obstetrics & Reproductive Medicine Cesarean delivery Pregnancy Prenatal care |
| title | Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases |
| title_full | Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases |
| title_fullStr | Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases |
| title_full_unstemmed | Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases |
| title_short | Earlier the Patients Entering Into Prenatal Care, Higher the Cesarean Rates: Analysis of 17.035 Cases |
| title_sort | earlier the patients entering into prenatal care higher the cesarean rates analysis of 17 035 cases |
| topic | Cesarean delivery Pregnancy Prenatal care |
| url | https://gorm.com.tr/index.php/GORM/article/view/985 |
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