| Abstract | Ciljevi istraživanja:
Ciljevi istraživanja bili su utvrditi učestalost krvarenja u kasnoj trudnoći kod placente previje, abrupcije placente i atonije uterusa u 2014.g u KBC-u Osijek
Ustroj studije:Retrospektivna stručno istraživačka studija
Ispitanici i metode:
Ispitanici su bile trudnice u KBC Osijek koje su bile hospitalizirane tijekom 2014.godine. zbog krvarenja u kasnoj trudnoći. Provodilo se retrospektivno istraživanje gdje su podaci uzeti iz rađaonskog protokola i povijesti bolesti. Prikupljali su se dob, tjedan trudnoće,dijagnoza, porod po redu,završetak poroda,ishod trudnoće, Apgar i ishod djeteta.
Rezultati:
U 2014.godini bilo je 8 ispitanica (0,4%) koje su imale dijagnozu placente previe, 8 ispitanica (0,4%) atoniju uterusa, te 3 ispitanice (0,1%) abrupciju placente. Kod ispitanica s placentom previjom i abrupcijom placente sve su ispitanice rodile carskim rezom, dok je kod atonije uterusa 2 (0,3% ) rodile na carski rez i 6 ispitanica (0,8%) prirodno. Kod abrupcije placente jedna trudnoća je završila negativnim ishodom, odnosno smrću djeteta, te isto tako kod placente previje. Najmanji tjedan gestacije u kojem je izvršen porođaj je 30. tjedan trudnoće,dok je najveći 40.tjedan.
Zaključak:
Pravovremenim reagiranjem i davanjem valjane terapije, odnosno transfuzije, osobito svježe krvi, uvelike pridonosi pozitivnom ishodu trudnoće i završetku poroda. Konstantnom procjenom trudnice i praćenjem vitalnih znakova fetusa omogućava
se pravovremeno prepoznavanje znakova i simptoma hipovolemijskog šoka. Dobrom prijeoperativnom pripremom i izvođenjem hitnog carskog reza uvelike se sprječava smrtnost majke i djeteta. |
| Abstract (english) | Objectives:
Aim of the research was to determine the frequency of late pregnancy bleeding due to placenta previa, placental abruption or uterine atony in 2014 in Clinical Hospital Centre Osijek
Study desing: Retrospective professional research study
Patients and methods:
Patients were pregnant women hospitalized during 2014 due to late pregnancy bleeding. Retrospective research was conducted where birthing protocol and medical records were collected. Patient's age, weeks of gestation, diagnosis, number of births, delivery, pregnancy outcome, Apgar and child outcome were recorded.
Results:
In 2014, 8 patients (0,4%) had placenta previa, 8 (0,4%) had uterine atony and 3 (0,1%) had placental abruption. All patients with placenta previa and placental abruption gave birth by cesarean section. 2 patients (0,3%) with uterine atony gave birth by cesarean section and 6 (0,8%) gave birth naturally. In placental abruption and placenta previa there was a respective case of one pregnancy ending with a negative outcome, that is, with the death of a baby. The lowest gestational age when the baby was delivered was 30 weeks and the highest was 40 weeks.
Conclusion:
A timely reaction where a pregnant woman recieves adequate therapy, i.e a transfusion of fresh blood, greatly contributes to a positive pregnancy and delivery outcome. Constant assessment of a pregnant woman and monitoring of fetal vital signs enable a timely recognition of hypovolemic shock symptoms. A good preoperative preparation and emergency cesarean section significantly prevent mortality of mother and baby. |
