Risk Assessments, Pregnancy and Birth Processes of Pregnant Women at Primary Health Care Center: A Retrospective Study

Abstract

Aim: Although many pregnancies and birth processes have passed without any problems, all pregnancies have various risks. The main purpose should be to control risky situations in pregnancy without threatening the health of mother and baby. Our study was carried out in order to investigate the complications related to the risks determined by the risk assessments of women who were followed during pregnancy and puerperants in a family health centre. Methods: Women who were registered in the family medicine unit and whose pregnancy and puerperium were followed were scanned through the automation system during the study period. During the pregnancy periods, risk factors and time of birth were examined. Patients with any risk factor were considered as risky pregnant and examined whether a pathological condition developed during pregnancy or during the postpartum period. Results: It was determined that during pregnancy period 10 pregnant women had at least one risk factor of 81 pregnant women whose risk assessments were examined. The distribution of risk factors was as follow; 3 with grand-multiparity story, 3 with preterm delivery, 2 with pregnancy over 35, 2 with Rh incompatibility, 1 with cardiovascular disease, 1 with multiple pregnancy, 1 with preterm labor, and under 18 years of age in 1 pregnant women was determined. It was found statistically significant that the risk of having a risk factor was higher than that of non-risk patients at 38 weeks (p<0.01). Among the risk factors, when the patients with preterm delivery and preterm delivery were excluded, it was also found that the preterm delivery risk increased significantly (p=0.012). Conclusions: In pregnancies with risk factors, complications may occur much more than normal pregnancies. Therefore, it is very important for women to communicate with family physicians while planning pregnancy; if their risks are identified and appropriate approach protocols are used to ensure that both the mother and baby survive and maintain a healthy life.

Riskli Gebelerde Prenatal Bağlanma ve Risklerin Değerlendirilmesi

“…Bu testler anne ve bebek sağlığının korunması, olası sağlık sorunlarının erken tespiti, anomalisi olan bebeğe doğumdan hemen sonra gerekli ve doğru müdahalenin yapılması bakımından büyük önem taşımaktadır. [4][5][6] Annenin psikolojisi özellikle ilk gebeliklerde gebeliğin öğrenilmesinden sonra aniden oluşan duygu durum değişikliklerinden etkilenmektedir. Özellikle bu dönemde bebeğini kaybetme riski ile edinilen anne-lik rolünün yok olma korkusu, engelli bebeğe sahip olma ve bakımı konusunda yaşanan endişeler ciddi anlamada travmalara neden olabilmektedir.…”

Evaluation of hospitalized newborns due to indirect hyperbilirubinemia: A cross-sectional study

“…As a result of this study, IHB was seen to accompany ABO/Rh incompatibility, neonatal infections, and enzymatic deficiencies. Early diagnosis of possible pathological conditions in the perinatal period will significantly reduce the mortality and morbidity rates of the newborn and prevent permanent damage to the newborn's central nervous system [21]. Close monitoring of newborns who are at risk of possible IHD is vitally important in this respect and adequate treatment of newborns with hyperbilirubinemia will contribute to the growth of healthy generations.…”

The Effect of Music on Pregnancy Complaints with Sleep and Quality of Life in Risky Pregnant Women

“…Pregnancy is one of the most significant physiological event women have throughout their life. A pathological event threatening maternal and fetal health occurs in 5%-20% of pregnancies, which are called risky pregnancy (1). Although the rate of risky pregnancy has decreased over time in Turkey, two out of every three pregnancies are still considered risky pregnancy (2,3).…”