Evaluation of factors affecting perinatal mortality in patients with HELLP syndrome

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dc.authorid0000-0001-8468-7038en_US
dc.authorid0000-0003-2583-277Xen_US
dc.authorid0000-0001-7982-1407en_US
dc.authorid0000-0002-6941-6851en_US
dc.authorid0000-0003-0903-6520en_US
dc.contributor.authorGündüz, Reyhan
dc.contributor.authorTunç, Senem Yaman
dc.contributor.authorİçen, Mehmet Sait
dc.contributor.authorGül, Talip
dc.contributor.authorErtuğrul, Sabahattin
dc.date.accessioned2023-01-09T13:27:47Z
dc.date.available2023-01-09T13:27:47Z
dc.date.issued2021en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalıen_US
dc.description.abstractOBJECTIVE: To determine the perinatal mortality rate in patients with HELLP syndrome in our clinic and to investigate the factors affecting perinatal mortality. It also makes recommendations to reduce perinatal mortality and contributes to the literature. STUDY DESIGN: Three-hundred-and-eighty-three patients were retrospectively evaluated in this cohort study. The patients' demographic, clinical data, laboratory results, gestational week at delivery, method of delivery, neonatal birth weight, fetal gender, 1- and 5-minute APGAR scores, place of delivery, maternal morbidity, mortality rates, and perinatal mortality rates were recorded. The relationship of these factors with perinatal mortality was investigated. RESULTS: The rate of perinatal mortality was determined as 6%. Patients with HELLP syndrome who experienced perinatal mortality showed significantly lower birth weight, gestational age at delivery, and 1- and 5-minute APGAR score values (p<0.05). With respect to methods of delivery, we determined that vaginal delivery was linked to a significantly higher rate of perinatal mortality (p<0.001). Gestational age at delivery, birth weight, 1- and 5-minute APGAR scores were negatively correlated with perinatal mortality. Logistic regression revealed the APGAR score at 5 minutes as the most reliable independent predictive finding for perinatal mortality. CONCLUSION: We think that to decrease perinatal mortality rates, maternal and fetal well-being in patients with HELLP syndrome should be closely monitored and delivery and follow-up should take place at tertiary health institutions after maternal and neonatal intensive care arrangements are made. Particularly, neonates with low 5-minute APGAR scores in the postpartum evaluation of neonatal condition are recommended to be followed-up at the neonatal intensive care unit.en_US
dc.identifier.citationGündüz, R., Tunç, S. Y., İçen, M. S., Gül, T. ve Ertuğrul, S. (2021). Evaluation of factors affecting perinatal mortality in patients with HELLP syndrome. GORM:Gynecology Obstetrics & Reproductive Medicine, 27(3), 213-220.en_US
dc.identifier.doi10.21613/GORM.2021.1144
dc.identifier.endpage220en_US
dc.identifier.issn1300-4751
dc.identifier.issn2602-4918
dc.identifier.issue3en_US
dc.identifier.startpage213en_US
dc.identifier.trdizinid510865
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/510865
dc.identifier.urihttps://hdl.handle.net/11468/11191
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/510865
dc.identifier.volume27en_US
dc.indekslendigikaynakTR-Dizin
dc.institutionauthorGündüz, Reyhan
dc.institutionauthorTunç, Senem Yaman
dc.institutionauthorİçen, Mehmet Sait
dc.institutionauthorGül, Talip
dc.institutionauthorErtuğrul, Sabahattin
dc.language.isoenen_US
dc.publisherMebas Medikal Basın Yayınen_US
dc.relation.ispartofGORM:Gynecology Obstetrics & Reproductive Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAPGAR scoreen_US
dc.subjectHELLP syndromeen_US
dc.subjectPerinatal mortalityen_US
dc.subjectPrematurityen_US
dc.titleEvaluation of factors affecting perinatal mortality in patients with HELLP syndromeen_US
dc.titleEvaluation of factors affecting perinatal mortality in patients with HELLP syndrome
dc.typeArticleen_US

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