Causes of abortion in pregnant women applying with vaginal bleeding and pain: Fetal- maternal causes Vajinal kanama ve ağrı yakınması ile başvuran gebelerin düşük yapma nedenleri: Fetal-maternal nedenler

Objective: Aim of this study was to investigate causes of abortion in pregnant woman applying with vaginal bleeding and pain and diagnosed abortion to Gaziantep 75. Year Maternatiy Hospital. Material and method: This study was conducted on pregnant woman applying with vaginal bleeding and pain and diagnosed abortion to Gaziantep 75. Year Maternatiy Hospital between 13 September- 29 December 2009 and total 53 pregnant woman were used as a materials( in the first and second trimester). The data for the study was obtained through a questionnaire that determine gynecologic history and fertility information with demographic characteristics of pregnantomen. The questionnaire form were filled by researcher applying face to face. Statistical analyzes were conducted using Chi-Square. The level of significance was determined at p< 0.05. Results: To examine rate of women’s abortion they have experienced 62.3 % first, 18.9 % second abortion respectively. To examine causes of abortions; 28 % was performed without any reason. It was found that there were significant association between abortion and education level (p<0.05). It was found that rate of abortion was higher in illiterate group. Conclusion: The most frequent fetal causes were IUGR (11%) and fetal chromosomopathies (9 %) respectively. Maternal diseases (10%), placenta previa (6%) and as a result of trauma (6%) were the most common maternal causes. Ozet Amac: Bu calismada Gaziantep 75. Yil Kadin Hastaliklari ve Dogum Hastanesine vajinal kanama ve agri yakinmasiyla basvuran ve abortus tanisi konan gebelerin dusuk yapma nedenlerinin belirlenmesi amaclanmistir. Materyal ve metod: Calismaya 13 Eylul- 29 Aralik 2009 tarihleri arasinda Gaziantep 75. Yil Kadin Hastaliklari ve Dogum Hastanesine vajinal kanama ve agri yakinmasiyla basvuran ve abortus tanisi konan, hastanede yatirilarak tedavi goren birinci ve ikinci trimesterdeki 53 gebe katilmistir. Arastirmanin verileri gebelerin demografik ozellikleri ile jinekolojik oyku ve dogurganlik bilgilerini belirleyen bir anket formu araciligi ile elde edilmistir. Anket formu arastirmaci tarafindan kadinlarla yuz yuze gorusulerek doldurulmustur. Verilerin analizinde ki-kare testi kullanilmistir. p<0.05 degeri istatistiksel olarak anlamli kabul edilmistir. Bulgular: Arastirmaya katilan kadinlarin %62.3’unun ilk, % 18.9’unun ikinci dusuk deneyimi oldugu belirlenmistir. Kadinlarin %28’ inde dusuklerin herhangi bir neden olmadan gerceklestigi saptanmistir. Okuryazar olmayan grupta dusuk sayisi daha fazla bulunmus olup dusuk ile egitim duzeyi arasinda anlamli bir iliski saptanmistir (p<0.05). Sonuc: Abortuslara sebep olan fetal nedenler icinde IUGR (%11) ve konjenital anomali (%9) ile maternal nedenler icinde ise anneye ait hastaliklar (%10), plasenta previa (% 6) ve travmanin (%6) daha cok goruldugu belirlenmistir.