YARDIMCI ÜREME TEKNİKLERİNDE PERİNATAL SONUÇLAR

Son yillarda onemli oranda artis gosteren yardimci ureme teknikleri sonucu tahmini olarak 5 milyon dogum gerceklesmistir. Modernlesme surecinde kadinlarin mesleki ve sosyal alandaki yasam tarzi degisiklikleri, evlenme yasini ve evlilikte cocuk sahibi olmak icin girisim yasini arttirmistir. Gebelik yasinin artmasiyla spontan gebeliklerde kromozomal anomaliler, abortus, abortus imminens, konjenital anomaliler, preeklemsi, plasenta previa, plasenta de kolman, preterm eylem, erken membran rupturu, dusuk agirlikli dogum, makrozomik fetus, operatif vajinal dogum, sezaryen ve perinatal kayip riskleri de artmaktadir. Yardimci ureme teknikleri islemlerine bagli teorik ve deneysel riskler oldugu epidemiyolojik sonuclarla da desteklenmektedir. Yardimci ureme teknikleri ile olusan gebelikleri gerek infertilite nedenine gerekse yardimci ureme tekniklerine bagli islemlere yonelik olsun riskli gebeliklerdir ve izlemler sirasinda bu durumun akilda tutulmasi gereklidi r. Bu nedenle yardimci ureme tekniklerini kullanacak ebeveyn adaylari butun potansiyel yararli ve zararli etkiler konusunda hemsireler tarafindan bilgilendirilmelidir. Anahtar Kelimeler: Yardimci ureme teknikleri; perinatal sonuclar; riskli gebelik; hemsir elik. ABSTRACT Perinatal outcomes in assisted reproductive techniques It is now estimated that around 5 million babies have been born as a result of assisted reproductive techniques showing a significant increase in recent years. The age of marriage and age of entry having children into marriage has increased with women’s professional and social life style changes in modernization process. Chromosomal abnormalities, abortion, imminent abortion, congenital anomalies, preeclampsia, placenta previa, abruptio placenta, preterm labor, premature rupture of membranes, low birth weight, macrosomic fetus, operative vaginal delivery, cesarean section and perinatal loss risks in spontaneous labor are increasing and also gestational age. The theoretical and experimental risks related with assisted reproductive techniques are supported by epidemiological results. Assisted reproductive techniques pregnancies are high risk pregnancies depending on whether assisted reproductive techniques and the cause of infertility and this condition is essential to keep in mind during follow-up. Therefore, parent candidates will use assisted reproductive techniques should be informed by nursing about all the potential beneficial and harmful effects by nurses. Keywords: Assisted reproductive techniques; perinatal outcomes; high risk pregnancy; nursing.