Tekil ve çoğul gebeliklerde anne beslenmesinin kan parametreleri üzerine etkisinin incelenmesi
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Date
2023
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Trakya Üniversitesi
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info:eu-repo/semantics/openAccess
Abstract
Bu çalışma kapsamında tekil ve çoğul gebeliklerde anne beslenmesi incelenmiştir. Tekil ve çoğul gebeliklerde anne beslenmesinin kan parametresi üzerindeki etkisini saptamak amacıyla planlanıp yürütülmüştür. Çalışmaya öözel bir tüp bebek başvuran 29 hafta ve üzeri gönüllü tekil ve çoğul gebe kadınlar dahil edilmiştir. Özel tüp bebek merkezine başvuran ve gönüllü olarak katılmayı kabul eden 24 gebeye araştırmacı tarafından yüz yüze anket formu doldurulmuştur. Anket formu demografik özellikler, antropometrik ölçümler, sağlık öyküsü, gebeliğe ilişkin sorular, alkol ve sigara tüketim durumu, fiziksel aktivite ve besin tüketim kaydından oluşmaktadır. Katılımcıların gebelik öncesinden doğum sonuna kadar olan tüm kan parametreleri de çalışmaya dahil edilmiştir. Gebelik öncesi ağırlık ile 1.trimesterdeki vücut ağırlıkları beyana dayalı alınmış olup 2. ve 3. trimester sonundaki vücut ağırlıkları araştırmacı tarafından ölçülerek çalışmaya dahil edilmiştir. Çalışmaya katılan gebelerin tamamında 1.trimesterdeki vücut ağırlığı artışları 2. ve 3.trimesterdeki artışa göre daha düşük olup en fazla artış 3. trimesterde olmuştur (p<0,001). Çalışmaya katılan gebelerde doğum sonucu ile gebelik sayısı arasında ilişki bulunmamıştır. Tekil gebeliklerin kan parametreleri izlemi düzensizlik gösterirken, çoğul gebeliklerin izlemi rutin olarak yapılmıştır. Gebelerin kan demir değerleri incelendiğinde gebelik öncesi ölçülen değer diğer ölçümlerin ortalamasından istatistiksel olarak anlamlı bir şekilde daha düşüktür (p=0,002; <0,001). Çoğul gebelerin tamamı erken doğum yaparken (38 hafta ve öncesinde) tekil gebelerin %66,6' sı erken doğum yapmıştır. Erken doğum yapan gebelerin bebeklerinin doğum ağırlığı ortalaması 2735,6 g olarak bulunmuştur. 38-40 hafta arasında doğan bebeklerin doğum ağırlığı ortalaması ise 3278,7 g olarak bulunmuştur. İkiz bebeklerde bebek doğum ağırlığı ortalaması 2525 g olarak bulunmuştur. Bu değer tekil gebeliklerde 3112,4 g olarak bulunmuştur. Yapılan çoğu çalışma sonucu gebelik döneminde yeterli ve dengeli beslenmenin önemi vurgulanmaktadır. Çoğul gebelikler tekil gebeliklere oranla daha yüksek risk altında olup doğum öncesi ve sonrası dönemde daha fazla gözetim ve takip gerektirmektedir. Anahtar kelimeler: gebelikte beslenme, çoğul gebelik, anne beslenmesi
In this study, maternal nutrition was investigated in singleton and multiple pregnancies. It was planned and conducted to determine the effect of maternal nutrition on blood parameters in single and multiple pregnancies. Volunteer single and multiple pregnant women who were 29 weeks and older and applied to special IVF center were included in the study. A face-to-face questionnaire was filled by the researcher to 24 pregnant women who applied to IVF center and agreed to participate voluntarily. The questionnaire consists of demographic characteristics, anthropometric measurements, health history, questions about pregnancy, alcohol and cigarette consumption status, physical activity and food consumption record. All blood parameters of the participants from pre-pregnancy to the end of birth were also included in the study. Pre-pregnancy weight and body weights in the 1st trimester were taken based on the declaration, and body weights at the end of the 2nd and 3rd trimesters were measured by the researcher and included in the study. In all of the pregnant women who participated in the study, the increase in body weight in the 1st trimester was lower than the increase in the 2nd and 3rd trimesters, and the highest increase was in the 3rd trimester (p<0.001). There was no relationship between the birth result and the number of pregnancies in the pregnant women who participated in the study. While the blood parameters of singleton pregnancies were irregular, follow-up of multiple pregnancies was routinely done. When the blood iron values of pregnants were examined, the value measured before pregnancy was statistically significantly lower than the average of other measurements (p=0.002; <0.001). While all of the multiple pregnancies gave birth prematurely (at 38 weeks and before), 66.6% of the singleton pregnancies gave birth prematurely. The average birth weight of the babies of the pregnant women who gave birth prematurely was found to be 2735.6 g. The average birth weight of babies born between 38-40 weeks was found to be 3278.7 g. The average birth weight of twins was found to be 2525 g. This value was found to be 3112.4 g in singleton pregnancies. As a result of many studies, the importance of adequate and balanced nutrition during pregnancy is emphasized. Multiple pregnancies are at higher risk than singleton pregnancies and require more surveillance and follow-up in the antenatal and postnatal period. Keywords: nutrition during pregnancy, multiple pregnancy, maternal nutrition
In this study, maternal nutrition was investigated in singleton and multiple pregnancies. It was planned and conducted to determine the effect of maternal nutrition on blood parameters in single and multiple pregnancies. Volunteer single and multiple pregnant women who were 29 weeks and older and applied to special IVF center were included in the study. A face-to-face questionnaire was filled by the researcher to 24 pregnant women who applied to IVF center and agreed to participate voluntarily. The questionnaire consists of demographic characteristics, anthropometric measurements, health history, questions about pregnancy, alcohol and cigarette consumption status, physical activity and food consumption record. All blood parameters of the participants from pre-pregnancy to the end of birth were also included in the study. Pre-pregnancy weight and body weights in the 1st trimester were taken based on the declaration, and body weights at the end of the 2nd and 3rd trimesters were measured by the researcher and included in the study. In all of the pregnant women who participated in the study, the increase in body weight in the 1st trimester was lower than the increase in the 2nd and 3rd trimesters, and the highest increase was in the 3rd trimester (p<0.001). There was no relationship between the birth result and the number of pregnancies in the pregnant women who participated in the study. While the blood parameters of singleton pregnancies were irregular, follow-up of multiple pregnancies was routinely done. When the blood iron values of pregnants were examined, the value measured before pregnancy was statistically significantly lower than the average of other measurements (p=0.002; <0.001). While all of the multiple pregnancies gave birth prematurely (at 38 weeks and before), 66.6% of the singleton pregnancies gave birth prematurely. The average birth weight of the babies of the pregnant women who gave birth prematurely was found to be 2735.6 g. The average birth weight of babies born between 38-40 weeks was found to be 3278.7 g. The average birth weight of twins was found to be 2525 g. This value was found to be 3112.4 g in singleton pregnancies. As a result of many studies, the importance of adequate and balanced nutrition during pregnancy is emphasized. Multiple pregnancies are at higher risk than singleton pregnancies and require more surveillance and follow-up in the antenatal and postnatal period. Keywords: nutrition during pregnancy, multiple pregnancy, maternal nutrition
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Beslenme ve Diyetetik, Nutrition and Dietetics
