{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,20]],"date-time":"2024-03-20T15:29:54Z","timestamp":1710948594152},"reference-count":17,"publisher":"Akademiai Kiado Zrt.","issue":"41","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2007,10,1]]},"abstract":"<jats:p>A h\u00e1rmasiker-fogamz\u00e1s felismer\u00e9s\u00e9t k\u00f6vet\u0151en a v\u00e1rand\u00f3sok sz\u00e1m\u00e1ra r\u00e9szletes felvil\u00e1gos\u00edt\u00e1st kell ny\u00fajtani a h\u00e1rmasiker-terhess\u00e9g kihord\u00e1s\u00e1nak kock\u00e1zatair\u00f3l, a trigemini terhess\u00e9gb\u0151l sz\u00e1rmaz\u00f3 \u00fajsz\u00fcl\u00f6ttek es\u00e9lyeir\u0151l, amely alapj\u00e1n val\u00f3ban k\u00f6r\u00fcltekint\u0151 d\u00f6nt\u00e9st tudnak hozni a terhess\u00e9g tov\u00e1bbvisel\u00e9s\u00e9r\u0151l, illetve a redukci\u00f3 lehet\u0151s\u00e9g\u00e9nek ig\u00e9nybev\u00e9tel\u00e9r\u0151l. \n <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n A magyar h\u00e1rmasiker-popul\u00e1ci\u00f3 reprezentat\u00edvnak tekinthet\u0151, nagy esetsz\u00e1m\u00fa mint\u00e1j\u00e1n az anyai \u00e9letkor mint kock\u00e1zati t\u00e9nyez\u0151 vizsg\u00e1lata az anyai sz\u00f6v\u0151dm\u00e9nyek \u00e9s a perinatalis eredm\u00e9nyek elemz\u00e9s\u00e9vel. \n <jats:italic>M\u00f3dszer:<\/jats:italic>\n Retrospekt\u00edv kohorsz tanulm\u00e1nyunkban az I. sz. Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinik\u00e1n az 1990. j\u00falius 1. \u00e9s 2006. j\u00fanius 30. k\u00f6z\u00f6tti id\u0151szakban sz\u00fcl\u00e9ssel v\u00e9gz\u0151d\u00f6tt 114 h\u00e1rmasiker-terhess\u00e9get vizsg\u00e1ltuk. \n <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n A vizsg\u00e1lt h\u00e1rmasiker-terhes popul\u00e1ci\u00f3ban 15 beteg volt 35 \u00e9ves vagy ann\u00e1l id\u0151sebb (35\u201339 \u00e9ves) a sz\u00fcl\u00e9skor (13,2%), 99 v\u00e1rand\u00f3s pedig 35 \u00e9vn\u00e9l fiatalabb (20\u201334 \u00e9ves) (86,8%). A terhess\u00e9g alatt jelentkez\u0151 anyai sz\u00f6v\u0151dm\u00e9nyek hasonl\u00f3 ar\u00e1nyban voltak megfigyelhet\u0151k a k\u00e9t vizsg\u00e1lt csoportban, \u00e9s nem volt szignifik\u00e1ns k\u00fcl\u00f6nbs\u00e9g a sz\u00fcl\u00e9skor bet\u00f6lt\u00f6tt \u00e1tlagos terhess\u00e9gi kort tekintve (33,0 \u00b1 2,9 \u00e9s 32,2 \u00b1 3,3 h\u00e9t), valamint az igen \u00e9retlen (6,7% \u00e9s 9,1%) \u00e9s \u00e9retlen korasz\u00fcl\u00e9sek (32,9% \u00e9s 43,4%) ar\u00e1ny\u00e1ban, b\u00e1r mindh\u00e1rom jellemz\u0151 a 35 \u00e9v felettiekn\u00e9l mutatott kedvez\u0151bb \u00e9rt\u00e9ket. Az \u00e9lve sz\u00fcletett \u00fajsz\u00fcl\u00f6ttek \u00e1tlagos sz\u00fclet\u00e9si s\u00falya magasabb volt a 35 \u00e9v feletti betegek csoportj\u00e1ban (1796 \u00b1 492 \u00e9s 1664 \u00b1 506 g, \n <jats:italic>p<\/jats:italic>\n = 0,064), \u00e9s az igen-igen kis s\u00faly\u00fa (6,8% \u00e9s 10,7%), valamint az igen kis s\u00faly\u00fa \u00fajsz\u00fcl\u00f6ttek ar\u00e1nya (34,1% \u00e9s 38,6%) is alacsonyabb volt ebben a csoportban. A 35 \u00e9v feletti v\u00e1rand\u00f3sok \u00fajsz\u00fcl\u00f6ttjeinek egyperces \u00e9s \u00f6tperces Apgar-\u00e9rt\u00e9ke szignifik\u00e1nsan magasabb volt (8,4 \u00b1 0,5 \u00e9s 8,0 \u00b1 1,0, \n <jats:italic>p<\/jats:italic>\n = 0,016, valamint 9,5 \u00b1 0,7 \u00e9s 9,2 \u00b1 0,8, \n <jats:italic>p<\/jats:italic>\n = 0,006). A perinatalis hal\u00e1loz\u00e1si mutat\u00f3k nem jeleztek szignifik\u00e1ns k\u00fcl\u00f6nbs\u00e9get a k\u00e9t csoport k\u00f6z\u00f6tt, \u00e9s a puerperalis sz\u00f6v\u0151dm\u00e9nyek tekintet\u00e9ben sem volt k\u00fcl\u00f6nbs\u00e9g. Sepsis\/pneumonia ritk\u00e1bban fordult el\u0151 a 35 \u00e9v feletti betegek \u00fajsz\u00fcl\u00f6ttjeinek k\u00f6r\u00e9ben (6,9% \u00e9s 28,6%, \n <jats:italic>p<\/jats:italic>\n = 0,011), \u00e9s ebben a csoportban l\u00e9legeztet\u00e9sre is ritk\u00e1bban volt sz\u00fcks\u00e9g (31,0% \u00e9s 58,2%, \n <jats:italic>p<\/jats:italic>\n = 0,011). A t\u00f6bbi \u00fajsz\u00fcl\u00f6ttkori sz\u00f6v\u0151dm\u00e9ny k\u00f6zel azonos ar\u00e1nyban fordult el\u0151 a k\u00e9t csoportban. \n <jats:italic>K\u00f6vetkeztet\u00e9sek:<\/jats:italic>\n B\u00e1r a terhess\u00e9g alatt \u00e9s a gyermek\u00e1gyas id\u0151szakban bizonyos anyai sz\u00f6v\u0151dm\u00e9nyek kock\u00e1zata magasabb id\u0151sebb \u00e9letkorban, a kedvez\u0151bb perinatalis eredm\u00e9nyek \u00e9s neonatalis morbidit\u00e1si adatok alapj\u00e1n az id\u0151s anyai \u00e9letkor h\u00e1rmasiker-terhess\u00e9gben kock\u00e1zatot cs\u00f6kkent\u0151 (protekt\u00edv) t\u00e9nyez\u0151.<\/jats:p>","DOI":"10.1556\/oh.2007.28161","type":"journal-article","created":{"date-parts":[[2007,10,8]],"date-time":"2007-10-08T15:45:46Z","timestamp":1191858346000},"page":"1947-1955","source":"Crossref","is-referenced-by-count":2,"title":["Maternal age as a risk factor in triplet pregnancy"],"prefix":"10.1556","volume":"148","author":[{"given":"Ervin","family":"Hruby","sequence":"first","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar I. 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Gynecol."},{"key":"atypb5","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/S0301-2115(02)00270-1","volume":"107","year":"2003","journal-title":"Eur. J. Obstet. Gynecol. Biol. Reprod."},{"key":"atypb6","doi-asserted-by":"crossref","first-page":"700","DOI":"10.1016\/j.ajog.2004.03.040","volume":"191","year":"2004","journal-title":"Am. J. Obstet. Gynecol."},{"key":"atypb7","doi-asserted-by":"crossref","first-page":"F174","DOI":"10.1136\/fn.75.3.F174","volume":"75","year":"1996","journal-title":"Arch. Dis. Child. Fetal. Neonat."},{"key":"atypb8","doi-asserted-by":"crossref","first-page":"1506","DOI":"10.1016\/j.ajog.2006.01.043","volume":"195","year":"2006","journal-title":"Am. J. Obstet. Gynecol."},{"key":"atypb9","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1097\/00001703-200304000-00005","volume":"15","year":"2003","journal-title":"Curr. Opin. Gynecol. Obstet."},{"key":"atypb10","first-page":"679","volume":"102","year":"2003","journal-title":"Obstet. Gynecol."},{"key":"atypb11","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1056\/NEJM200007063430101","volume":"343","year":"2000","journal-title":"N. Engl. J. Med."},{"key":"atypb12","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1053\/j.semperi.2005.10.004","volume":"29","year":"2005","journal-title":"Semin. Perinatol."},{"key":"atypb13","first-page":"454","volume":"183","year":"1999","journal-title":"Am. J. Obstet. Gynecol."},{"key":"atypb14","first-page":"47","volume":"57","year":"2001","journal-title":"Obstet. Gynecol. Surv."},{"key":"atypb16","first-page":"9","volume":"93","year":"1999","journal-title":"Obstet. Gynecol."},{"key":"atypb17","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1056\/NEJM199510123331501","volume":"333","year":"1995","journal-title":"N. Engl. J. Med."},{"key":"atypb18","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1016\/S0015-0282(02)03272-7","volume":"78","year":"2002","journal-title":"Fertil. 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