Diagnostic Evaluation of Pregnant Women Presentıng with Pruritis and Retrospective Analysis of Pregnancy Outcomes

INTRODUCTION: We aimed to evaluate the etiologic factors and pregnancy outcomes of pregnant women who applied to our antenatal outpatient clinics with the complaint of pruritus. METHODS: A retrospective study was conducted to examine the age, gestational weeks, gravidity, parity, comorbidities, labo...

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Main Authors: Elçin Işlek Seçen, Raziye Desdicioglu, Gülin Feykan Yeğin, Ceylan Bal, A. Seval Erdinç, Dilek Uygur, Hüseyin Levent Keskin
Format: Article
Language:English
Published: Ankara Yildirim Beyazit University 2021-12-01
Series:Ankara Medical Journal
Subjects:
Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=amj&un=AMJ-24022
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author Elçin Işlek Seçen
Raziye Desdicioglu
Gülin Feykan Yeğin
Ceylan Bal
A. Seval Erdinç
Dilek Uygur
Hüseyin Levent Keskin
author_facet Elçin Işlek Seçen
Raziye Desdicioglu
Gülin Feykan Yeğin
Ceylan Bal
A. Seval Erdinç
Dilek Uygur
Hüseyin Levent Keskin
author_sort Elçin Işlek Seçen
collection DOAJ
description INTRODUCTION: We aimed to evaluate the etiologic factors and pregnancy outcomes of pregnant women who applied to our antenatal outpatient clinics with the complaint of pruritus. METHODS: A retrospective study was conducted to examine the age, gestational weeks, gravidity, parity, comorbidities, laboratory test results and obstetric outcomes of pregnant women who applied with the complaint of pruritus to the antenatal follow-up outpatient clinics of Ankara City Hospital between 01.01.2020 and 31.12.2020. RESULTS: Medical records of 223 pregnant women who applied to our antenatal outpatient clinic with pruritus were evaluated, and the 181 pregnant with complete accessible data were enrolled in this study. The most common clinical diagnosis was pregnancy-specific dermatoses with a rate of 47.51% (n=86), and a specific diagnosis could not be determined in 80 pregnant women (44.19 %). Intrahepatic cholestasis (IHC) was found to be the most frequent diagnosis among the pregnancy-specific dermatoses with a percent of 25.41 (n=46). The incidence of IHC among specific dermatoses diagnosed ≥ 28 weeks of pregnancy was 30.76 %, and the most common dermatosis < 28 weeks was the atopic eruption of pregnancy (36.84 %). DISCUSSION AND CONCLUSION: Pruritus is a common condition in pregnancy; considering the frequency, especially in the third trimester, IHC should be kept in mind in the differential diagnosis to prevent maternal-fetal morbidity and mortality.
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spelling doaj.art-24913cd9891a4ef98b47e36cdcf00bf42023-02-15T16:18:36ZengAnkara Yildirim Beyazit UniversityAnkara Medical Journal2148-45702021-12-0121455356010.5505/amj.2021.24022AMJ-24022Diagnostic Evaluation of Pregnant Women Presentıng with Pruritis and Retrospective Analysis of Pregnancy OutcomesElçin Işlek Seçen0Raziye Desdicioglu1Gülin Feykan Yeğin2Ceylan Bal3A. Seval Erdinç4Dilek Uygur5Hüseyin Levent Keskin6Department of Obstetrics and Gynecology, Ankara City Hospital, AnkaraDepartment of Obstetrics and Gynecology, Yildirim Beyazit University, AnkaraDepartment of Obstetrics and Gynecology, Ankara City Hospital, AnkaraDepartment of Biochemistry, Yildirim Beyazit University, AnkaraDepartment of Obstetrics and Gynecology, Ankara City Hospital, AnkaraDepartment of Obstetrics and Gynecology, Ankara City Hospital, AnkaraDepartment of Obstetrics and Gynecology, Ankara City Hospital, AnkaraINTRODUCTION: We aimed to evaluate the etiologic factors and pregnancy outcomes of pregnant women who applied to our antenatal outpatient clinics with the complaint of pruritus. METHODS: A retrospective study was conducted to examine the age, gestational weeks, gravidity, parity, comorbidities, laboratory test results and obstetric outcomes of pregnant women who applied with the complaint of pruritus to the antenatal follow-up outpatient clinics of Ankara City Hospital between 01.01.2020 and 31.12.2020. RESULTS: Medical records of 223 pregnant women who applied to our antenatal outpatient clinic with pruritus were evaluated, and the 181 pregnant with complete accessible data were enrolled in this study. The most common clinical diagnosis was pregnancy-specific dermatoses with a rate of 47.51% (n=86), and a specific diagnosis could not be determined in 80 pregnant women (44.19 %). Intrahepatic cholestasis (IHC) was found to be the most frequent diagnosis among the pregnancy-specific dermatoses with a percent of 25.41 (n=46). The incidence of IHC among specific dermatoses diagnosed ≥ 28 weeks of pregnancy was 30.76 %, and the most common dermatosis < 28 weeks was the atopic eruption of pregnancy (36.84 %). DISCUSSION AND CONCLUSION: Pruritus is a common condition in pregnancy; considering the frequency, especially in the third trimester, IHC should be kept in mind in the differential diagnosis to prevent maternal-fetal morbidity and mortality.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=amj&un=AMJ-24022pregnancy pruritusintrahepatic cholestasispregnancy-specific dermatosis
spellingShingle Elçin Işlek Seçen
Raziye Desdicioglu
Gülin Feykan Yeğin
Ceylan Bal
A. Seval Erdinç
Dilek Uygur
Hüseyin Levent Keskin
Diagnostic Evaluation of Pregnant Women Presentıng with Pruritis and Retrospective Analysis of Pregnancy Outcomes
Ankara Medical Journal
pregnancy pruritus
intrahepatic cholestasis
pregnancy-specific dermatosis
title Diagnostic Evaluation of Pregnant Women Presentıng with Pruritis and Retrospective Analysis of Pregnancy Outcomes
title_full Diagnostic Evaluation of Pregnant Women Presentıng with Pruritis and Retrospective Analysis of Pregnancy Outcomes
title_fullStr Diagnostic Evaluation of Pregnant Women Presentıng with Pruritis and Retrospective Analysis of Pregnancy Outcomes
title_full_unstemmed Diagnostic Evaluation of Pregnant Women Presentıng with Pruritis and Retrospective Analysis of Pregnancy Outcomes
title_short Diagnostic Evaluation of Pregnant Women Presentıng with Pruritis and Retrospective Analysis of Pregnancy Outcomes
title_sort diagnostic evaluation of pregnant women presenting with pruritis and retrospective analysis of pregnancy outcomes
topic pregnancy pruritus
intrahepatic cholestasis
pregnancy-specific dermatosis
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=amj&un=AMJ-24022
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