Retrospective Investigation of Transverse Situs Single Pregnancy Cases Without Placenta Previa

Authors : Bora ÇOŞKUN, Burcu TİMUR, Buğra COŞKUN, Coşkun ŞİMŞİR, Rıza DUR, Tuğba ENSARİ

Pages : 296-301

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Publication Date : 2019-09-30

Article Type : Research Paper

Abstract :   Objective of this study was to retrospectively evaluate the possible etiologicfactors of transverse situs cases not accompanied by multiple pregnancies and placenta previa and postpartum fetal outcomes. 113 patients delivered under the diagnosis of transverse situs not accompanied by multiple pregnancies or placenta previa were included in the study. Demographic characteristics of these patients, possible transverse situs etiologies and postpartum maternal and fetal outcomes were evaluated using descriptive statistical analyses. Transverse situs rate of 61594 patients who delivered between 2011-2015, was 0,183 % (113/61594). The mean age was 29.6 ± 6.2, BMI was 29.6 ± 5.2 kg/m 2 . 52.2% (59/113) of patients were ≥3 gravida, 7% (8/113) had uterine anomalies, 7.9% (9/113) had myoma uteri and 6.2% (7/113) had fetal anomalies. Uterine atony developed in 2 patients and 1 of them required transfusion. 64 fetuses (56.6%) were in dorsosuperior position (Group 1), while 49 patients (43.4%) in dorsoinferior position (Group 2). Operation time was significantly longer in Group 1. There was a statistically significant difference between the two groups in terms of uterine artery injury, and pre- and postoperative hemoglobin differences (Delta hemoglobin) levels. BMI ≥25 kg/m2 and gravida ≥3 were found as significant etiologic factors in addition to factors affecting the uterine volume. Furthermore, we also found that prolonged operation time and increased delta Hb rates were detected in dorsoinferior transverse situs cases.  
Keywords : Transverse Situs, Cesarean Section, Malpresentation