Povezanost meteoroloških uvjeta s prijevremenim puknućem plodovih ovoja

master's thesis

• Title (english): Association between meteorological conditions and premature rupture of membranes
• Author: Andreja Cvetko
• Mentor: Lana Škrgatić (mentor)
• Committee member: Gordan Zlopaša (predsjednik povjerenstva)
• Committee member: Željko Duić (član povjerenstva)
• Committee member: Lana Škrgatić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Gynecology and Obstetrics); Zagreb
• Defense date and country: 2018-07-13, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Gynecology and Obstetrics

Abstract

Prijevremeno puknuće plodovih ovoja nakon navršenog 37. tjedna gestacije (RVP) česta je, ali relativno neistražena pojava u trudnoći, a definirano je pucanjem više od jednog sata prije početka trudova. Postoji popularno vjerovanje da meteorološki uvjeti,
osobito atmosferski tlak utječu na RVP. Za potrebe diplomskog rada, osmišljena je retrospektivna opservacijska studija koja uključuje trudnice s dijagnozom RVP-a koje su primljene u Kliniku za ženske bolesti i porode Kliničkog bolničkog centra Zagreb ili one s istom dijagnozom koje su ranije bile hospitalizirane u razdoblju od 1. siječnja do 31. prosinca 2016. godine. Cilj studije je
dokazati postoji li statistički značajna povezanost između RVP-a i srednjih dnevnih vrijednosti atmosferskog tlaka, srednjih dnevnih vrijednosti relativne vlage u zraku i razlike između najviše i najniže dnevne temperature zraka. Podaci su osigurani od Državnog hidrometeorološkog zavoda za postaju Zagreb, Maksimir. U 2016. godini ukupno je bilo 3952 poroda, od kojih je 809 počelo prijevremenim puknućem plodovih ovoja bez obzira na duljinu gestacije. Kod 664 trudnice zabilježen je terminski RVP, od kojih je 489 bilo bez poznatih rizičnih čimbenika. Dokazana je značajna povezanost između RVP-a i srednjih dnevnih vrijednosti atmosferskog tlaka (P<0.01). Značajna povezanost između RVP-a i srednjih dnevnih vrijednosti relativne vlage u zraku (P=0.892), te povezanost između RVP-a i najviše i najniže dnevne temperature (P=0.094) nije utvrđena. Pokazana povezanost srednjih dnevnih vrijednosti atmosferskog tlaka i RVP-a dodatni je doprinos dosadašnjim istraživanjima koja traže odgovor na postavljena pitanja vezana uz utjecaj meteoroloških uvjeta na RVP.

Abstract (english)

Premature rupture of membranes after the 37th week of gestation (PROM) is a common, but not sufficiently studied condition that happens during pregnancy. It is defined as a rupture that occurs more that 1 hour before the onset of labour. In popular belief, it is associated with meteorological conditions, particularly with atmospheric pressure variations. This graduation thesis is a retrospective observational study of women admitted for PROM in the Clinic for Gynaecology and Obstetrics of the Clinical Hospital Centre Zagreb from 1 January to 31 December 2016. The aim of this study is to identify if there is a statistical significance in the correlation between PROM and atmospheric pressure, greater difference between maximal and minimal temperature and air humidity. The data was kindly provided by the Meteorological and Hydrological Service, for the station in Zagreb, Maksimir. In the year 2016, there were a total of 3952 deliveries. 809 started with a PROM or preterm premature rupture of membranes (PPROM), out of which 664 were with a PROM. Out of these 664, 489 were without known risk factors. This study observed significant association between PROM and atmospheric pressure variations (P<0.01). No statistical significance was found in the association between PROM and air humidity (P=0.892) nor between PROM or greater difference between maximal and minimal daily temperature (P=0.094). Significant association between PROM and atmospheric pressure variations adds additional value to current studies aiming to answer the questions about the association between meteorological conditions and PROM.

• Keywords: prijevremeno puknuće plodovih ovoja; meteorološki uvjeti; atmosferski tlak; relativna vlaga; temperatura
• Keywords (english): premature rupture of membranes; meteorological conditions; atmospheric pressure; air humidity; temperature
• Language: croatian
• URN:NBN: urn:nbn:hr:105:150466
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2019-03-15 10:43:26