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A Dilemma for Women: Love of Multiple Children or Deterioration of Diastolic Functions
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  • Mehmet Ozgeyik,
  • Ozge Yildirim,
  • Mevlut Kuyumcu,
  • Mehmet Astarcıoğlu
Mehmet Ozgeyik
Eskisehir City Hospital

Corresponding Author:[email protected]

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Ozge Yildirim
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Mevlut Kuyumcu
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Mehmet Astarcıoğlu
Dumlupinar University
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Echocardiography is the most widely used diagnostic tool for detecting the cardiac functional changes. Pregnancy is a dynamic process that affects cardiovascular system. Recent studies showed that increased parity may cause irreversible changes in cardiovascular system. In this study, we aimed to evaluate echocardiographic changes on women, especially grand multiparous (up to 9 parities) and great grand multiparous (more than 10 parities) women after all their pregnancies finished. This is a cross-sectional study and contains 195 women patients. Women with one delivery history was defined as primiparous (PP), 2 to 5 deliveries were defined as multiparous (MP), 5 to 9 deliveries were defined as grand multiparous (GMP) and more than 9 deliveries were defined as great grand multiparous (GGMP). The mean age was 50.6±16.3 and mean parity was 6.5±4.2. Spearman correlation analysis showed that diastolic dysfunction has positive correlations with parity, age, hypertension, and diabetes mellitus. ROC analysis showed that the best cut-off value of the parity number for predicting left ventricular diastolic dysfunction was 6.5, with 66.3% sensitivity and 66.7% specificity. In present study, we showed that diastolic dysfunction statistically increases as the number of pregnancies increases. Additionally, cut of value of parity for diastolic dysfunction was 6.5 which is higher than other studies.