Türk kadın sağlığı ve neonatoloji dergisi最新文献

{"title":"Vezikoamniyotik Şant Uygulanan Bir Fetal Megasistis Olgusu","authors":"Neval Çayönü Kahraman","doi":"10.46969/ezh.1459720","DOIUrl":"https://doi.org/10.46969/ezh.1459720","url":null,"abstract":"Amaç: Fetal megasistis ve alt üriner sistem obstrüksiyonunun (LUTO) prenatal tanı, tedavi ve yönetiminin önemini belirlemek \u0000Gereç ve Yöntem: Prenatal megasistis tanısı alan bir fetüsün intrauterin cerrahi tedavisi ile yönetimini sunmayı planladık. Gebeliğin ikinci trimesterinde fetal megasistis tanısı alan fetüse amniosentez yapılmış, tedavi için vezikoamniyotik şant (VAS) cerrahisi yapılmıştır. Tedaviye rağmen VAS’ ın dislokasyonu sonrası anhidroamnios gelişen ve megasistisi devam eden 18 haftalık fetüste terminasyon yapılmıştır. \u0000Sonuç: LUTO’nun prenatal tanısında ultrason bulgularının tanınması ve VAS tedavisinden fayda görecek olguları seçmenin önemini vurgulamak istedik.","PeriodicalId":498009,"journal":{"name":"Türk kadın sağlığı ve neonatoloji dergisi","volume":" 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141366952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of Fertility Sparing Surgery for Borderline Ovarian Tumors","authors":"D. Kurt, Ayşe Sinem Duru Çöteli, Ahmet Kurt, N. Boran","doi":"10.46969/ezh.1476817","DOIUrl":"https://doi.org/10.46969/ezh.1476817","url":null,"abstract":"Aim: The aim of this study was to investigate the results of fertility-preserving and/or radical surgery, the effects of fertility-preserving surgery on fertility and the postoperative recurrence rate in patients with borderline ovarian tumors.\u0000Material and Method: The study included 138 patients who were diagnosed with borderline ovarian tumors in the oncology clinic of a tertiary institution in Ankara. The patients’ data were analyzed retrospectively from the hospital information system. Among 138 patients, age, parity, type of surgery, number of lymph nodes removed, recurrence rates, pregnancy rates after treatment and fertility and recurrence analysis were performed. Recurrence and fertility rates were compared between those who underwent fertility preserving surgery and those who did not.\u0000Results: The distribution of the patıents’ age groups is as follows: 21% of the patients were under the age of 30; 26.1% were between 31-40 years of age, and 21% were between 41-50 years of age. The BMI data of the patients shows that 20.3% of the patients were in normal weight, on the contrary, 44.9% were overweight (25 kg/m2 to 29.9 kg/m2). According to the pathology results of the patients, 63% (n=87) were serous, 31.9% (n=44) mucinous, 5.1% (n=7) endometrioid type borderline ovarian tumors. Spontaneous pregnancy was observed in 31% (n=18) and pregnancy as a result of assisted reproductive techniques in 5.2% (n=3) of the patients who underwent fertility preserving surgery. According to the results of the study, it is observed that there is a statistical relationship between recurrence and fertility preservation. Recurrence was observed in 2.5% (n=2) of the individuals whose fertility was not preserved while recurrence was observed in 24.1% (n=14) of individuals whose fertility was preserved. Although it was observed that recurrence increased in patients who underwent fertility preservation surgery, it allowed pregnancy to be achieved at a rate of approximately 36%.\u0000Conclusion: Since patients with borderline ovarian tumours are younger than patients with invasive ovarian cancer, fertility-sparing surgery is becoming increasingly important.","PeriodicalId":498009,"journal":{"name":"Türk kadın sağlığı ve neonatoloji dergisi","volume":" 27","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141367915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Organ-Preserving Methotrexate Treatment in Recurrent Ectopic Pregnancy: A Case Report","authors":"Zeliha Nur Ergül, R. S. Karadeniz","doi":"10.46969/ezh.1472903","DOIUrl":"https://doi.org/10.46969/ezh.1472903","url":null,"abstract":"Objective: To assess the significance of diagnosis, treatment, and management approaches in cases of recurrent ectopic pregnancies.\u0000Material and Method: This study presents the management of a 31-year-old woman with a history of left tubal pregnancy and subsequent left salpingectomy, who presented with a right tubal ectopic pregnancy. Methotrexate (MTX) treatment was initiated due to the absence of contraindications. On the first day of MTX, the patient’s serum βhCG level was 5135.64 U/L, but it continued to rise. Subsequently, the patient received a second dose of MTX. On the fourth day of the second MTX dose, the serum βhCG level was 8333.98 U/L, while on the fifth day of the second MTX dose, the βhCG level dropped dramatically to 6819.35 U/L. Twenty-two days after the second dose of MTX treatment, the serum βhCG level was 848.76 U/L. Transvaginal ultrasound revealed a decrease in the ectopic mass.\u0000Conclusion: Early diagnosis of tubal ectopic pregnancies can be effectively managed through medical intervention, demonstrating a high success rate.","PeriodicalId":498009,"journal":{"name":"Türk kadın sağlığı ve neonatoloji dergisi","volume":" 99","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141367451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Use of Blood and Blood Components of Etlik Zübeyde Hanım Gynecology and Obstetrics Clinics Training and Research Hospital Between 2021 and 2023","authors":"R. S. Karadeniz, Büşra Seçilir, Emine Terzi, Mustafa Ertürk","doi":"10.46969/ezh.1475221","DOIUrl":"https://doi.org/10.46969/ezh.1475221","url":null,"abstract":"Objective: The aim of this study is to determine the distribution of blood components by hospitals, to obtain information on hospital preferences for blood products, to determine the quantities of blood products requested and used, and to examine rates of noncompliance with blood product requirements.\u0000Material and Method: This is a single-centre retrospective study conducted between January 2021 and December 2023. In this study, we retrospectively analysed the changes in the number of blood transfusions, blood products, inpatients and outpatients.\u0000Results: In our study, a total of 8702 units of blood products including 5705 units of erythrocyte suspension (65.63%), 2750 units of fresh frozen plasma (31.63%), 183 units of pooled platelets (2.10%), 54 cryoprecipitate (0.62%) were used in Etlik Zübeyde Hanım Gynaecology and Obstetrics Training and Research Hospital in the last 3 years.\u0000Conclusion: Erythrocyte suspension was the most commonly used blood product in the last 3 years. The least used blood product was cryoprecipitate. Due to supply options and transfusion combinations, blood transfusion should be individualised considering the cost-benefit ratio. Case-by-case assessment of blood transfusion rates would be useful to achieve a significant reduction in blood transfusion collection and especially disposal rates.","PeriodicalId":498009,"journal":{"name":"Türk kadın sağlığı ve neonatoloji dergisi","volume":" 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141366770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Preoperative Glycosylated Hemoglobin Levels and Postoperative Wound Complications in Diabetic Patients Undergoing Hysterectomy","authors":"Kubra Dilbaz, Ezgi Arabacı, Eylem Ünlübilgin, F. Kayıkçıoğlu, Sevgi Koç, T. Kınay, Yaprak Engin Üstün","doi":"10.46969/ezh.1478530","DOIUrl":"https://doi.org/10.46969/ezh.1478530","url":null,"abstract":"Objective: The aim of this study is to investigate whether there is a relationship between glycosylated hemoglobin (HbA1c) and wound complications in diabetic women who have undergone hysterectomy for benign reasons.\u0000Material and Methods: Our retrospective observational study included 153 patients with diabetes mellitus and 154 women without diabetes mellitus who underwent total abdominal (open) hysterectomy for benign reasons at the Gynecology Clinic of Health Sciences University Etlik Zübeyde Hanım Women’s Diseases Training and Research Hospital between January 2016 and November 2022. The HbA1c level and the preoperative fasting blood glucose level were evaluated in 2 groups as patients with and without wound complication. These values were compared with the significance of the results of complications at the wound site.\u0000Results: The study included 307 patients who underwent hysterectomy. All patients underwent open hysterectomy and preoperative 2 g of cefazolin was administered intravenously prophylactically. When the presence of comorbidities (comorbidities other than diabetes mellitus) was analyzed to assess the general health of the patients, a significant difference was found between the groups (p<0.001). 42.2% of patients in the control group and 99.3% of patients in the study group had a diagnosis for a comorbid condition. The HbA1c level and fasting blood glucose level before surgery were not statistically significant in distinguishing wound complications (p=0.588 and p=0.967, respectively). The postoperative 1st day White blood cell (WBC) count was higher in the study group than the control (12611.38±3287.71 vs. 11075.18±3032.68, p 0.013).\u0000Conclusion: In our study, no significant association was found between HbA1c levels and wound complications in patients undergoing hysterectomy for benign reasons. However, it was found that the postoperative 1st day WBC count had predictive value for the wound complication in this population.","PeriodicalId":498009,"journal":{"name":"Türk kadın sağlığı ve neonatoloji dergisi","volume":" 44","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141368064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mirror Sendromu: Olgu sunumu ve Her İki Ebeveynde ABHD5 Geninde Mutasyon","authors":"Hatice KANSU ÇELİK, Melike Güler","doi":"10.46969/ezh.1444618","DOIUrl":"https://doi.org/10.46969/ezh.1444618","url":null,"abstract":"Mirror sendromu, maternal ödemin ayna görüntüsü olarak yansıyan fetal ve/veya plasental hidrops ile komplike nadir görülen olağan dışı bir gebelik patolojisidir. Fetal hidrops, plasental büyüme ve maternal ödemle karakterize, preeklampsiye benzer semptom ve bulgulara yol açabilen ciddi bir hastalıktır. Maternal ve fetal mortalite ve morbidite riski yaratan ciddi bir hastalıktır. Patogenezi tam olarak anlaşılamamıştır. Bu yazıda bir Mirror sendromu olgusu sunulmakta, ebeveynlerde saptanan genetik mutasyon varlığı ve bu sendromun klinik önemi tartışılmaktadır.","PeriodicalId":498009,"journal":{"name":"Türk kadın sağlığı ve neonatoloji dergisi","volume":"112 48","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140381613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distribution of Deliveries According to Robson Classification: Experiences in Tertiary Care","authors":"Canan Tapkan, Bengü Mutlu Sütçüoğlu, Elif Yi̇lmaz","doi":"10.46969/ezh.1445030","DOIUrl":"https://doi.org/10.46969/ezh.1445030","url":null,"abstract":"Objective: In this study, we aimed to evaluate the cesarean deliveries performed in the obstetrics clinic of our hospital according to the Robson classification and to determine the Robson group affecting the cesarean section rates. \u0000Methods: The aim of the study was to retrospectively analyse caesarean deliveries in patients who applied to Ankara Ataturk Sanatorium Training and Research Hospital and whose deliveries were performed by using the Robson Ten Group Classification System. Our study group included pregnant women who were admitted to the delivery room of our hospital, who gave birth in our hospital and who did not have any obstetric risk factors. Demographic data of the patients were obtained from hospital records.\u0000Results: According to the inclusion criteria, the data of 550 of these patients were evaluated. Accordingly, 249 of the deliveries were by caesarean section. The rate of caesarean section among all deliveries was 45.3%. 6.80% of the pregnant women who delivered by caesarean section were in the first group according to Robson classification (nulliparous, head presentation, ≥37 weeks, singleton, spontaneous onset of trauma) and 12.0% were in the second group according to Robson classification (nulliparous, head presentation, ≥37 weeks, induced or induced caesarean section before the onset of trauma, singleton).\u0000Conclusion: The cesarean section rate in Turkey was 54.4% and the primary cesarean section rate was 26.5%. The risk of maternal morbidity and mortality and perinatal morbidity increases after an off-label caesarean section, leading to negative consequences in terms of maternal, neonatal and economic health.","PeriodicalId":498009,"journal":{"name":"Türk kadın sağlığı ve neonatoloji dergisi","volume":" 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140383532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and Demographic Characteristics of Patients Diagnosed with Polycystic Ovary Syndrome: A Cross-Sectional Observational Study","authors":"Özde Beren Tatar, Osmna Nuri Ergi̇nay, Yıldız AKDAŞ REİS","doi":"10.46969/ezh.1445385","DOIUrl":"https://doi.org/10.46969/ezh.1445385","url":null,"abstract":"Objective: The aim of this study was to investigate the clinical and demographic characteristics of patients diagnosed with polycystic ovary syndrome (PCOS) who were followed up in our hospital.\u0000Material and Methods: We conducted a retrospective, case-controlled observational study of patients treated at the PCOS Clinic of University of Health Sciences Etlik Zubeyde Hanim Women’s Health Training and Research Hospital between November 2023 and January 2024. The gynecologic history, demographic characteristics, and biochemical parameters of each patient were obtained from the hospital records.\u0000Results: The number of patients who presented to our PCOS outpatient clinic and were enrolled in the study was 48, and the mean age of the patients was 23±5.6 years. The mean body mass index was 26.1± 4.9 kg/m2. The most common reason for presentation to the PCOS outpatient clinic was irregular menstruation (83.3%). The most frequently observed phenotypic group was group A (47.9%). The preferred treatment was lifestyle modification (75.0%), the second most common treatment was oral contraceptives (45.8%).\u0000Conclusion: PCOS is one of the most common endocrine disorders worldwide and can affect women of all ages. In our study, the most common phenotype in our clinic was found to be group A. In addition to oral contraceptives, which are the treatment of first choice, lifestyle changes are also among the treatments used in patients.","PeriodicalId":498009,"journal":{"name":"Türk kadın sağlığı ve neonatoloji dergisi","volume":" 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140383801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lessons Learned From Three Patients Who Underwent Cesarean Section and Cardiac Valvular Surgery Simultaneously: Anesthesiologists’ Perspective","authors":"Alpin Tamay Fi̇nci̇, Nevin Aydin","doi":"10.46969/ezh.1377297","DOIUrl":"https://doi.org/10.46969/ezh.1377297","url":null,"abstract":"Background: Cardiac valvular disease constitutes a challenge during pregnancy. Herein, we present our experience with three patients who underwent caesarean section and cardiac valvular surgery simultaneously. The purpose of this case series was to outline the clinical characteristics and to highlight the surgical/anesthesiologic pitfalls to be considered in patients who will undergo cardiac valvular surgery and caesarean section simultaneously. \u0000Methods: This retrospective case series was implemented using data extracted from the medical files of three patients who underwent cardiac valvular surgery and caesarean section in the obstetrics and gynecology and cardiovascular surgery departments of our tertiary care center. Demographic data, history, echocardiographic findings, surgical and anesthesiologic techniques as well as perioperative information and therapeutic outcomes were recorded.\u0000Results: Three pregnant women with an average age of 33.67 years were diagnosed with various cardiac valvular pathologies on the 3rd trimester. Owing to their diminished cardiac reserves and clear indications for cesarean section, the patients underwent cardiac valvular surgery subsequent to the cesarean section. Procedures were completed successfully on all patients and mothers and infants were discharged after a maternal follow-up in intensive care unit.\u0000Conclusion: We suggest that cardiac valve surgery can be performed simultaneously just after cesarean section in selected cases. Risks and benefits must be analyzed well prior to the decision making for the absolute necessity of the invasive procedure. Close collaboration between disciplines, well equipped referral centers, trained personnel and increased awareness on possible complications are the key points for successful surgical management of pregnant women with cardiac valve disease.","PeriodicalId":498009,"journal":{"name":"Türk kadın sağlığı ve neonatoloji dergisi","volume":" 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140382164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anne Sütü Arttırmada Galaktogog Kullanımının Etkinliği","authors":"Asena Kübra Akbaba, Kübra Yurtseven, Yıldız AKDAŞ REİS","doi":"10.46969/ezh.1438677","DOIUrl":"https://doi.org/10.46969/ezh.1438677","url":null,"abstract":"Amaç: Annelerin çoğu doğumdan sonra bebeklerini emzirmeyi tercih etmektedir. Son veriler, yeni annelerin en az %75’inin bebeklerini emzirmeye çalıştığını göstermektedir. Emziren annelerde süt üretimini artırmak için kullanılan önemli sayıda galaktojenik takviye bulunmaktadır. Çeşitli galaktojenik takviyelerden elde edilen alkollü/sulu ekstraktların, biyolojik düzeyde çeşitli fizyolojik değişiklikler yoluyla süt üretimini koruduğu veya artırdığı bildirilmiştir. Bu çalışmanın amacı, üç günlük galaktojen alımının annelerde süt üretimi üzerindeki etkisini araştırmaktır.\u0000Gereç ve Yöntem: Çalışma, Ocak 2021’de doğum servisinde süt hacmi ve anne sütü ikamesi kullanımı rutin olarak kaydedilen annelerden elde edilen verileri retrospektif olarak analiz etti. Ankara Etlik Zübeyde Hanım Kadın Hastalıkları Eğitim ve Araştırma Hastanesi’nde doğum yapmış, bebeği yenidoğan yoğun bakım ünitesinde yatan ve anne sütünü sağmak için düzenli olarak anne sütü ünitesine gelen annelerin verileri hastanenin kayıt sisteminden alındı. Galaktojen alan ve almayan anneler iki gruba ayrılmıştır. Sağılan süt miktarı başlangıçta ve memenin tamamen boşalmasından 3 saat sonra ve 4. gün belirlendi.\u0000Bulgular: Dördüncü günün sonunda, galaktojen alan ve almayan annelerin ortalama süt hacimleri arasında istatistiksel olarak anlamlı bir fark olmadığı bulunmuştur. Her iki grupta da çalışmanın başında sağılan anne sütü miktarı 4. günde istatistiksel olarak anlamlı şekilde artmıştır.\u0000Sonuç: Literatürde kullanılan bazı galaktojenlerin anne sütü miktarını artırdığını bildiren çalışmalar bulunmaktadır. Galaktojenlerin kullanımına yönelik öneriler sunmak ve güvenli kullanım hakkında detaylı bilgi sağlamak için daha kapsamlı çalışmalara ihtiyaç vardır.","PeriodicalId":498009,"journal":{"name":"Türk kadın sağlığı ve neonatoloji dergisi","volume":"112 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140381637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}