Browsing by Author "Baskiran, Y."

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Effect of Grand Multiparity on Maternal, Obstetric, Fetal and Neonatal Results
(verduci Publisher, 2023) Baskiran, Y.; Uckan, K.; Celegen, I
OBJECTIVE: The aim of the study was to compare the incidence of antenatal and intrapartum complications and perinatal outcomes between grand multiparous women of the same age and socioeconomic status and nulliparous and multiparous women. PATIENTS AND METHODS: A prospective case-control study was conducted at the Tertiary Center Gynecology and Obstetrics Clinic of the Eastern Anatolia Region between January 1, 2021, and January 1, 2023. It was compared with 149 grand multiparous, 724 multipara, and 258 nulliparous singleton pregnancies. The data were entered separately by two people and then compared. The delivery period, gestation period, maternal obstetric, and fetal and neonatal outcomes of the groups were compared.RESULTS: The frequency of postpartum hemorrhage, antepartum and postpartum anemia was significantly higher in grand multiparity patients than in other groups. Gestational hypertension, Gestational DM and Abortus imminent, and the frequency of preterm birth increases with parity. The frequency of hyperemesis gravidarum and preeclampsia was significantly higher in nulliparous pregnant women than in others. There was no difference between the groups in terms of premature rupture of membranes and post-term pregnancy. Among the neonatal outcomes, only the frequency of low birth weight was significantly higher in grand multiparous patients. CONCLUSIONS: The frequency of postpartum anemia, postpartum bleeding, gestational hyper-tension, gestational diabetes, and preterm pregnancy is higher in grand multiparity patients than in multiparous and nulliparous patients. Due to the increased risks with grand multiparity, preg-nancy follow-up, and follow-up should be done within the risk factors of these patients in regions where grand multiparity is intense, and family planning practices should be increased.
Can Platelet Mass Index Be Used as a Prognostic Marker in the Diagnosis of Missed Abortion Patients
(Yuzuncu Yil Universitesi Tip Fakultesi, 2022) Uckan, K.; Celegen, I.; Baskiran, Y.; Hanligil, E.
This study aims to evaluate the effectiveness of PCT (Platelet crit), NLR (Neutrophil-to-lymphocyte ratio), and PMI (Platelet Mass Index), which are among the complete blood count parameters, in predicting missed abortion (MA). The case-control study was conducted between January 1, 2020, and January 2022. A total of 926 pregnant women, including 474 MA and 452 normal patients, were included in the study. There were no significant differences between the patient and control groups in terms of age, gestational week, body mass index (BMI), gravida and parity, and thyroid functions (p>0.05). PMI, PCT, and NLR values were significantly higher in the MA group (p<0.05). While there was a strong positive relationship between PMI and PCT, there was a negative relationship between PMI and NLR (p<0.05). In the ROC anal ysis, PCT>0.24, NLR>2.99, and PMI>2430.9 were significantly associated with an increased risk of missed abortion (P<0.05). Logistic regression analysis rev ealed that a one-unit increase in PCT resulted in a statistically significant 3.41-fold increase in the risk of missed abortion, a one-unit increase in NLR resulted in a 2.56-fold increase, and a one-unit increase in PMI resulted in a 1.004-fold increase (p< 0.05). We think that PMI, NLR, and PCT values obtained from complete blood count parameters are important predictors of missed abortion. © 2022, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.