Browsing by Author "Sahin, H.G."

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Delayed Diagnosis of an Atypical Rupture of an Unscarred Uterus Due To Assisted Fundal Pressure: a Case Report
(2009) Kurdoglu, M.; Kolusari, A.; Yildizhan, R.; Adali, E.; Sahin, H.G.
Introduction: Although rare, rupture of an unscarred uterus is one of the most dangerous obstetric complications, resulting in maternal and fetal jeopardy. Case presentation: A 30-year-old grand multiparous Turkish woman without any history of uterine surgery gave birth vaginally at 37 weeks of gestation with fundal pressure applied in the second stage of labor. Transabdominal sonography performed 32 hours after delivery due to postural hypotension and a drop in hemoglobin values in the postpartum period revealed massive intraabdominal free fluid. On emergency laparotomy, serosal rupture of the uterus on the left posterior side was observed. She underwent a subtotal hysterectomy and did well postoperatively. Conclusion: Postural hypotension in postpartum patients without any evident vaginal bleeding may be an early sign of possible uterine rupture, even if the vital signs are stable. Early diagnosis is important if maternal morbidity and mortality are to be decreased. © 2009 Kurdoglu et al; licensee Cases Network Ltd.
Eight Years' Experience of Uterine Rupture Cases
(2005) Zeteroglu, S.; Ustun, Y.; Engin-Ustun, Y.; Sahin, H.G.; Kamaci, M.
Ruptured uterus is a serious obstetric emergency with a high maternal and perinatal mortality. It is a preventable and common obstetric problem in developing countries. The objective of this study was to review the incidence, methods of diagnosis and maternal and perinatal morbidity and mortality associated with uterine rupture. Case notes were reviewed for all patients with a ruptured uterus at Yüzüncü Y1l University Medical Faculty Department of Obstetrics and Gynaecology from January 1995 to August 2003. Relevant data relating to the clinical characteristics of labour, operative procedures, maternal and perinatal outcome were assessed. There were 20 cases of ruptured uteri. The incidence was 0.40%. When patients referred from other hospitals were excluded, the revised ratio was 0.12%. There were 13 (65%) complete and seven (35%) incomplete ruptures. Nine (45%) cases occurred in patients with scarred uteri. Ten (50%) cases were grand multiparous. Subtotal abdominal hysterectomy was performed in five (25%) cases, total abdominal hysterectomy was performed in two (10%) cases and the remaining 13 (65%) cases had uterine rupture repair. There were two (10%) maternal deaths. Both of them were referred from other hospitals. There were seven (35%) perinatal deaths attributable to uterine rupture. Occurrence of uterine rupture is significantly associated with grand multiparity, scarred uterus, lack of antenatal care, unsupervised labour at home and low socioeconomic status of the patients. These factors are largely preventable. © 2005 Taylor & Francis.
Evaluation of Maternal Mortality Ratio and Causes in a University Hospital in Eastern Turkey
(S.O.G. CANADA Inc., 2015) Kurdoglu, Z.; Dalbudak, T.; Kurdoglu, M.; Yildizhan, R.; Sahin, H.G.
Aim: To investigate the maternal mortality ratio (MMR) and causes of maternal death in order to decrease these deaths. Materials and Methods: The number of live births, maternal deaths, and the causes of deaths in Yuzuncu Yil University were recorded between 2004 and 2013. Results: The MMR was 268 per 100,000. Forty-nine maternal deaths were examined in terms of cause. The most frequent cause of death is eclampsia (33%) and associated intracerebral complications. The antenatal follow-up rate was 23.3%. The majority of patients had low income (92.3%), 72.2% were from rural areas, and 95.5% were illiterate. Conclusion: The high MMR may arise from the high incidence of pregnancy complications in eastern Turkey, the rareness of antenatal follow-ups, and the present hospital being a referral hospital. The most frequent cause of maternal mortality is eclampsia and associated complications, followed by bleeding.
Gender Mainstreaming Role Preferences and Perceptions of University Students Enrolled at Van School of Health
(Yuzuncu Yil Universitesi Tip Fakultesi, 2021) Karaaslan, S.; Sahin, H.G.; Orhun, R.; Gunbatar, N.; Yeşilova, A.; Erden, C.T.
Investigating university students’ perceptions on the gender roles attributed to men and women in social contexts is highly important for promoting an egalitarian perspective to these gender roles for future generations. This study aimed to investigate the perceptions of undergraduates majoring in midwifery and nursing in school of health on social gender roles. The universe of the cross-sectional study included all the 980 undergraduates enrolled in midwifery and nursing departments in school of health. of these, 648 students including 343 female and 305 male students who consented to participate in the study were included in the study, which accounted for 66.1% of the universe. Data were collected using a survey developed by the researchers. The results indicated that the students’ views regarding social gender equality were not sufficiently egalitarian and male students held more traditional views compared to female students, implicating that university students should not only be equipped with the basic knowledge of their profession but also their sensitivity for social gender equality should be raised. © 2021, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Maternal Serum Xenin-25 Levels in Gestational Diabetes Mellitus
(Verduci Editore s.r.l, 2023) Kucukbas, G.N.; Komuroglu, A.U.; Dirik, D.; Korpe, B.; Kose, C.; Karaaslan, O.; Sahin, H.G.
OBJECTIVE: Xenin-25 is a polypeptide having an insulinotropic effect via increasing the insulin-releasing action of glucose-dependent insulinotropic polypeptide (GIP) and promoting beta cell survival and proliferation. We aimed to assess serum xenin-25 levels in euglycemic pregnancies vs. pregnancies complicated with gestational diabetes mellitus (GDM). PATIENTS AND METHODS: Forty pregnancies complicated with GDM and 40 healthy pregnancies with gestational age between 24 and 28 weeks were included. Following eight hours of fasting, blood samples were drawn from the participants, and subsequently, 75 g of glucose was administered orally. Blood was drawn again 120 minutes after the glucose challenge. Serum xenin-25 levels were detected by ELISA. Statistical analysis was performed, and p<0.05 was considered statistically significant. RESULTS: There was no significant difference in maternal age, gestational age, BMI, fasting glucose, and insulin levels between the groups. Both fasting and 120th-minute xenin-25 levels were significantly higher in the GDM group when compared to the control group (p<0.05). Both the fasting and 120th-minute serum xenin-25 levels were significantly higher in women with GDM compared to healthy pregnant women. CONCLUSIONS: High levels of xenin-25 were associated with gestational diabetes, and xenin-25 might be a potential marker for detecting GDM in the future. © 2023 Verduci Editore s.r.l. All rights reserved.
Sigmoid Volvulus in Pregnancy and Puerperium: a Case Series
(2009) Kolusari, A.; Kurdoglu, M.; Adali, E.; Yildizhan, R.; Sahin, H.G.; Kotan, C.
Intestinal obstruction due to sigmoid volvulus during pregnancy is rare. The presenting signs/symptoms seen in these patients are the same as with non-pregnant patients. Fetal and maternal mortality rates are higher during pregnancy due to delays in diagnosis. We aimed to present four patients diagnosed with sigmoid volvulus during pregnancy and puerperium in our clinic. Diagnosis requires a high index of suspicion in a patient who presents with complaints of abdominal pain and evidence of bowel obstruction. Prompt intervention is necessary to minimize maternal and fetal morbidity and mortality. © 2009 Kolusari et al.; licensee Cases Network Ltd.