Browsing by Author "Tanoglu, Fatma Basak"

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Hormonal and Electrolyte Predictors for Methotrexate Versus Surgery in Ectopic Pregnancy
(Public Library Science, 2025) Baskiran, Yusuf; Uckan, Kazim; Celegen, Izzet; Tanoglu, Fatma Basak
This retrospective study investigates the association between maternal serum electrolyte and hormone levels and the success of methotrexate (MTX) treatment in ectopic pregnancies, aiming to identify predictive factors and improve clinical outcomes. A total of 372 patients treated with single-dose MTX between 2012 and 2023 were included, divided into two groups: those who successfully responded to MTX and those requiring surgical intervention. Significant differences were observed in beta-hCG levels, with a mean of 1376 in the MTX-successful group and 2358 in the surgical group. Electrolyte analysis showed that patients who responded successfully to MTX had higher potassium and albumin levels, whereas magnesium levels were lower compared to the surgical group. Haematological parameters also varied, with higher hemoglobin and hematocrit levels observed in the MTX-successful group. The findings suggest that serum potassium, magnesium, and albumin levels may be predictive markers for MTX efficacy. Higher potassium and albumin levels, along with lower magnesium levels, may contribute to improved treatment outcomes. These results support the potential role of dietary interventions-such as increasing potassium and albumin intake and moderating magnesium levels-in enhancing MTX success rates. This study underscores the importance of maternal biochemical profiles in guiding treatment strategies for ectopic pregnancy and highlights the value of individualized approaches to optimize outcomes and minimize the need for surgical intervention. Future research should aim to elucidate the biological mechanisms underlying these associations and validate the findings in larger and more diverse patient populations.
Maternal and Neonatal Consequences of Cystocele and Rectocele in the Delivery Process
(Lippincott Williams & Wilkins, 2023) Baskiran, Yusuf; Uckan, Kazim; Celegen, Izzet; Tanoglu, Fatma Basak
The study aimed to investigate the effects of cystocele and rectocele on the stages of vaginal birth and maternal and newborn outcomes. A total of 672 multiparous pregnant women between the ages of 18 to 40 who underwent normal vaginal delivery in our tertiary center between November 2022 and February 2023, were included in this prospective study. Among the participants, 348 (51.8%) had no abnormalities, 78 (11.6%) had rectocele only, 112 (16.7%) had cystocele only, and 134 (19.9) had both cystocele and rectocele. Patients with the coexistence of cystocele and rectocele experienced a notably extended duration for both the first stage and second stage of labor, although the extension in the second stage was not statistically significant. Among the maternal complications, the development of maternal laceration and chorioamnionitis was significantly more common in the patient group with cystocele and rectocele compared to the other groups. When the groups were assessed for postpartum bleeding, while the bleeding risk increased from the normal group to the rectocele + cystocele group, this increase was not statistically significant. There was no difference between the groups in terms of neonatal outcomes. The delivery time of pregnant women with cystocele and rectocele, in the absence of additional risk factors, was determined to be significantly longer than that of the control group. We think that these patients should receive more vigilant monitoring, and this criterion should be kept in mind when assessing the indication for a cesarean section.