Browsing by Author "Zeteroǧlu, Ş."

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Association of Maternal Obesity and Fetal Gender With Preeclampsia
(2003) Üstün, Y.; Engin Üstün, Y.; Zeteroǧlu, Ş.; Şahin, G.; Kamaci, M.
OBJECTIVE: To evaluate the role of maternal obesity and fetal gender in the pathoge-nesis of preeclampsia and to determine the fetal gender ratio and difference of body mass index in normal and preeclamptic group. STUDY DESIGN: In a prospective study design, in one year period, one of every 10 normal pregnancies (n=59) and all preeclamptic pregnancies were enrolled into the study (n=42). Clinical characteristics recorded included maternal age, body mass index, gravidity, parity, estimated gestational age, mode of delivery, neonatal birth weight, and fetal gender. RESULT(s): There were no statistically significant differences in maternal age, gravidity and parity between the groups. Body mass index was significantly higher in preeclamptic group (p=0.001) but no difference was found in fetal gender between the groups. CONCLUSION(s): Maternal obesity has a probable role in the pathophysiology of preeclampsia but fetal gender seems to play no role.
A Case of Parasitic Myoma Diagnosed by Immunohistochemistry
(2004) Kamaci, M.; Özen, S.; Zeteroǧlu, Ş.; Oral, H.; Şengül, M.; Kolusari, A.
A case of parasitic myoma diagnosed by immunohistochemistry is presented. The importance of histopathological and immumohistochemical procedures in the differential diagnosis of parasitic myoma from stromal tumors was discussed.
Delivery Methods, Perinatal Mortality and Obstetric Complications in Multiple Pregnancies
(2004) Kamaci, M.; Zeteroǧlu, Ş.; Şahin, H.G.; Şengül, M.; Gülümser, S.; Bolluk, G.
OBJECTIVE: To evaluate the outcome of multiple pregnancies, which were in the high- risk pregnancy groups and to investigate the factors playing role at perinatal mortality. STUDY DESIGN: Ninety-six cases with multiple pregnancies delivered at Gynecology and Obstetrics Clinic of Research and Training Hospital of The Medical Faculty of Yüzüncü Yil University between January 1997-January 2004 were included in this study. Ninety-four twin pregnancies and 2 triplet pregnancies were reviewed retrospectively and then mortality rates, congenital anomalies, complications and delivery characteristics of these cases were analyzed. The statistical analysis was performed by SPPS (The Statistical Computer Software, version 9.05, Chicago, Illinois). RESULT(s): The incidence was 1.66% (94/5,632) for twin pregnancies; and 0.035% (2/5,632) for triplet pregnancies. The antenatal follow-up rate for the pregnant women during this study was 26.36%. The mean age of pregnant women was 28.3±5.65 and mean gestational age was 35.18±5.35 weeks. Fifty-three of these cases (55.2%) were delivered vaginally, while 42 cases (43.75%) were delivered by cesarean section. In one case, first fetus was delivered vaginally and the second fetus by cesarean section. Apgar scores (1-5 minutes) in 16 newborns were 0-0, in 56 newborns were below 7 and in 124 newborns were above 7. Birth weights were below 1000 gr. in 30 (15.5%) newborns, were between 1000 and 2499 gr. in 88 newborns (45.4%), and were above 2500 gr. in 76 newborns. Perinatal and neonatal mortality was highest among the babies with birth weights below 1500 gr. and gestational age under 27 weeks. Perinatal mortality rate was found to be 0.82% and neonatal mortality rate to be 0.98% among multiple pregnancies. CONCLUSION(s): The frequency of multiple pregnancies was consistent but the perinatal mortality rate was higher than the literature. Immaturity and prematurity were determined as the important factors increasing perinatal mortality.
Does Pregnancy Induce or Enhances Low Back Pain
(2006) Kiymaz, N.; Yilmaz, N.; Zeteroǧlu, Ş.; Yazici, T.
Forty-eight pregnant women out of 166 referred to our obstetrics and gynecology outpatient clinic due to back pain between February and March 2003 were included in the present study. A questionnaire booklet was prepared for age, weight gain during pregnancy, number of parities, existence of any back pain in their former pregnancies, the start of back pain during pregnancy, physical work conditions and route of previous labour information. These patients were followed for a period of 1.5 years after labour. The factors that influenced back pain in the pregnant patients were: multiparity, former back pain during pregnancy, and weight gain during pregnancy. We determined lumbar discopathy at a ratio of 79.1% using MRI (Magnetic Resonance Imaging) study of the lumbar vertebrae in patients with back pain lasting more than a one year. © 2006 VSP.
Placental Pathologic Features in Preeclampsia and Normal Pregnancies
(2005) Engin Üstün, Y.; Üstün, Y.; Zeteroǧlu, Ş.; Güvercinci, M.; Kamaci, M.; Uǧraş, S.
AIM: The objective was to evaluate placental pathologic features in normal and preeclamptic pregnancies. STUDY DESING: Eighty-three preeclamptic-eclamptic and 30 control pregnant women without systemic disease between October 2001 and September 2002 were prospectively recruited. Placental pathologies were evaluated due to macroscopic findings and nine histological parameters on light microscope. Statistics included student t test and chi-square test. RESULT(s): Increased syncytiotrophoblast knotting, cytotrophoblast proliferation, focal perivillous fibrin deposition, villous stromal fibrosis, fibrinoid necrosis, maturation, basal membrane thickening, mineralization in basal membrane and villous stromal edema were more common in the study group compared to the control group. Fibrinoid necrosis in uteroplacental vessels, villous stromal fibrosis, mineralization in basal membrane and villous stromal edema were not seen in any patient in the control group. CONCLUSION: Placental pathologic features play an important role in the pathophysiology of preeclampsia.
Should We Use Urinary Catheter Routinely at Cesarean Delivery
(2007) Kolusari, A.; Zeteroǧlu, Ş.; Şahin, H.G.; Ramazan, S.; Kamaci, M.
OBJECTIVE: The aim of the study was to compare intraoperative complications and postoperative morbidity of patients to whom urinary catheter were performed or not in cesarean deliveries. STUDY DESING: This study was designed as a prospective randomised study. Fifty patients (Group 1) who delivered with cesarean section after spontaneous mixture were compared with fifty patients (Group 2) to whom Foley urinary catheter were performed before the opertaion for intraoperative complications and postoperative morbidity. FINDINGS: There were no significant differences between the groups for age, gravity, parity, cesarean indications, factors those could increase postoperative infectious risks and operative time. No intraoperative complications were noticed in both groups. Postoperative mobilization was significantly earlier in Group 1 (6.58±1.69 hours vs 12.52±4.48 hours). The average time to first void was 5.24±3.53 hours in Group 1. In Group 2, two patients (% 4) who had glob vesicate required urinary catheter drainage (Both of them had epidural anesthesia). Urinary catheter was removed at 12.08±4.42 hours in Group 2 patients. There were no urinary tract infections in group 1, four in group 2 patients which reached statistical significance. CONCLUSION: Use of urinary catheter at cesarean delivery increases postoperative urinary tract infections. We think that use of urinary catheter at cesarean delivery is ineffective.