Browsing by Author "Zeteroglu, S"

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Cesarean Delivery Rates in Adolescent Pregnancy
(Parthenon Publishing Group, 2005) Zeteroglu, S; Sahin, I; Gol, K
Objectives To investigate the rates of cesarean deliveries in two different hospitals, which serve different populations in Turkey. Methods The study was conducted at two centers, one of which is a university hospital in a rural area and the other a community hospital in capital city, for 5 years (1999-2003). The subjects were < 18 years old adolescent mothers. The adult controls ( >= 18 years) were further divided in two age groups: 18-35 years and > 35 years. Results A total of 40,391 pregnant women were evaluated in both hospitals. Cesarean delivery rates in adolescent pregnancies were not higher than adults. Moreover, in community hospital, cesarean delivery rate in adolescents was significantly lower (17.12% vs. 28.84%). Conclusions We concluded that, the cesarean deliveries are not increased, and even decreased in adolescent pregnancies and biological immaturity is not a significant problem in adolescent pregnancy.
Combined Bladder, Urethral and Uterine Rupture After a Normal, Spontaneous Vaginal Delivery at Home - a Case Report
(Sci Printers & Publ inc, 2005) Zeteroglu, S; Bayrakli, H; Yilmaz, Y; Sahin, HG
BACKGROUND: Uterine rupture and associated injury to the maternal bladder and urethra have been rarely reported. All those cases were associated with a scarred uterus or augmentation of labor. We report a case of simultaneous bladder, urethral and uterine rupture in an unscarred uterus following delivery at home. CASE: A 22-year-old woman was referred front a peripheral hospital to the emergency unit of the Medical Faculty, Yuzuncu Yil University, after delivering at home. On vaginal examination, the bladder neck and proximal one third of the urethra were ruptured. Intraoperatively it appeared that the posterior wall of the bladder and bladder base had ruptured and separated from the level of the interureteric ridge. An extensive rupture of the lower uterine segment to the left sidewall of the uterus was seen. CONCLUSION: To prevent these complications, uneducated, traditional birth attendants should be replaced by at least midwives, and the rate Of unsupervised home delivery should be reduced.
Induction of Labor in Great Grandmultipara With Misoprostol
(Elsevier Ireland Ltd, 2006) Zeteroglu, S; Sahin, HG; Sahin, HA
Objective: To compare the efficacy and complications of intravaginal misoprostol application with oxytocin infusion for induction of labor in great grandmultiparous pregnancies with a Bishop score of <6. Study design: Sixty-four great grandmultiparous (delivering the tenth, or greater, infant) pregnant patients with a Bishop score of <6 were randomized in two groups with 32 patients receiving 50 mu g intravaginal misoprostol four times with 4 It intervals, and 32 patients receiving oxytocin infusion for induction of labor starting from 2 mIU/min, increasing it every 30 min with 2 mIU/min increments up to maximum of 40 mIU/min. The time from induction to delivery, the route of delivery, fetal outcome and maternal complications were recorded. Statistical analyses were performed using Mann-Whitney U-test, Chi-Square test and hypothesis test about differences for two proportions (t-test) to determine differences between the two groups. P <= 0.05 was considered significant. Result: The mean time from induction to delivery was 9.91 +/- 4.30 and 10.88 +/- 4.72 h in the misoprostol and oxytocin administered group, respectively, with no significant difference between the groups. The rate of vaginal delivery was 84.4 and 87.5% in the misoprostol and oxytocin administered group, respectively, with no significant difference between the groups (P = 0.72). The rates of placental abruption and postpartum hemorrhage were similar in both groups and no case of uterine rupture occurred. The 1 and 5 min mean Apgar scores were 6.91 +/- 1.57-8.88 +/- 1.39 and 7.22 +/- 1.24-9.06 +/- 0.84 in the misoprostol and oxytocin administered group with no significant differences between the groups (P = 0.38 and 0.51). No case of asphyxia was present. The rate of admission to neonatal intensive care unit was higher in the misoprostol administered group, but the difference was not significant. Conclusion: Intravaginal misoprostol is an alternative method to oxytocin in induction of labor in great grandmultiparous pregnant women with low Bishop scores, as it is effective, cheap and easy to use. Safety about rare complications and neonatal morbidity needs clarifications with further studies. (C) 2005 Elsevier Ireland Ltd. All rights reserved.
Induction of Labor With Misoprostol in Grand Multiparous Patients
(Elsevier Sci Ireland Ltd, 2004) Zeteroglu, S; Sahin, HG; Sahin, HA
Knowledge and Attitudes Towards Emergency Contraception of Healthcare Providers in a Region With a High Birth Rate
(Parthenon Publishing Group, 2004) Zeteroglu, S; Sahin, G; Sahin, HA; Bolluk, G
Objective To assess the knowledge of, attitude towards and practices of emergency contraception among health-care providers at a university hospital located in a region with a high birth rate. Methods The survey was conducted among 214 health-care providers working at a university hospital located in eastern Turkey. Results Two hundred participants completed the questionnaire. Of the respondents, 26.0% said that they did not know anything about emergency contraception, while the remaining 74.0% said that they knew about at least one of the methods of emergency contraception. But among these, the knowledge of 38.5% of the participants about emergency contraception was accurate and that of 61.5% was inaccurate. Thirty-four percent of the respondents stated that they had previously required personally to use emergency contraceptive methods. The most commonly used emergency contraceptive methods were oral contraceptives (69.1%) and intrauterine device (14.7%). None of the respondents knew anything about mifepristone and levonorgestrel. Conclusion There is a knowledge deficit among health-care providers who play a significant role in the dissemination of the information about emergency contraception.
Mucinous Appendicular Cystadenocarcinoma During Pregnancy - a Case Report
(Sci Printers & Publ inc, 2003) Zeteroglu, S; Kotan, C; Ozen, S; Goktolga, U
BACKGROUND: Primary appendicular adenocarcinoma is a rare type of appendicular carcinoma. We report mucinous appendicular adenocarcinoma during pregnancy. To our knowledge, this is the third reported case. CASE: A 35-year-old woman at 21 weeks of gestation presented with acute abdominal symptoms for the previous 10 days and underwent appendectomy. Histopathologically, examination of the appendectomy material was reported as "mucinous appendicular cystadenocarcinoma." The pregnancy was terminated by misoprostol induction. A right hemicolectomy and staging procedure were performed on the third postpartum day with relaparotomy. CONCLUSION. Although it rarely coexists with pregnancy, primary appendicular adenocarcinoma should be considered in pregnant women with atypical acute abdominal symptoms of long duration. Primary adenocarcinoma of the appendix should be treated with right hemicolectomy even if it is a secondary procedure. Termination of pregnancy is not essential to the surgical procedure, and the decision on the outcome of the pregnancy should be made with the patient.
Peripartum Hysterectomy in a Teaching Hospital in the Eastern Region of Turkey
(Elsevier Science Bv, 2005) Zeteroglu, S; Ustun, Y; Engin-Ustun, Y; Sahin, G; Kamaci, M
Objectives: The aim of this study was to find the incidence and clinical implications of peripartum hysterectomy in our hospital at the Eastern region of Anatolia. Study design: We analyzed retrospectively all cases of peripartum hysterectomy performed at YYU Medical Faculty Hospital between January 1995 and April 2003. Emergency peripartum hysterectomy was performed for hemorrhage which cannot be controlled with other conventional treatments within 24 h of a delivery. There were 24 cases of emergency peripartum hysterectomy performed. Results: The incidence of emergency peripartum hysterectomy was 5.09 per 1000 deliveries. Half of the hysterectomies followed cesarean section. Eleven patients were referred to our clinics from other hospitals. Uterine atony (45.8%) was the most common indication and placenta accreta (25.0%) was the second most common. Eighteen patients (75%) had subtotal hysterectomy. Bladder injury was seen ill three cases, Re-exploration was performed in three cases ( 12.5%). Seventeen patients stayed in hospital over 7 days. There were four ( 16.7%) maternal deaths all of whom were referred from other hospitals. Conclusion: The mortality and morbidity of performing a peripartum hysterectomy is elevated, especially if performed in critical patients referred from other hospitals. (c) 2004 Elsevier Ireland Ltd. All rights reserved.
Placental and Cord Malondialdehyde and Maternal and Perinatal Outcomes
(Wiley, 2004) Zeteroglu, S; Üstün, Y; Üstün, YE
Predictive Value of Magnetic Resonance Imaging Signal and Contrast-Enhancement Characteristics on Post-Embolization Volume Reduction of Uterine Fibroids
(Sage Publications Ltd, 2006) Harman, M; Zeteroglu, S; Arslan, H; Sengül, M; Etlik, Ö
Purpose: To assess the magnetic resonance imaging (MRI) signal and contrast-enhancement features of uterine fibroids before and after embolization, and to determine whether or not there are pre-embolization MRI characteristics that predict the volume reduction of fibroids. Material and Methods: Uterine fibroid embolization (UFE) was carried out in 28 fibroids of 20 patients, all of whom were symptomatic. The patients were prospectively evaluated with T1-weighted, T2-weighted, and gadolinium-enhanced T1 MRI sequences before and 6 months after embolization. The relationship between the characteristics of MRI signal and contrast-enhancement features of fibroids before the procedure and the change in size of the lesions after treatment was investigated. Results: Before embolization, the mean volume of fibroids was 123 cm(3) (8-560 cm(3)). The decrease rate in fibroid volumes was 44.6% (range 7-70%) 6 months after embolization. Volume reduction was more prominent in fibroids that had a high signal intensity on T2-weighted images and a marked contrast enhancement on T1-weighted images (P < 0.001). However, the volume reduction was insufficient in fibroids with high signal characteristics on pre-contrast T1-weighted images (P < 0.001). Conclusion: MRI is an effective method for revealing size and signal changes of fibroids after embolization. MRI signal characteristics and the contrast-enhancement pattern of fibroids before embolization can predict tumor volume reduction after embolization.
Recurrent Impetigo Herpetiformis in a Pregnant Adolescent: Case Report
(Elsevier Sci Ireland Ltd, 2002) Sahin, HG; Sahin, HA; Metin, A; Zeteroglu, S; Ugras, S
Impedigo Herpetiformis is a rare pustular dermatosis that typically occurs in pregnant women with unknown ethiology. A 17 year old patient who developed Impedigo Herpetiformis for the second time in the 27th week of her 2nd pregnancy is presented. The patient improved with corticosteroids treatment but the lesions did not clear completely and had flare ups during stressful periods which brings us to conclusion that Impedigo Herpetiformis at least has a common pathway with Generalized Pustular Psoriasis in the pathogenesis as stress provoked exacerbations. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.