Omuz Distosisinde, Doğumu Kolaylaştıracak, Basit Bir, Manevra Tuğba Kınay, R. S. Karadeniz, Y. Üstün
Shoulder dystocia is an unpredictable complication of vaginal delivery and it could lead serious adverse maternal and neonatal outcomes. Prompt intervention and appropriate management of this obstetric emergency is essential to reduce the risk of adverse outcome. The maneuvers that had various advantages and disadvantages to alleviate shoulder dystocia have been described previously. In this report, we defined a new, easy to perform and noninvasive maneuver which could be used to relieve shoulder dystocia. This maneuver was successfully implemented in two nulliparous and two multiparous women who had experienced shoulder dystocia during vaginal delivery. After the diagnosis of shoulder dystocia and unsuccessful McRoberts and suprapubic pressure maneuver, the gentle upward traction on the fetal head and neck was performed in the lithotomy position. The posterior shoulder slipped forward in the sacral hollow and brought closer to the introitus with this maneuver. Thus, the anterior and posterior shoulders were no longer in the same antero-posterior plane of the pelvis. Then the gentle downward traction on the fetal head was applied until the anterior shoulder protruded through the perineum and the impacted anterior shoulder dislodged from behind the symphysis pubis. No other maneuver was needed for the completion of the delivery in these four cases, and no maternal or neonatal complication was observed. In conclusion, the presented maneuver is an easy and noninvasive maneuver. It could be easily learned with simulation training and used in the management of shoulder dystocia.
{"title":"A Simple Maneuver to Facilitate Delivery in Shoulder Dystocia","authors":"Omuz Distosisinde, Doğumu Kolaylaştıracak, Basit Bir, Manevra Tuğba Kınay, R. S. Karadeniz, Y. Üstün","doi":"10.46969/ezh.1416052","DOIUrl":"https://doi.org/10.46969/ezh.1416052","url":null,"abstract":"Shoulder dystocia is an unpredictable complication of vaginal delivery and it could lead serious adverse maternal and neonatal outcomes. Prompt intervention and appropriate management of this obstetric emergency is essential to reduce the risk of adverse outcome. The maneuvers that had various advantages and disadvantages to alleviate shoulder dystocia have been described previously. In this report, we defined a new, easy to perform and noninvasive maneuver which could be used to relieve shoulder dystocia. This maneuver was successfully implemented in two nulliparous and two multiparous women who had experienced shoulder dystocia during vaginal delivery. After the diagnosis of shoulder dystocia and unsuccessful McRoberts and suprapubic pressure maneuver, the gentle upward traction on the fetal head and neck was performed in the lithotomy position. The posterior shoulder slipped forward in the sacral hollow and brought closer to the introitus with this maneuver. Thus, the anterior and posterior shoulders were no longer in the same antero-posterior plane of the pelvis. Then the gentle downward traction on the fetal head was applied until the anterior shoulder protruded through the perineum and the impacted anterior shoulder dislodged from behind the symphysis pubis. No other maneuver was needed for the completion of the delivery in these four cases, and no maternal or neonatal complication was observed. In conclusion, the presented maneuver is an easy and noninvasive maneuver. It could be easily learned with simulation training and used in the management of shoulder dystocia.","PeriodicalId":498009,"journal":{"name":"Türk kadın sağlığı ve neonatoloji dergisi","volume":"8 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140381393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Uterin Bir, Anormalliği Ne, Sıklıkla Doğum, Sırasında Keşfediyoruz, Tek Merkez, Deneyimi Zeki, Cihad Akkuş, Özge Yücel Çelik, R. S. Karadeniz
Objective: In this study, we aimed to determine the incidence of incidental uterine anomalies in the patient population who gave birth in our centre and to evaluate the perinatal outcomes. Methods: We conducted a retrospective analysis of outcomes of patients with incidental uterine anomalies who delivered at a tertiary care center between January 2023 and December 2023. Patient data were obtained by searching hospital records. Results: The data of 782 pregnant women who had given birth in the last eleven months were analyzed retrospectively. Three patients were found who could be included in the classification of uterine anomaly and who had not received prior diagnosis and treatment. The mean age was 30.0 years and the mean body mass index was 25.6 kg/m2. The mean gestational age of the patients was 37+0 weeks. Conclusion: In this study, we found uterine abnormalities in 3 patients during cesarean delivery. It is important to note that these uterine abnormalities correlate least with pregnancy complications or fertilization success.
{"title":"How Often Do We Discover an Abnormality of The Uterus at Delivery? Single Center Experience","authors":"Uterin Bir, Anormalliği Ne, Sıklıkla Doğum, Sırasında Keşfediyoruz, Tek Merkez, Deneyimi Zeki, Cihad Akkuş, Özge Yücel Çelik, R. S. Karadeniz","doi":"10.46969/ezh.1442545","DOIUrl":"https://doi.org/10.46969/ezh.1442545","url":null,"abstract":"Objective: In this study, we aimed to determine the incidence of incidental uterine anomalies in the patient population who gave birth in our centre and to evaluate the perinatal outcomes.\u0000Methods: We conducted a retrospective analysis of outcomes of patients with incidental uterine anomalies who delivered at a tertiary care center between January 2023 and December 2023. Patient data were obtained by searching hospital records. \u0000Results: The data of 782 pregnant women who had given birth in the last eleven months were analyzed retrospectively. Three patients were found who could be included in the classification of uterine anomaly and who had not received prior diagnosis and treatment. The mean age was 30.0 years and the mean body mass index was 25.6 kg/m2. The mean gestational age of the patients was 37+0 weeks.\u0000Conclusion: In this study, we found uterine abnormalities in 3 patients during cesarean delivery. It is important to note that these uterine abnormalities correlate least with pregnancy complications or fertilization success.","PeriodicalId":498009,"journal":{"name":"Türk kadın sağlığı ve neonatoloji dergisi","volume":" 76","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140384875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amaç: Doğumsonu depresyon, yaygınlığı ve anne ve bebek sağlığı üzerinde tehlikeli sonuçları nedeniyle öncelikli bir halk sağlığı sorunudur. Bu çalışmada pandemi döneminde ölçekten elde edilen doğum sonrası depresyon prevalansı ve ilişkili faktörlerin belirlenmesi amaçlanmıştır.
Gereç ve Yöntem: Kesitsel tipteki bu araştırmanın örneklemini pandemi döneminde doğum yapan ve bebeği 1-12 aylar arasında olan çevrimiçi yöntemle ulaşılan 137 anne oluşturmuştur. Veri toplamada “Sosyo-demografik Bilgi Formu” ve “Edinburg Doğum Sonrası Depresyon Ölçeği” kullanılmıştır. Ölçekten alınan toplam puanın normal dağılım göstermesi nedeniyle; analizlerde değişkenin tipine göre pearson korelasyon testi, t testi, tek yönlü varyans analizi ve çoklu regresyon analizi kullanılmıştır.
Bulgular: Annelerin yaş ortalaması 30,13±4,77’dir. Pandeminin yaklaşık birinci yılının sonunda doğum sonu depresyon prevalansı %45,4’dür. Aylık kazancın yetersizliği, annenin gebelik öncesinde ve gebelik sırasında ruhsal hastalık öyküsünün olması, bebeğin 4-6 ay arasında olması ve annenin sadece biyolojik ailesinden duygusal destek alması depresyon puan ortalamasını bağımsız olarak yükseltmektedir (p
{"title":"Pandemi Döneminde Doğum Sonrası Depresyon ve İlişkili Faktörler; Kesitsel Bir Araştırma","authors":"Havvanur TAŞ, Zeynep ŞİMŞEK","doi":"10.46969/ezh.1331931","DOIUrl":"https://doi.org/10.46969/ezh.1331931","url":null,"abstract":"Amaç: Doğumsonu depresyon, yaygınlığı ve anne ve bebek sağlığı üzerinde tehlikeli sonuçları nedeniyle öncelikli bir halk sağlığı sorunudur. Bu çalışmada pandemi döneminde ölçekten elde edilen doğum sonrası depresyon prevalansı ve ilişkili faktörlerin belirlenmesi amaçlanmıştır. 
 Gereç ve Yöntem: Kesitsel tipteki bu araştırmanın örneklemini pandemi döneminde doğum yapan ve bebeği 1-12 aylar arasında olan çevrimiçi yöntemle ulaşılan 137 anne oluşturmuştur. Veri toplamada “Sosyo-demografik Bilgi Formu” ve “Edinburg Doğum Sonrası Depresyon Ölçeği” kullanılmıştır. Ölçekten alınan toplam puanın normal dağılım göstermesi nedeniyle; analizlerde değişkenin tipine göre pearson korelasyon testi, t testi, tek yönlü varyans analizi ve çoklu regresyon analizi kullanılmıştır. 
 Bulgular: Annelerin yaş ortalaması 30,13±4,77’dir. Pandeminin yaklaşık birinci yılının sonunda doğum sonu depresyon prevalansı %45,4’dür. Aylık kazancın yetersizliği, annenin gebelik öncesinde ve gebelik sırasında ruhsal hastalık öyküsünün olması, bebeğin 4-6 ay arasında olması ve annenin sadece biyolojik ailesinden duygusal destek alması depresyon puan ortalamasını bağımsız olarak yükseltmektedir (p","PeriodicalId":498009,"journal":{"name":"Türk kadın sağlığı ve neonatoloji dergisi","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134948329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: Placenta previa (PP) and placenta accreta spectrum are forms of abnormal placentation, and they are associated with significant perinatal morbidity and mortality. The objective of the present study was to juxtapose the baseline data, clinical features, perioperative outcomes, risks, and complications associated with PP and placenta accreta spectrum.
Materials and Methods: This retrospective study was performed using data extracted from the medical files of a total of 300 patients diagnosed with PP (Group I, n=237) and placenta accreta spectrum (Group II, n=63). The information gathered for every patient consisted of baseline descriptives, perinatal data and need for intraoperative or postoperative blood transfusion, pre- and postoperative serum levels of hemoglobin, fibrinogen and C-reactive protein, need and duration for intensive care unit stay, whether hemodialysis and mechanical ventilation were employed.
Results: The body-mass index was remarkably higher in Group II (p=0.002). There was no statistically significant difference between two groups concerning baseline descriptive data and perinatal, perioperative, and postoperative variables.
Conclusion: Results of the present study demonstrated that despite adequate planning and optimal management strategies; the likelihood of significant morbidity and mortality associated with PP and placenta accrete spectrum is still remarkable. Early and close monitoring with careful preparation is momentous for antepartum and intrapartum management. Additional research is essential to determine the predisposing factors as well as ideal methods of diagnosis, treatment, and prevention.
{"title":"Perioperative Outcomes, Risks and Complications Associated with Placenta Previa and Placenta Accreta Spectrum Revisited From an Anesthesiology Perspective","authors":"Nevin AYDIN, Nevin TÜTEN","doi":"10.46969/ezh.1320964","DOIUrl":"https://doi.org/10.46969/ezh.1320964","url":null,"abstract":"Purpose: Placenta previa (PP) and placenta accreta spectrum are forms of abnormal placentation, and they are associated with significant perinatal morbidity and mortality. The objective of the present study was to juxtapose the baseline data, clinical features, perioperative outcomes, risks, and complications associated with PP and placenta accreta spectrum. 
 Materials and Methods: This retrospective study was performed using data extracted from the medical files of a total of 300 patients diagnosed with PP (Group I, n=237) and placenta accreta spectrum (Group II, n=63). The information gathered for every patient consisted of baseline descriptives, perinatal data and need for intraoperative or postoperative blood transfusion, pre- and postoperative serum levels of hemoglobin, fibrinogen and C-reactive protein, need and duration for intensive care unit stay, whether hemodialysis and mechanical ventilation were employed. 
 Results: The body-mass index was remarkably higher in Group II (p=0.002). There was no statistically significant difference between two groups concerning baseline descriptive data and perinatal, perioperative, and postoperative variables. 
 Conclusion: Results of the present study demonstrated that despite adequate planning and optimal management strategies; the likelihood of significant morbidity and mortality associated with PP and placenta accrete spectrum is still remarkable. Early and close monitoring with careful preparation is momentous for antepartum and intrapartum management. Additional research is essential to determine the predisposing factors as well as ideal methods of diagnosis, treatment, and prevention.","PeriodicalId":498009,"journal":{"name":"Türk kadın sağlığı ve neonatoloji dergisi","volume":"181 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134948330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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