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    Changing trends in cesarean section deliveries in a tertiary hospital using the Robson Ten Group Classification
    (Rabia YILMAZ, 2023) Buhur, Ali; Erdem, Dilek
    Objective: This study aimed to identify and highlight the changing trends in cesarean deliveries in a tertiary hospital using the Robson Ten Group Classification Method: A retrospective cohort study included 103745 patients admitted to Istanbul Kanuni Training and Research Hospital's Obstetrics and Gynecology Department between January 1, 2012, and December 31, 2021. Ten groups were established based on five basic obstetric factors: parity, labor initiation, gestational age, number of fetuses, and fetal presentation. All live or dead births over 500 g or 20 gestational weeks were included in the study. Women with missing file information were excluded from the study. Total number of cesarean sections in the group, total number of women in each group, group size (%), group cesarean rate (%), absolute group contribution to general cesarean section rate (%) group contribution relative to general cesarean section rate (%) were calculated. Cesarean section indications were evaluated in 10 categories and their numbers and rates were recorded. Statistical analyzes were performed using SPSS version 24.0 for Windows. Results: Our study’s average CS rate from 2012 to 2021 was 45.77%. The largest contributions to the total cesarean section rate were in group 5 (20.69%), group 3 (5.99%), and group 1 (5.75%). Conclusion: In our study, Robson groups 5, 3, and 1 comprised the majority of contributors to the total cesarean section performed. Any effort to reduce the rate of CS should focus on these subgroups.
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    Comparison of the effectiveness and complications of transobturator tape and transvaginal tape methods in the treatment of stress urinary incontinence
    (2023) Buhur, Ali; Ünal, Ömer; Erdem, Dilek
    Aim: Comparison of the effectiveness and complications of transobturator tape and transvaginal tape methods in the treatment of stress urinary incontinence. Method: Clinical records of 106 patients who underwent surgery in Istanbul Kanuni Sultan Suleyman Training and Research Hospital due to stress urinary incontinence between January 2015 and December 2016 were retrospectively analyzed. The patients were divided into two groups. Trans obturator tape (TOT) was classified as Group 1, and transvaginal tape (TVT) was classified as Group 2. The urogenital distress inventory-6 (UDI-6) and the incontinence impact questionnaire-7 (IIQ-7) were used to determine the severity of preoperative and postoperative incontinence and objectively compare the quality of life in all patients. The ethics committee approval was obtained from the ethics committee of Kanuni Training and Research Hospital. Statistical analysis of data was performed using SPSS version 24 (SPSS Inc, Chicago, Illinois). Results: There was a significant difference between the two groups in terms of mean age, menopausal status, complications, and duration of surgery (p<0.05). In both groups, there was a significant improvement in postoperative UDI-6 and IIQ-7 tests evaluating the negative effects of urinary incontinence on daily life (p=0.01* and p=0.028*, respectively). Conclusion: A significant improvement was observed in UDI-6 and IIQ-7 scores after TOT and TVT operations. There is no significant difference between TOT and TVT methods in terms of efficacy and success in the treatment of stress urinary incontinence.
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    Evaluation of 436 cases of vaginal hysterectomy for benign indications: Experience from a tertiary hospital
    (2023) Buhur, Ali; Erdem, Dilek
    Aim: Though vaginal hysterectomy could be a minimally invasive type of hysterectomy, its preference has recently attenuated. We tend to aim to gauge the results of vaginal hysterectomies performed in our clinic for benign indications. Materials and Methods: This retrospective study was conducted on 436 Women who underwent vaginal hysterectomy for benign indications at Kanuni Sultan Suleyman Train- ing and Research Hospital. Between January 01, 2017, and December 31, 2020. Female patients aged between 40 and 85 who underwent vaginal hysterectomy for benign indica- tions was enclosed within the study. The patients with malignancy; or missing records were excluded from the study. Common indications for hysterectomy consisted of pelvic organ prolapse 385 (88.30%) and stress urinary incontinence 22(5.50%). SPSS version 24.0 was used to conduct all data analysis. Results: The four hundred thirty-six patients had a mean age of 61.07±10.0 years. The mean parity was 4.40±2.60, and the mean BMI was 31.37±1.74 kg/m2. Eighty-percent of the patients were menopausal, and 19% were of reproductive age. In our study, pelvic organ prolapse (67.88%) and abnormal uterine bleeding (18.73%) were the most common causes of hysterectomy. The major and minor complication rates were 8.02%, and 9.40%, respectively, with an overall rate of 17.42%. Conclusion: Though vaginal hysterectomy could be a minimally invasive sort of hys- terectomy; surgeons should remember complications throughout the surgery; recognizing and managing complications is crucial in VAH because it can be fatal.
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    The relationship between the preferences of the oral glucose screening test and the levels of health literacy and perinatal anxiety of pregnancy
    (2023) Erdem, Dilek; Yardimci, Figen; Yılmaz, Hacı Bayram; Buhur, Ali
    Aim: This research aimed to determine the relationship between pregnant women's oral glucose screening test preferences and their health literacy and perinatal anxiety levels.Material and Method: The study is descriptive and cross-sectional. The sample of the study consisted of 120 pregnant women who applied to a university hospital between June and July 2022, were accepted to participate in the study, had no Turkish speaking problems, no pregestational diabetes diagnosis, no vision and hearing problems, no mental health problems, and were literate. The data were collected using face-to-face interviews with pregnant women including a questionnaire asking about the introductory characteristics of pregnant women, Turkish Health Literacy Scale-32 (TSOY-32), and Perinatal Anxiety Screening Scale (PASS). The obtained data were analyzed using one-way analysis of variance, correlation analysis, and chi-square tests.Results: 52.5% of pregnant women believed that they do not need to have an OGT. While the effect of health personnel in this decisions is 66.1%, the effect of the closed environment is 22.9%. A statistically significant negative correlation at p<.05 level was found between the Turkish health literacy scale and the Perinatal anxiety screening scale scores. Participants' believes on the necessity of OGTT test has no effect on their TSOY-32 scores or PASS scores. There is no association between the preference of women and the sub-dimensions of TSOY-32 and the PASS.Conclusion: The health literacy and perinatal anxiety levels of the pregnant women in the sample group did not affect their OGTT preferences. They stated that healthcare professionals were primarily influential in their decisions on OGTT preferences.