Aim:We aimed to evaluate the postpartum contraception preferences of adolescent women in this study.Material and Method:This descriptive study was prepared after a retrospective analysis of file records of primigravida women who had given birth at the Adiyaman University School of Medicine Training and Research Hospital Department of Obstetric and Gynecology between January 2010 and June 2012. More than 12 months had passed after birth. The adolescents who were included in the study and the control group women were called by phone and invited to our clinic. A total of 506 adolescents and 1,046 control group women came to the clinic and were evaluated. The control group was formed of women between the age of 20-35 years who gave given birth in our clinic during the same period and were randomly selected. Postpartum obstetric history, contraception methods and data of these patients were recorded.Results:The mean age was 18.3±0.4 years and 28.2±4.9 years in the adolescent group and control group respectively. No contraception other than lactation amenorrhea was used by 256 women of the adolescent group (50.6%) and 345 women of the control group (33%). The most commonly used contraceptive method in both groups other than lactation amenorrhea was condoms (160 women (64%) and 230 women (32.8%) respectively). The annual contraceptive failure rate was 3.95% in the adolescent group and 1.72% in the control group. The highest failure rate was with lactation amenorrhea in both groups.Discussion:Adolescent women mostly use contraceptive methods with low reliability such as lactation amenorrhea and the calendar method in the postpartum period. Providing adequate contraceptive education is therefore important. On the other hand, starting such training starting in the early postnatal period will prevent recurring adolescent pregnancies with a short pregnancy interval.

Objective: To investigate the epidemiological and clinical characteristics of intoxications in our region, to illuminate measures, and to contribute to the national survey. Material and Methods: Medical records of 366 cases who were diagnosed as intoxications during 2013 in the pediatric emergency department were reviewed retrospectively. Results: A total of 80,833 patients were admitted to pediatric emergency department in 2013. The ratio of poisoning cases to all pediatric emergency admissions was 0.4%; 184 (50.2%) cases were female, 182 (49.8%) cases were male, and the mean age was 5.7±1.4 years. Also, 56.8% of patients were under 5 years old. Most (95.7%) cases were accidental, while 4.3% of them were suicides. The common causes of intoxication were medications and scorpion envenomation. The most common pharmacological agents that caused intoxication were analgesics and antidepressants. The most common clinical findings were vomiting (24.3%), nausea (20.2%), abdominal pain (13.6%) and headache (11.4%). Supportive treatments were applied to 90.1% of patients, and antidotes were used in 4.9% of patients. A patient with a scorpion sting died due to cardio-pulmonary insufficiency. Conclusion: In our region, the most common poisoning agents were drugs and scorpion stings. Education of parents may decrease acute intoxication cases causing morbidity and mortality.

ÖzetAmaç: Bu çalışma postpartum depresyonun yaygınlığı, yaşam kalitesi üzerine etkisi ve gebelikte alınan kilo ile postpartum depresyonun sosyodemografik parametrelerle ilişkilerini araştırmak amacıyla yapılmıştır. Gereç ve Yöntemler: Kadın hastalıkları ve doğum kliniğine Nisan 2008-Mayıs 2008 tarihleri arasında başvuran gebeler arasından rastgele yöntemle seçilmiş 41 postpartum anne araştırmanın evrenini oluşturdu. Bu gebelerin sosyodemografik özelliklerini belirlemek için 25 soruluk anket yapıldı. Sonrasında Edinburgh Postpartum Depresyon Skalası (EPDS) uygulandı. Bulgular: Olgularımızın EPDS değerleri ortalaması 9.6, standart sapması 5.18 idi, minimum değer 0 iken, maksimum değer 23 idi. EPDS düzeylerine ilişkin kesme puanına göre oluşturulan gruplar arasında EPDS düzeyi 13'ten az olan grubun (n=30) ortalama kilo alımı 14.0±4.15 iken 13 ve üzerinde olan gruba (n=11) ortalama kilo alımı 10.5±6.28 idi. Bu sonuçlara göre EPDS düzeyi 13'ten az olan grubun EPDS düzeyi 13 ve üzerinde olan gruba göre gebelikte daha fazla kilo aldığı saptandı (p=0.031). Çalışma sonucu EPDS'ye göre postpartum depresyon insidansı %26 olarak saptandı. Sonuç: Biz postpartum depresyon için risk faktörü olarak gebelik sürecinde beslenme sonucu yetersiz kilo alımının da üzerinde durulması gerektiğini vurgulamak isteriz. Anahtar Kelimeler: Postpartum Depresyon; Risk Faktörleri; Gebe; Kilo Alımı. The Relationship of Postpartum Depression With Weight Gain During Pregnancy and Sociodemographic Factors AbstractObjective: This study is intended to investigate the prevalence of postpartum depression, its effect on life quality, and the relationship of the weight gained during pregnancy and the postpartum depression with sociodemographic parameters. Material and Methods: 41 postpartum mothers chosen randomly among the pregnant women, who had applied to the outpatient clinic for obstetrics and gynecology between dates of April 2008 -May 2008, constituted the extent of the study. A survey including 25 questions was carried out to determine the sociodemographic characteristics of these pregnant women. Thereafter, Edinburgh Postpartum Depression Scale (EPDS) was applied. Results: Average of EPDS scores of our cases was 9.6 and standard derivation was found as 5.18. Minimum value was 0, whereas maximum value was determined to be 23. Among groups, which were constituted according to cut-off scores regarding their EPDS levels, mean weight gain of the group (n=30) with an EPDS score lower than 13 was 14.0±4.15, whereas mean weight gain of the group (n=11) with EPDS score equal to or above 13 was found to be 10.5±6.28. According to these results, it was determined that the group with a EPDS score less than 13 gained more weight during pregnancy compared to the other group (p=0.031). Result of the study with regard to EPDS revealed a postpartum depression incidence of 26%. Conclusion:We also intend to lay emphasis on insufficient weight gain revealed as the result of nutrition, which constitutes a risk factor for postpartum depression during pregnancy.

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AIM: The aim of this study was to evaluate the short and long term results of inguinal hernia surgery and to detect factors effective on hernia recurrence. METHODS: In this retrospective study, 521 patients who had undergone inguinal hernia surgeries between 1993 and 2005 in a ter Girișİnguinal bölge hernileri, inguinal ve femoral hernileri kapsamaktadır. İnguinal herniler, toplumda yaklaşık %3-8 oranında görülürken, tüm karın duvarı fıtıkları-nın %80-83'ünü oluştururlar ve %86-91'i erkeklerde görülür [1][2][3] . Her iki cinste de en sık indirekt inguinal herni görülmekle birlikte, femoral herni kadınlarda daha sık görülmektedir 4 . İnguinal hernilerin tedavisi cerrahidir.Başarılı bir fıtık onarımı için perioperatif ve postoperatif komplikasyon, mortalite, morbidite ve nüks oranlarının düşük olması gerekir. Hastalar günlük aktivitelerine erken dönebilmeli ve onarım yöntemi ekonomik olmalıdır. İnguinal herni ameliyatlarında uygulanan tekniğe ve cerrahların deneyimine bağlı olarak nüks oranları %0,5-15 arasında değişmektedir [5][6][7] . Bu çalışmada inguinal herni nedeniyle ameliyat edilmiş hastalardaki erken ve geç dönem sonuçlarının incelenmesi ve nüks gözlenen hastalarda nüks üzerine etkili olabilecek faktörlerin belirlenmesi amaçlandı. 52,24'dü (16-92) ve 478'i (%92) BULGULAR: Hastaların (N=521) ortalama yașları