The cesarean rates and indications between 2010 and 2014 in the Obstetrics Department of Dr. Zekai Tahir Burak Maternal Health Training and Research Hospital

Küçükbaş, Gökçe Naz; Moraloğlu, Özlem; Özel, Şule; Erkaya, Salım; Taşçı, Yasemin; Fındık, Rahime Bedir

doi:10.2399/prn.16.0242001

Cited by 8 publications

(6 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Minty et al [5] analyzed the safety and effectiveness of SSSA for controlling labor pain and concluded that SSSA was a useful alternative to epidural analgesia. As reported in our previous study, our institute has one of the largest maternity wards in Turkey with a very high obstetric volume (>15,000 deliveries per year), and therefore, we prefer SSSA over epidural techniques in our clinical practice [19].…”

Section: Discussionmentioning

confidence: 90%

“…Spontaneous labor may progress into vaginal or cesarean delivery. The hospital setting may have limited resources, the anesthesia team may have certain preferences for certain techniques, and the pharmacokinetics of different drugs may affect the onset and duration of action and associated side effects [5,[15][16][17][18][19]. AbdElBarr et al [4] mentioned that SSSA was a better alternative to epidural analgesia to manage labor pain.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Addition of Fentanyl or High-Dose Morphine to Bupivacaine Is Superior to Bupivacaine Alone during Single-Shot Spinal Anesthesia

Aslan

Moraloğlu

2020

Gynecol Obstet Invest

Self Cite

View full text Add to dashboard Cite

Background: Single-shot spinal anesthesia (SSSA) with bupivacaine is a useful technique for pain control during the active phase of labor due to its simplicity and rapid onset. In this study, we evaluated the efficacy of the addition of fentanyl or high-dose morphine to bupivacaine during SSSA. Methods: Ninety healthy consecutive multiparous parturients in the active phase of progressing labor (cervical dilatation ≥7 cm; pain score >4) requesting analgesia were included in this study. The patients were randomly allocated into 3 SSSA groups as follows: group 1 (n = 30) receiving 2.5-mg hypobaric bupivacaine alone, group 2 (n = 30) receiving a combination of 2.5-mg hypobaric bupivacaine and 10-μg fentanyl, and group 3 (n = 30) receiving a combination of 2.5mg hypobaric bupivacaine and 0.5-mg morphine. The duration of analgesia, VAS scores, side effects, and obstetric and neonatal outcomes were compared. Results: The main gestational age and cervical dilatation of the patients were 38.7 ± 1.5 months and 7.2 ± 2.2 cm (p = 0.14 and p = 0.65), respectively. The main VAS score significantly decreased in all groups at 3 h from baseline: from 8.25 to 1.75 in group 1, from 7.61 to 1.28 in group 2, and from 8.12 to 1.26 in group 3 (p < 0.001). The duration of the second phase of delivery was similar in all groups (45.5, 44, and 38 min, respectively; p = 0.67). The total analgesia duration was significantly higher in group 3 (172, 180, and 190 min for groups 1, 2, and 3, respectively; p = 0.01). The Apgar scores and fetal heart rates were similar in all groups (p = 0.95). Side effects were similar, except for pruritus in group 3 (p = 0.01). Conclusion: The addition of fentanyl or high-dose morphine to bupivacaine increases the efficacy and duration of SSSA in the active phase of progressing labor without increasing side effects.

show abstract

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Addition of Fentanyl or High-Dose Morphine to Bupivacaine Is Superior to Bupivacaine Alone during Single-Shot Spinal Anesthesia

Aslan

Moraloğlu

2020

Gynecol Obstet Invest

Self Cite

View full text Add to dashboard Cite

show abstract

“…Today, the rate of cesarean section increases while the rate of vaginal delivery decreases. [9] This fact requires keeping cesarean section-related complications on the agenda all the tame. One of them is peritoneal adhesions, because the complications in association with peritoneal adhesions such as bladder and intestine injuries, infertility, chronic pelvic pain, extended surgery duration and more loss of blood may develop.…”

Section: Discussionmentioning

confidence: 99%

The assessment of the prediction capacity of abdominal striae gravidarum on intraabdominal adhesions in the pregnant women with the history of cesarean section evaluated before the cesarean section

Madendağ¹,

Şahin²

2019

Perinatal J

View full text Add to dashboard Cite

Sezaryen hikâyesi bulunan gebelerde sezaryen öncesi de¤erlendirilen abdominal striae gravidarum seviyesinin intraabdominal yap›fl›kl›klar› öngörebilirli¤inin de¤erlendirilmesi Amaç: Operasyon öncesi intraabdominal yap›fl›kl›k olup olmad›¤›-n› veya yap›fl›kl›¤›n fliddetini öngörebilmek amac›yla klinik ve ultrasonografik araflt›rmalar yap›lmaya devam etmektedir. Operasyon öncesi yap›fl›kl›¤›n fliddetinin tespiti ile intraoperatif cerrahi komplikasyonlar› önlemek mümkün olacakt›r. Striae gravidarum gelifliminin ba¤ dokusu ve kollajen geliflimi ile iliflkili oldu¤u düflü-nüldü¤ünde mevcut çal›flmada sezaryen hikayesi bulunan gebelerde sezaryen öncesi abdominal striae gravidarum varl›¤›n› ve fliddetini de¤erlendirerek striae gravidarumun intraabdominal yap›fl›k-l›klar› öngörebilirli¤ini de¤erlendirmeyi amaçlad›k. Yöntem: Tersiyer bir merkezde prospektif kesitsel bir çal›flma olarak 6 ay süre içinde baflvuran gebeler çal›flmaya dahil edildi. Maternal yafl, vücut kitle indeksi, gebelikte al›nan toplam kilo mikta-r›, pregestasyonel veya gestasyonel diyabet varl›¤›, sigara kullan›-m›, kronik sistemik hastal›k varl›¤›, geçirilmifl sezaryen say›s› ve bebek do¤um a¤›rl›klar› ile mevcut gebelikteki do¤um haftas›, fetal a¤›rl›k ve fetal cinsiyet kaydedildi. Striae gravidarum fliddeti Davey skorlama sistemi ile belirlendi. ‹ntraabdominal peritoneal adezyonlar modifiye Nair skorlama sistemine göre de¤erlendirildi. Striae gravidarum fliddetine göre 3 grup oluflturuldu. Bulgular: D›fllama kriterleri sonras› kalan 378 hasta 3 grup olarak karfl›laflt›r›ld›. Gruplar aras›nda demografik özellikler aç›s›ndan fark yoktu. Striae gravidarum fliddeti ile peritoneal adezyon fliddeti aras›nda istatistiksel olarak bir iliflki bulunamad› (p=0.401). Ay-r›ca skar görünüm tipleri (p=0.215) ve keloid varl›¤› (p=0.127) ile striae gravidarum aras›nda da anlaml› bir iliflki yoktu. Sonuç: Striae gravidarum skorunun keloid ve skar görünümü ile iliflkisiz oldu¤u, peritoneal adezyonlar› önceden tahmin etmede baflar›s›z bir belirteç olaca¤›, kullan›lsa dahi çok düflük özgüllük de¤erlerine sahip olaca¤› görüflündeyiz.

show abstract

“…One of the most common indications for cesarean delivery is previous uterine surgery and previous cesarean delivery 5 , 6 . Studies from both Turkey and other countries have reported that the most common causes of primary cesarean delivery were malpresentation followed by fetal distress and cephalopelvic disproportion 7 - 9 . Although there are no significant differences in indications for cesarean delivery globally, there can be significant differences in cesarean delivery rates between countries or even between different regions within the same country.…”

Section: Introductionmentioning

confidence: 99%

A comparison of the rates of and indications for cesarean delivery between Syrian refugee women and Turkish women

Hansu

2023

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

SUMMARY OBJECTIVE: The aim of this study was to compare the rates of and indications for cesarean delivery among Syrian refugee women and local Turkish women. METHODS: The study included 74,864 pregnant women, of whom 52,145 were Turkish and 22,719 were Syrian refugee women and who gave birth at our hospital between January 2013 and December 2021. In this study, the pregnant women were divided into two groups: Syrian refugee women and Turkish women, and primary cesarean delivery rates were calculated separately for each group. Cesarean delivery rates for Syrian refugee women and Turkish women were compared separately for each year. Indications for cesarean delivery were determined separately for each group and compared between the groups. RESULTS: The overall cesarean delivery rate was 56% among Turkish women and 32% among Syrian women (p<0.05). The primary cesarean delivery rate was 18.4% for local Turkish women versus 10.7% among Syrian refugee women (p<0.05). The most common indication for cesarean delivery among both Syrian refugee women and local Turkish women was previous cesarean delivery, followed by acute fetal distress and cephalopelvic disproportion. CONCLUSION: Indications for cesarean delivery were similar for Syrian refugee women and local Turkish women, but both overall and primary cesarean delivery rates were higher among local Turkish women compared with Syrian refugee women.

show abstract

The cesarean rates and indications between 2010 and 2014 in the Obstetrics Department of Dr. Zekai Tahir Burak Maternal Health Training and Research Hospital

Cited by 8 publications

References 0 publications

Addition of Fentanyl or High-Dose Morphine to Bupivacaine Is Superior to Bupivacaine Alone during Single-Shot Spinal Anesthesia

Addition of Fentanyl or High-Dose Morphine to Bupivacaine Is Superior to Bupivacaine Alone during Single-Shot Spinal Anesthesia

The assessment of the prediction capacity of abdominal striae gravidarum on intraabdominal adhesions in the pregnant women with the history of cesarean section evaluated before the cesarean section

A comparison of the rates of and indications for cesarean delivery between Syrian refugee women and Turkish women

Contact Info

Product

Resources

About