Objective: In this study, we aimed to compare the postoperative outcomes and urinary retention rate of urinary catheters removed after 6, 12, and 24 hours in cesarean section (CS) patients. Materials and Methods: Pregnant women who had undergone term elective CS for previous CS indication under spinal anesthesia were included in this prospective study. Patients were divided into three groups in a 1:1:1 ratio and the patient’s urinary catheter was removed after 6, 12, and 24 hours. The residual urine amount was calculated with ultrasonography. In addition, the time until ambulation, recatheterization rate, urinary tract infection (UTI) symptoms, and the duration of hospitalization were recorded. Results: The urinary retention rate (13.9 %) was significantly higher in the group whose catheter was removed after 6 hours. The time to the first ambulation was affected by the duration of the catheter and was significantly higher in the group whose catheter was removed after 24 hours (p=0.038). Additionally, dysuria and UTI were seen significantly higher in the group whose catheter was removed after 24 hours. However, the length of hospital stay was similar between the three groups. Conclusion: Considering the benefit-harm balance, removal of the urinary catheter at 12 hours after CS could be suggested. However, the duration of urinary catheter removal should be individualized.
Aim: Increasing cesarean section (C/S) rates have become a growing public health issue. Turkey ranked among the top countries in the world for the highest cesarean rates. Why women desire CS instead of vaginal birth may be the key to avoiding unnecessary C/Ss. In this study, we performed a questionnaire to evaluate the possible reasons for maternal CS requests in one of the largest maternity care hospitals in Turkey. Materials and Methods: A questionnaire was applied among pregnant women, focused on the preference of the mode of delivery and the reasons for the preferences. Results: Of the 1200 women who answered the questionnaire about the mode of delivery, 45.7% were nulliparous and of these, 85% preferred vaginal delivery. Of the women who had vaginal birth previously, 93.4% preferred vaginal delivery. Of the women who had a previous c-section, 11.8% preferred to try a vaginal delivery. The main factor that affected the preference for C/S was the previous history of C/S. When the patients with a previous history of C/S were excluded; a history of previous spontaneous abortion and longer marital relationships were found to be the factors associated with C/S preference. of women who preferred vaginal delivery 55.8% stated that vaginal delivery was preferred because the most natural way of childbirth was a vaginal birth. Discussion and Conclusion: Elective cesarean section in the absence of clinical indications is one of the most discussed topics of obstetric practice. The reason for the first C/S should be very well-reviewed to provide a logical approach to the current rates of C/S. Childbirth fear is also an important point to be carefully evaluated for especially nulliparous women.
Amaç: Gebelikte bebek hareketlerinde azalma hissedilmesi hastaneye başvuru sebepleri arasında sık karşılaşılan bir nedendir. Bu çalışmada fetal hareketlerde azalma tanısı ile doğum ünitesine yatırılan gebelerin perinatal ve obstetrik sonuçlarının değerlendirilmesi amaçlanmıştır. Gereçler ve yöntem: Ocak 2020- Ocak 2021 tarihleri arsında hastanemiz doğum ünitesine fetal hareketlerde azalma tanısıyla yatırılan 37.hafta ve üzeri 417 gebe retrospektif olarak incelendi. Yüksek riskli gebeler çalışma dışı bırakıldı. Hastaların yaşı, gravida, paritesi, vücut kütle indeksi ile doğum şekli ve yenidoğan yoğun bakım ihtiyacı sonuçları kaydedildi. Fetal hareketlerde azalma tanısı ile doğum ünitesine yatırılan gebelerin doğum şekli ve yenidoğan yoğun bakım ihtiyacı durumu bu bir yıl içerisinde doğum ünitesine yatırılan toplam 13059 hastanın sonuçları ile karşılaştırıldı. Bulgular: Doğum ünitesine yatan 13059 hastanın 417’sinin ( %3.19) fetal hareketlerde azalma tanısıyla yatırıldığı tespit edildi. Tüm hastalar içinde primer sezaryen oranı %16.54 iken, fetal hareketlerde azalma tanısı alıp doğurtulan 245 gebede primer sezaryen oranı % 36.73 olarak tespit edildi. Primer sezaryen oranları açısından karşılaştırıldığında çalışma grubunda tüm hasta grubuna göre primer sezaryen oranı anlamlı olarak yüksek bulundu (p=0.023). Her iki gruptaki doğan bebeklerin yenidoğan yoğun bakım ihtiyacı olması yönünden karşılaştırılmasında da istatistiksel olarak anlamlı fark izlenmemiştir (p=0.744). Sonuç: Fetal hareketlerde azalma tanısıyla yatırılan hastalarda primer sezaryen oranları yükselmektedir.
Aim: In this study, it was aimed to present a tertiary center data by examining the current risk factors, management of cases and perinatal outcomes of shoulder dys- Materials and methods:-
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