Objectives: Ergonomics in laparoscopy has been gaining increasing attention. The research literature on ergonomics is growing worldwide; however, there are no studies or data from Turkey. Our study provides information on the awareness and use of ergonomics in laparoscopic gynecology in Turkey. Material and methods:A questionnaire consisting of 25 questions was sent by email to 225 laparoscopists who are members of the Turkish Society of Gynecological Endoscopy. Results:In response, 45.7% of the questionnaires were returned. Six respondents (5.9%) had never experienced pain, and two respondents (1.9%) always experienced pain during or after laparoscopy. The shoulders, neck, and back were the most common sites where respondents experienced pain. Most of the respondents (64.1%) utilized one monitor during laparoscopic surgery, and only 2% of respondents utilized a monitor below eye level. Less than 50% of the respondents were aware of ergonomic guidelines.Conclusions: Even though less than half of the Turkish gynecological laparoscopist respondents were aware of ergonomic guidelines, more than half used appropriate visual systems, operating tables, hand instruments, and had large enough operating rooms. Only the number and level of monitors used by respondents were not in accordance with ergonomic guidelines.
Background: World Health Organization’s (WHO) defines female genital mutilation (FGM) as all procedures involving the total or partial removal of female external genitalia without any medical reasons. It is estimated that about 100 million women worldwide are circumcised. After circumcision compications such as bleeding, infection, shock, menstrual irregularity, dysuria, frequent urinary tract infections, pelvic pain and difficulty in sexual intercourse occur with varying frequencies.Methods: In this article, we aimed to discuss normal vaginal delivery results of 45 term pregnant cases with 3 types of female genital multilation/circumcision. We know that the vaginal entrance is closed as a result of adhesions in the genital area due to circumcision and secondary complications may develop.Results: The mean age of 45 patients included in the study was 26.2±8.78 years. Considering the postpartum complications, bilateral labial tissue ruptures in 15 cases, followed by vaginal hematoma in 9 cases, anal sphincter damage in 11 cases, deep episiotomy tears in 8 cases, periurethral tears in 8 cases, deep cervical tears in 8 cases, vulvar epidermoid cyst ruptures in 4 cases and 4 cases. perineal body ruptures were seen in 4 cases, vulvar hematoma in 4 cases, and vaginal mucosal damage in 9 cases.Conclusions: It has been shown once again that FGM/C is a method that completely changes the female vaginal anatomy and has very serious delivery complications. It is obvious that serious educations and studies need to be done in the countries where this method is applied.
Background: The study was aimed to determine the effect of the ongoing infection on the anxiety level of pregnant women during the first year of the COVID-19 pandemic.Methods: In this study, a structured questionnaire and the Beck anxiety inventory were administered to pregnant women who volunteered to participate in the research among the ones who applied to the outpatient clinic for routine prenatal care from January 2021-March 2021.Results: The study featured 200 pregnant women with a mean age of 28.3±6.8 years and a range of 18-45 years. The patients were divided into four groups according to their Beck score as minimal (38.5%), mild (42%), moderate (15.5%), and severe (4%) levels of anxiety. Women with moderate and severe levels of anxiety were observed to have higher rates of fear of getting infected with COVID-19, fear of infecting the baby, fear of death due to COVID-19, fear of losing her relative due to COVID-19, fear of losing her baby due to COVID-19, and fear of quarantine (p<0.001). Factors that independently affected the level of anxiety in pregnant women were examined by multivariate linear regression analysis. It was found that increasing age (β=0.246; p<0.001), fear of getting infected with COVID-19 (β=0.375; p<0.001), fear of death due to COVID-19 (β=0.105; p=0.044) and fear of losing her baby due to COVID-19 (β=0.205; p<0.001) positively associated with anxiety levels.Conclusions: Because of the detrimental impact on both the mother and the infant, perinatal mental wellbeing is a major public health concern. Thus, aside from the follow-up of pregnant women by a multidisciplinary team of perinatology, neonatology, and intensive care specialists, it is essential to provide psychosocial support during the pandemic.
This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as: Tamburacı E.
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