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Cift T.,Bursa Sevket Ylmaz Research and Education Hospital | Ustunyurt E.,Bursa Sevket Ylmaz Research and Education Hospital | Yilmaz C.,Bursa Sevket Ylmaz Researchand Education Hospital | Olmez F.,Bursa Sevket Ylmaz Research and Education Hospital | Basar B.,Bursa Sevket Ylmaz Research and Education Hospital
Journal of Clinical and Diagnostic Research | Year: 2015

Aim: The aim of this study was to investigate the frequency of postoperative shoulder tip pain (STP) after cesarean section and compare spinal and general anaesthesia with respect to STP. Materials and Methods: Three hundred patients who underwent cesarean section were randomly assigned to either spinal anaesthesia group (Group SA, n=143) or general anaesthesia group (Group GA, n=157). Postoperative STP was assessed at 8 hours and 24 hours after operation by Visual Analogue Scale of Pain (VAS). Results: There were no statistically significant difference between the groups in terms of demographic data, operative findings, and clinical outcomes. The overall incidence of STP in study population was 35.7%. The incidence of STP in group SA (26.6%) was lower than that in group GA (43.9%)(p=0.005). Moreover VAS scores for STP at 6 hours and 24 hours were significantly lower in Group SA (p=0.001 and p<0.001, respectively). Conclusion: Shoulder tip pain is a common complaint after cesarean section, which is more prevalent in general anaesthesia. © 2015, Journal of Clinical and Diagnostic Research. All rights reserved.


PubMed | Bursa Sevket Ylmaz Research and Education Hospital and Dr Zekai Tahir Burak Research and Training Hospital
Type: Journal Article | Journal: PloS one | Year: 2014

To describe the risk factors and labor characteristics of Clavicular fracture (CF) and brachial plexus injury (BPI); and compare antenatal and labor characteristics and prognosis of obstetrical BPI associated with shoulder dystocia with obstetrical BPI not associated with shoulder dystocia.This retrospective study consisted of women who gave birth to an infant with a fractured clavicle or BPI between January 2009 and June 2013. Antenatal and neonatal data were compared between groups. The control group (1300) was composed of the four singleton vaginal deliveries that immediately followed each birth injury. A multivariable logistic regression model, with backward elimination, was constructed in order to find independent risk factors associated with BPI and CF. A subgroup analysis involved comparison of features of BPI cases with or without associated shoulder dystocia.During the study period, the total number of vaginal deliveries was 44092. The rates of CF, BPI and shoulder dystocia during the study period were 0,6%, 0,16% and 0,29%, respectively. In the logistic regression model, shoulder dystocia, GDM, multiparity, gestational age >42 weeks, protracted labor, short second stage of labor and fetal birth weight greater than 4250 grams increased the risk of CF independently. Shoulder dystocia and protracted labor were independently associated with BPI when controlled for other factors. Among neonates with BPI whose injury was not associated with shoulder dystocia, five (12.2%) sustained permanent injury, whereas one neonate (4.5%) with BPI following shoulder dystocia sustained permanent injury (p=0.34).BPI not associated with shoulder dystocia might have a higher rate of concomitant CF and permanent sequelae.


PubMed | Bursa Sevket Ylmaz Research and Education Hospital and Dr Zekai Tahir Burak Research and Training Hospital
Type: Journal Article | Journal: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians | Year: 2015

To investigate the relationship between crown-rump length (CRL) and birth weight, length and head circumference of the newborn.From a database of delivery records of 12,000 pregnancies, we identified 999 women with singleton pregnancies who had no medical problems, a normal menstrual history and a first trimester ultrasound scan in which CRL had been measured. All of the pregnancies resulted in live births without evidence of chromosomal and congenital abnormalities. The population in this study was divided into three groups according to CRL measurement; Group A (smaller-than-expected CRL), Group B (normal CRL) and Group C (larger-than-expected CRL).The incidence of low birth weight infant was higher in Group A than in Group C (p=0.010). The rate of small for gestational age (SGA) infants was similar between groups. The number of macrosomic or large for gestational age (LGA) infants was higher in Group C than Groups A and B. Both birth head circumference and length of infant were greater in Group C than Groups A and B. No significant difference for ponderal index value was observed between the groups (p=0.927).The growth pattern in the first trimester affects neonatal birth weight and length symmetrically without changing the ponderal index.

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