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    Effect of vaginal cleansing on postoperative factors in elective caesarean sections: a prospective, randomised controlled trial
    (Taylor & Francis Ltd, 2017) Goymen, Abdullah; Simsek, Yavuz; Ozdurak, Halil Ibrahim; Ozkaplan, Sukran Esra; Akpak, Yasam Kemal; Ozdamar, Ozkan; Oral, Serkan
    Objective: To assess the effect of povidone iodine versus benzalkonium chloride, which were applied preoperatively for vaginal disinfection in caesarean sections, on postoperative factors. Methods: One hundred and twenty patients underwent elective caesarean section were divided into three groups using the simple randomisation method: Group 1 (povidone iodine, n: 41); Group 2 (benzalkonium chloride, n: 39); Group 3 (control group, n: 40). Demographic data, duration of operation, amount of bleeding, postoperative pain, time to first flatulence and defaecation, haematological parameters on postoperative day 1 were compared between three groups. Pain evaluation was performed at 6th and 24th postoperative hour using Visual Analogue Scale. Results: No statistically significant differences were detected between the groups in demographic characteristics. There were no significant differences between the groups with respect to the duration of operation and hospital stay. The patients in the group who underwent povidone iodine vaginal cleansing had statistically significantly less postoperative pain as compared to control group. No difference was observed between the groups in haematological parameters other than C-reactive protein (CRP); however, CRP levels at 24th post-operative hour were significantly lower in Group 1 compared to the other groups. Conclusions: The preoperative vaginal cleansing with povidone iodine could reduce the postoperative pain, analgesic need and infection parameter.
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    Impacts of Childbirth on the Subsequent Risk of Stress Urinary Incontinence
    (Duzce Univ, 2018) Ozdurak, Ibrahim; Goymen, Abdullah; Simsek, Yavuz; Ozakin, Ekrem; Akpak, Yasam Kemal; Sik, Aytek; Sari, Oktay
    Objective: The purpose of the this study was to indicate the role of childbirth parameters on the development of stress urinary incontinence (SUI). Methods: One hundred-one healthy women (control group) and 98 patients with SUI (study group) were included in this study between March 2008 and April 2009. Obstetric history of participants was taken and labor parameters were compared between control group and study group. Results: The prevalence of SUI reported in the study was 43.9%. The result of prevalence was 43.9% during the study. Parity and gravidity was significantly more in study group (p<0.001). Vaginal delivery, Kristeller manauver, operative delivery by vacuum or forceps extraction and delivery of macrosomic fetus was found to be significant risk factors for SUI (p<0.05). Conclusions: Mode of delivery and obstetric history have significant impact on subsequent SUI. Timely cesarean section in women with obstructed labor may prevent the later occurrence of SUI.
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    The relationship between the helicobacter pylori seropositivity with systemic and local oxidative status and hyperemesis gravidarum: a pilot study
    (Taylor & Francis Ltd, 2018) Goymen, Abdullah; Ozdurak, Ibrahim; Ozkaplan, Sukran Esra; Simsek, Yavuz; Avci, Fazil; Akpak, Yasam Kemal
    Objectives: The aim of study was to determine the helicobacter pylori (HP) seropositivity and oxidative parameters in serum and saliva of pregnant women with poor oral hygiene and hyperemesis gravidarum (HG).Methods: A case-control study was conducted involving 50 pregnant women in their first trimester of pregnancy. Twenty-five subjects had a diagnosis of HG, and remaining 25 were healthy pregnant women who served as control subjects were included. The groups were adjusted for age, parity and gestational week. All patients were subjected to the measurement of total oxidant status (TOS) and total antioxidant status in serum and saliva. Also HP seropositivity was investigated.Results: Serum TAS and TOS values were similar, although oxidative burden in saliva of women with HG were significantly higher than controls. HP seropositivity was found to be 24% in women with HG and 4% of controls.Conclusions: Our results suggest that significantly increased oxidative burden and slightly decreased antioxidative capacity of saliva may be involved in the pathogenesis of HG and this condition may be the result of HP infection which was found to be significantly more common in women with poor oral hygiene and HG.