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    Effects of epidural analgesia on labor, delivery and neonatal outcomes in patients performed epidural analgesia during labor
    (OrtadogŸu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S., 2015) Gümüş F.; Meleko?lu R.; Evrüke I.C.; Gelegen K.; Büyükkurt S.
    Objective: In this study, it is aimed to evaluate the effects of epidural analgesia on labor, delivery and neonatal outcomes in patients performed epidural analgesia during labor. Material and Methods: All patients admitted to Çukurova University Medical Faculty Hospital, Obstetrics and Gynecology Clinic because of the onset of labor spontaneously between 1 January 2013-31 December 2013 were included in the study. A total of 106 pregnant women that meet the inclusion criteria were enrolled in the study group. 251 pregnant women with the same characteristics and refuse epidural analgesia during labor were included as a control group. Groups were compared in terms of demographic characteristics, obstetric outcomes and neonatal outcomes. The p-value was taken as <0.05 for the level of statistical significance among the results. Results: Age, body mass index, gestational age and cervical dilatation on admission in the study group compared with the control group and there were no significant differences between the groups. The duration of the stages of birth was significantly long (p=0.001), vaginal delivery rates was statistically more, episiotomy procedure was significantly more (p=0.000) and the operative delivery rate was found significantly less compared to control patients in the group performed epidural analgesia during labor (p=0.009). There were no significant differences between the two groups for postpartum placental retention (p=0.158). When neonatal outcomes compared between two groups, while the neonates in the study group statistically significant more admitted to neonatal intensive care unit (p=0.001), there were not significant differences for 1. and 5. minutes APGAR scores between the two groups. Conclusion: In our study, we found that epidural analgesia during labor does not increase operative vaginal delivery and cesarean rates. Although there was an increase in the neonatal intensive care unit admission rates in newborns, we demonstrated no statistically significant difference for 1. and 5. minute APGAR scores between two groups. In light of these results our study revealed that epidural analgesia performed during delivery not only advantageable method of delivery for its comfort, it is also being a safe and exclusive method for both mothers and their babies. Copyright © 2015 by Türkiye Klinikleri.
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    Factors that effect the success of induction of labor in pregnancies who have low bishop scores and undergoing labor induction because of prolonged pregnancy
    (OrtadogŸu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S., 2014) Gelegen K.; Meleko?lu R.; Yeleç S.; Gümüş F.; Büyükkurt S.; Tuncay Özgünen F.
    Objective: It's aimed to find the factors effecting the success of labor induction in pregnancies with low Bishop scores, undergoing labor induction at 41 week or longer gestational age. Material and Methods: 77 pregnant women hospitalized between June 2012 and April 2013 for prolonged pregnancy with low Bishop scores, were enrolled into this prospective study. Patient's gestational week, gravida, parity, body mass index (BMI), educational status, smoking status, hemoglobin levels, initial Bishop scores, support of oxytocin, presence of tachysystole, birth type, the 1st and 5th minute Apgar scores of newborns, birth weight of newborns, necessity for intensive care of newborn were recorded. Women who respond labor induction and delivered vaginally and women gave birth by cesarean section because of failed labor induction were compared. The p-value was taken as <0.05 for the level of statistical significance among the results. Results: The pregnancy of 51 of these women was deliveried vaginally and the pregnancy of 26 was by caesarean. The average BMI of women who gave birth by cesarean section was 28.0 ±3.3, and who gave birth by vaginal delivery were 30.1±4.4 (p=0.039). The average parity of women who gave birth by vaginal delivery was 1.2±1.4, and who gave birth by caesarean were 0.27±0.87 (p=0.001). 5 (100%) of women who had tachysystole gave birth by caesarean section (p=0.003). The newborn that was delivered vaginally had higher 1st and 5th minute Apgar scores. (p=0.001). 4 (7.8%) of women who gave birth by vaginally and 7 (26,9%) of women who gave birth by cesarean section needed for neonatal intensive care (p=0.037). Conclusion: Parity, BMI, time interval between labor induction to delivery and tachysystole were found as the factors effecting the type of delivery. Parity and tachysystole were found significant factors in determining the type of delivery. Copyright © 2014 by Türkiye Klinikleri