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  • Küçük Resim Yok
    Öğe
    Effect of postpartum counseling on postpartum contraceptive use
    (2007) Engin-Üstün Y.; Üstün Y.; Çetin F.; Meydanli M.M.; Kafkasli A.; Sezgin B.
    Objective: The aim of this study was to evaluate the effect of postpartum counseling on postpartum contraceptive use. Methods: One hundred and forty-three women who delivered between 1 January 2004 and 31 September 2004 and counseled about postpartum contraception were included in the study. The participants were interviewed by telephone. Age, gravidity, parity, and mode of delivery of the participants were recorded. Their method of contraception before pregnancy, their decision on the contraceptive method after counseling and the method actually used were asked. Results: Just after postpartum counseling, 47 women (32.9%) decided to use the intrauterine device (IUD), 23 (16.1%) condoms, 16 (11.2%) progestin injections, 7 (4.9%) oral contraceptives, and 7 (4.9%) coitus interruptus for contraception. Thirty-six women (25.2%) did not decide on any method of use. At the time of the telephone interview the actual method used was learned. Fifty-one women (35.7%) were using coitus interruptus, 45 women (31.5%) condoms, and 14 (9.8%) the IUD. Sixteen women (11.2%) were reported as not using any methods. Conclusion: In spite of postpartum counseling, a high majority of the women appeared to use traditional and less effective contraceptive methods. © 2006 Springer-Verlag.
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    Öğe
    Evaluation of cases with neural tube defects in an University Hospital in Eastern Anatolia
    (2007) Engin-Üstün Y.; Üstün Y.; Türkçüo?lu I.; Sezgin B.; Meydanli M.M.; Kafkasli A.
    AIM: To evaluate cases of neural tube defects detected at or referred to Inonu University Faculty of Medicine Gynecology and Obstetrics Department between 2004 and 2006. DESING STUDY: In this study, cases of neural tube defects detected at or referred to Inonu University Faculty of Medicine Gynecology and Obstetrics Department between 2004 and 2006 were evaluated. Cases were identified by a definitive prenatal radiology report. FINDINGS: There were 14 cases with spina bifida, 13 with anencepaly, 8 with spina bifida and hydrocephaly, 9 with spina bifida and acrani. Nine cases were primarily diagnosed and treated in our hospital whereas 35 were referred from other hospitals. During the study period, 3877 deliveries were performed in our clinic. When referrals from other hospitals were excluded, the incidence of neural tube defect was calculated as 2.3 per 1000 deliveries. Mean maternal age was 27.5±5.1 years and body mass index was 25.9±3.6 kg /m 2. Median gestational age at the time of diagnosis was 23 (13-41) weeks, gravida was 2 (1-9) and parity was 1 (0-6). Thirty four percent of cases were diagnosed in the third trimester and 63.6 % of cases were not under routine control. None of the patients used folic acid before of during the pregnancy. CONCLUSION: Folic acid supplementation and antenatal screening is mandatory for all pregnancies.