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Öğe Hemoglobin A1c Level is Associated with Lymphovascular Space Invasion in Diabetic Endometrial Cancer Patients(2024) Şenkaya, Ayşe Rabia; Kantarcı, Sercan; Karaca, Suna Yıldırım; Sanci, MuzafferOBJECTIVE: Our aim in this study is to examine the relationship of hemoglobin A1c (HbA1c) and fast- ing glucose with the stage, grade, and histological type of cancer and its value in predicting the prog- nosis of endometrial cancer in diabetic endometrial cancer patients. STUDY DESIGN: The data of 138 endometrial cancer patients with diabetes who met the study criteria were analyzed. Hemoglobin A1c levels and fasting glucose were compared with cancer stage, grade, histological type, lymphovascular invasion, chemotherapy, and radiotherapy data. RESULTS: A statistically significant difference was found between the groups in terms of HbA1c values only according to the lymphovascular invasion ( p=0.02). While there was no significant correlation be- tween endometrial thickness and HbA1c, a low positive correlation was found between the fasting glu- cose value (r=0.191, p=0.025) CONCLUSIONS: The higher rate of lymphovascular invasion in patients with high HbA1c values alone is insufficient in determining the prognosis when other parameters are considered.Öğe How does the type of delivery affect pelvic floor structure? Magnetic resonance imaging parameter-based anatomical study(Via Medica, 2023) Şenkaya, Ayşe Rabia; İsmailoğlu, Eren; Arı, Sabahattin Anıl; Karaca, İbrahimObjectives: The aim of this study is to examine the effects of delivery type and birth weight on pelvic floor structure using muscle defects, uterus-vagina angles and landmarks in pelvic magnetic resonance imaging (MRI). Material and methods: This is a retrospective study. Pelvic MR images of 38 vaginal deliveries and 62 cesarean section patients who met the study criteria were analyzed. Pubococcygeal line, H line, M line were marked on MR images, uterus cervix, cervix upper vagina, upper and middle vagina, middle and lower vagina angles, urogenital hiatus width, levator hiatus width, obturator internus muscle area, levator ani defect was measured. The urinary incontinence and pelvic organ prolapse examination findings were recorded. The patients' age, body mass index (BMI), parity, delivery type, maximum birth weight questions were asked. The data of both groups were compared. Results: Uterocervical angle and levator ani muscle defect was significantly higher in the vaginal delivery group (p < 0.001). In the vaginal delivery group, a significant positive correlation was found between the parity and the levator ani muscle defect (r = 0.552), (p = 0.000). A significant negative correlation was found between the parity and the uterocervical angle (r = -0.337), (p = 0.039). A significant negative correlation was found between maximum birth weight and cervix upper vagina angle (r = -0.365) (p = 0.024). In the vaginal delivery group, a negative significant correlation was found between birth weight and obturator internus muscle area (r = -0.378), (p = 0.019). Conclusions: These results show that cesarean section exposes the pelvic floor to less trauma and suggest that cesarean section may protect the pelvic floor.Öğe Maternal and neonatal outcomes of couvelaire uterus(2021) Ileri, Alper; Karaca, Suna Yildirim; Öztekin, Deniz; Umut, Fethiye; Şenkaya, Ayşe Rabia; Aytaç, HakkıCouvelaire uterus is a life-threatening condition in which placental abruption causes bleeding that penetrates the uterine myometrium. The objective of this study was to determine the risk factors of Couvelaire uterus and maternal and neonatal outcomes. Obstetrics emergency clinic data between January 2013 – December 2019 were screened and placental abruption patients confirmed by pathology or surgery note were recruited. Patients were divided into two groups; with or without Couvelaire uterus. Clinical features; such as maternal age, gravida, parity, gestational age at delivery, comorbidities, chief complaint, ultrasonography examination, placental pathology, degree of placental separation, DIC (disseminated intravascular coagulation), required hysterectomy and transfusion, maternal hemoglobin, maternal or fetal ICU (intensive care unit) admission, neonatal birth weight, APGAR 1’ and 5’ scores were compared. Age, gravida, and parity were significantly higher in patients with couvelaire uterus (p<0.001, p=0.017, p=0.034 respectively). The degree of placental separation was significantly larger and APGAR 1’ and 5’ scores significantly lower in the Couvelaire uterus group (p <0.001). Incident of Couvelaire uterus increases with higher age, gravida, and parity. Neonatal APGAR scores were lower and intrauterine fetal death rates were higher in Couvelaire uterus patients.Öğe Perinatal trends and birth outcomes of Syrian refugee and turkish women(2022) Şenkaya, Ayşe Rabia; İleri, Alper; Karaca, Suna Yıldırım; İleri, Hande; Ata, CanAim: The impact of migration on health is far-reaching, making migrant populations particularly vulnerable, fueling health inequalities and resulting in serious implications for global health. The aim of our study to assess antenatal care, pregnancy and neonatal outcomes of Syrian refugee women in Turkiye. Material and Methods: Syrian and Turkish pregnants who delivered between 2013-2019 were recruited and categorized into groups according to maternal age at delivery. First trimester combined test, second trimester triple test, preterm delivery, maternal anemia; neonatal stillbirth, APGAR scores, birth weight and breastfeeding status were assessed. Results: 4992 Syrian and 6846 Turkish pregnants were included. Maternal anemia was higher in Turkish patients in 20-34 and ?35 groups. First trimester combined test, APGAR scores and birth weights were lower in Syrian women. Preterm rates higher in Turkish patients in only 20-34 age group. Second-trimester triplet tests were only higher in Turkish women in ?35 age group. Low birth weight was higher in younger Syrian patients. Satisfying breastfeeding results were found in Syrian women. Conclusion: Our study stated that Syrian women are at risk of low birth weight in adolescent and 20-34 age groups and low rates in first trimester combined test in all age groups. However decreased risk of pregnancy complications such as maternal anemia, preterm delivery, cesarean delivery and satisfying breastfeeding results were found in Syrian patients.Öğe Sociocultural Determinants in Adolescent Pregnancies: Evaluation of Contraception, Breastfeeding and Birth Outcomes(Mümin POLAT, 2023) Şenkaya, Ayşe Rabia; Arı, Sabahattin Anıl; Karaca, İbrahimIntroduction: Adolescent pregnancies are expressed as pregnancies occurring in this age group. We evaluated the sociocultural characteristics, obstetric outcomes, contraception and breastfeeding status of early-middle and late adolescent pregnant women. Methods: The research was carried out by retrospective research of electronic and printed medical patient records. All patient files who gave birth in our clinic in Turkey, between 2017-2022 were examined. Inclusion criteria for the study were defined as being 19 years of age and younger and having a vaginal or cesarean delivery. Exclusion criteria from the study were defined as missing or inaccessible medical records. 10-16 years of age were considered as early-middle adolescent and 17-19 years of age as late adolescent. A total of 206 adolescent pregnant women were included in the study. The patients were divided into two groups as early and late adolescents. Their sociodemographic characteristics, obstetric outcomes, contraception and breastfeeding status were compared. Results: Marriage rate was higher in the late adolescent group (p
