Browsing by Author "Ozdemirci, Safak"

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    Is Late Adolescence A Real Risk Factor for An Adverse Outcome of Pregnancy?
    (2016) Ozdemirci, Safak; Kasapoglu, Taner; Cirik, Derya Akdag; Yerebasmaz, Neslihan; Kayikcioglu, Fulya; Salgur, Funda; 0000-0001-5502-7751; 26767509; AAE-7154-2021; AAI-8762-2021
    Objective: To compare the obstetrical and neonatal outcomes of late adolescent (LA) and adult pregnancies.Methods: Between January 2012 and December 2012, a total of 313 late adolescent pregnant aged between 16 and 19 years and 418 adult pregnant women aged between 20 and 35 years having given birth in our maternity service were enrolled into this case-control study. The demographic and clinical data were reviewed from hospital database and patients' medical records.Results: The incidence of preterm birth (PB) in the LA group was significantly higher than in the adult group (p=0.001), while the incidence of gestational diabetes mellitus was significantly lower (p=0.001). The mean birth weight and the rate of delivered macrosomic fetuses in the study group were lower than in the control group (p=0.03). The LA group had significantly higher rate of vaginal delivery when compared to the adult group (p=0.001). Both the rate of pregnancy induced hypertensive disorders and postpartum hemorrhage were not statistically different between the two groups (p=0.31; p=0.38, respectively). The LA group had lower rate of stillbirth when compared to the adult group; however, the difference was statistically insignificant (0.3% versus 1.2%) (p=0.24).Conclusions: The LA pregnancy should be closely followed up during their antenatal care period due to the significantly higher rate of PB.
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    Late Preterm and Term Birth: Neonatal Hyperbilirubinemia and Birth Model
    (2016) Ozdemirci, Safak; Kut, Altug; Salgur, Funda; https://orcid.org/0000-0003-0776-8349; 27115573; A-2550-2015
    Aim: To evaluate the mode of delivery's influence on development of neonatal hyperbilirubinemia in term or near term infants. Methods: The hyperbilirubinemic neonates were divided into two groups according to their mode of delivery (i.e., vaginal or cesarean). The birth weight and gestational age at the time of birth, the age of the neonates in days, and the serum levels of bilirubin of the neonates at the time of hyperbilirubinemia were compared from the date of hospitalization until treatment, based on the birth model. Results: 288 were fulfilled the inclusion criteria during the neonatal period. The vaginal delivery group consisted of 157 infants (16.8%) with hyperbilirubinemia, whereas the cesarean group included 131 (22.6%) infants with hyperbilirubinemia. Neonates in the cesarean group had a significantly higher rate of hyperbilirubinemia (p = 0.01). Conclusion: This study revealed that compared with vaginal births, cesarean births led to higher rates of neonatal hyperbilirubinemia.