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ABSTRACT: OBJECTIVE: To determine the association between mode of delivery, parity, and pelvic organ prolapse, as assessed by the pelvic organ prolapse quantification system. Design: Cross-sectional study. Setting Tertiary referral center, Turkey. POPULATION: A total of 1964 women with benign gynecological disorders who presented between October 2009 and July 2011. METHODS: Evaluation using the pelvic organ prolapse quantification system and questionnaire assessing previous obstetrics and medical history. MAIN OUTCOME MEASURES: Difference in pelvic organ prolapse stages between nulliparous and multiparous women, impact of parity and mode of delivery. Results: In the study population, 86.4%, 7.2%, and 6.4% had pelvic organ prolapse of stages 0-I, II, and III-IV, respectively, and 7.9% had significant prolapse beyond the hymen. The mean age, parity, and number of vaginal deliveries were significantly higher in the prolapse compared to the non-prolapse group. Vaginal delivery was associated with an odds ratio of 2.92 (95% confidence interval 1.19-7.17) for prolapse when compared to nulliparity. Each vaginal delivery increased the risk of prolapse (odds ratio 1.23; 95% confidence interval 1.12-1.35) after controlling for all confounding factors. Cesarean delivery had no impact on the odds for prolapse. CONCLUSIONS: Vaginal delivery was an independent risk factor for prolapse, and additional vaginal deliveries significantly increased the risk. However, cesarean delivery had no effect on the development of prolapsed in this material.
Acta Obstetricia Et Gynecologica Scandinavica 03/2013; · 1.77 Impact Factor
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Belgin Unal,
Kaan Sözmen,
Reyhan Uçku,
Gül Ergör,
Ahmet Soysal,
Hakan Baydur, Reci Meseri,
Hatice Simşek,
Gül Gerçeklioğlu,
Sinem Doğanay,
Refik Budak,
Bülent Kılıç,
Türkan Günay,
Alp Ergör,
Yücel Demiral,
Ozgür Aslan,
Dilek Cımrın,
Yıldız Akvardar,
Pınar Tuncel
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ABSTRACT: OBJECTIVE: Cardiovascular diseases (CVD) are the largest cause of morbidity and mortality in Turkey and in the World. Heart of Balçova Project is a community- based health promotion project that aims to reduce CVD incidence and prevalence through risk factor modification in the individual and population level. This paper presents results of the baseline survey that aimed to define CVD risk factors and risk of developing coronary heart disease (CHD) in the Balçova population. METHODS: The study population included 36,187 people over 30 years of age residing in Balçova in 2007. Individuals were interviewed at their homes. Anthropometrics and blood pressure were measured and in total 12914 fasting blood samples were collected for lipid and glucose analyses. CHD risk was estimated using Framingham risk equation. Student's t test, Chi-square for trend test and ANOVA were used to compare mean levels and percentages of risk factors between age groups and gender. RESULTS: In total 5552 men and 10528 women participated in the study. Smoking prevalence was 38.6% in men and 26.8% in women. The prevalence of obesity was 29.4% among men and 44.2% among women and obesity prevalence increased until the age group 75 years old. While 14.6% of men and 12.6% of women had diabetes, 39.8% of men and 41.8% of women had hypertension. The prevalence of high total cholesterol was 56.0% in men and 50.6% in women. Men had a higher risk of developing CHD compared to women in the following 10 years (13.4% vs 2.5%). CONCLUSION: The prevalence of preventable risk factors for CHD is very high in Balçova population. Community-based interventions should be planned and implemented targeting both the high-risk individuals and whole population.
Anadolu kardiyoloji dergisi: AKD = the Anatolian journal of cardiology 10/2012; · 0.44 Impact Factor
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ABSTRACT: To evaluate the associated risk factors of probable overactive bladder (OAB) and to determine the effect of OAB on quality of life through validated questionnaires in Turkish midwifery students.
279 midwifery students were invited to participate, and 265 (95.0%) were included in the study, which was approved by the local ethics committees. The relationship between quality of life and probable OAB was evaluated using Turkish language-validated questionnaires (OABq SF, NQOL). Chi-square test, t-test and logistic regression were used for the statistical analysis, and p<0.05 was considered significant.
The participants' mean age was 21.74 ± 2.15 years. The prevalence of OAB was 35.4%. There was a significant relationship between the presence of probable OAB and familial urinary incontinence history and childhood nocturnal enuresis. In the logistic regression analysis, family history was associated with an OR of 2.11 (95% CI: 1.08-4.10) for OAB, and nocturia with an OR of 2.69 (95% CI: 1.16-6.21) for OAB. Drinking moderate amounts of tea and carbonated drinks daily did not affect OAB, but extreme consumption of these beverages was associated with an OR of 2.98 (95% CI: 1.26-7.03) for OAB. OAB significantly worsens quality of life according to all the quality of life indices.
OAB is not a rare condition among young people. It appears that the quality of life was adversely influenced by OAB among both younger and older people. Familial urinary incontinence and childhood nocturnal enuresis were found to be risk factors for OAB. There is insufficient evidence to restrict tea or carbonated drinks consumption in young people with OAB unless their consumption is extreme.
European journal of obstetrics, gynecology, and reproductive biology 07/2012; 164(1):105-9. · 1.97 Impact Factor
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ABSTRACT: To evaluate the quality of life and surgical outcomes in women who had undergone colpocleisis.
This was a prospective small cohort study conducted between August 2010 and September 2011. Twelve women with pelvic organ prolapse were offered obliterative vaginal surgery and were informed about the surgical procedure. Ten women accepted this operation and were included in the study. Before and after colpocleisis, cases were evaluated by urogynecological examination, and quality of life was assessed by the Turkish language validated prolapse quality of life questionnaire (P-QOL), in which a low total score indicates a good quality of life.
The mean age was 74.9±4.5 (range 68-85). The general score of the P-QOL was reduced during the follow-up period, reflecting a significant effect on quality of life and clinical improvement in women with the colpocleisis operation. There was no morbidity due to colpocleisis or recurrent pelvic organ prolapse in follow-up period.
In our small cohort including elderly women, colpocleisis provided high levels of surgical outcomes as well as a significant improvement in quality of life without significant morbidity.
European journal of obstetrics, gynecology, and reproductive biology 05/2012; 163(2):230-3. · 1.97 Impact Factor
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Gül Ergör,
Ahmet Soysal,
Kaan Sözmen,
Belgin Ünal,
Reyhan Uçku,
Bülent Kılıç,
Türkan Günay,
Alp Ergör,
Yücel Demiral,
Gül Saatlı, Reci Meseri,
Hakan Baydur,
Hatice Şimşek,
Refik Budak,
Hale Arık,
Nuriye Karakuş
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ABSTRACT: ObjectivesTurkey is facing increasing rates of cardiovascular disease (CVD). The study is designed to meet the growing need to obtain
information about the recent status and trends of CVD risk factors and their impact on mortality.
MethodsBalcova heart study (BHS) is a prospective cohort study, focusing on reducing the CVD risk factors of people over 30years
old living in Balcova District, Izmir, Turkey. Information about risk factors, anthropometric and biochemical measurements
was collected in community centers. Interventions were planned, based on the 10-year coronary heart disease (CHD) risk and
lifestyle characteristics with the collaboration of university and municipality.
ResultsMean age of the 16,080 participants was 52years. The percentage of current smoking was 41.6 in men and 31.1 in women. One-third
of the men were physically inactive. Hypertension was reported as 25% in men and 33% in women.
ConclusionsThe project is unique for being the first community-based cohort on CVD risk factors in a Turkish setting. This project will
have a valuable contribution on not only determining CVD risks, but also incorporating interventions for prevention.
KeywordsCVD risk factors–Framingham risk score–Health promotion
International Journal of Public Health 04/2012; · 2.54 Impact Factor
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ABSTRACT: To examine the association between placenta previa and adverse perinatal outcomes such as low birth weight, preterm delivery, stillbirth and fetal growth restriction (FGR).
This retrospective cohort study includes 12,034 delivered pregnant women who were recruited for the study between 2004 and 2010 in Ege University Hospital. Data were collected by browsing the clinic's archives. The association between placenta previa and adverse perinatal outcomes was determined via Chi-square tests and Student's t test. Logistic regression analysis was used to adjust for confounding factors in evaluating the association between placenta previa and the adverse perinatal outcomes.
There was no significant relationship between placenta previa and FGR or stillbirth. Low birth weight and preterm delivery were significantly higher in the placenta previa group. According to logistic regression analysis, low birth weight was associated with an OR of 3.01 (95 % CI 2.05-4.52) and preterm delivery was associated with an OR of 8.14 (95 % CI 5.60-11.83); while, placenta previa did not affect FGR and stillbirth significantly.
Although there is no consensus on the association between placenta previa and FGR in previous studies, we suggest that placenta previa is not a reason for placental insufficiency. Management of placenta previa especially depends on maternal hemodynamic parameters such as heavy hemorrhage and hypotensive shock rather than fetal well-being protocols based on serial growth ultrasound and fetal Doppler investigation.
Archives of Gynecology 03/2012; 286(2):295-8. · 0.91 Impact Factor
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Gül Ergör,
Ahmet Soysal,
Kaan Sözmen,
Belgin Ünal,
Reyhan Uçku,
Bülent Kılıç,
Türkan Günay,
Alp Ergör,
Yücel Demiral,
Gül Saatlı, Reci Meseri,
Hakan Baydur,
Hatice Simşek,
Refik Budak,
Hale Arık,
Nuriye Karakuş
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[hide abstract]
ABSTRACT: Turkey is facing increasing rates of cardiovascular disease (CVD). The study is designed to meet the growing need to obtain information about the recent status and trends of CVD risk factors and their impact on mortality.
Balcova heart study (BHS) is a prospective cohort study, focusing on reducing the CVD risk factors of people over 30 years old living in Balcova District, Izmir, Turkey. Information about risk factors, anthropometric and biochemical measurements was collected in community centers. Interventions were planned, based on the 10-year coronary heart disease (CHD) risk and lifestyle characteristics with the collaboration of university and municipality.
Mean age of the 16,080 participants was 52 years. The percentage of current smoking was 41.6 in men and 31.1 in women. One-third of the men were physically inactive. Hypertension was reported as 25% in men and 33% in women.
The project is unique for being the first community-based cohort on CVD risk factors in a Turkish setting. This project will have a valuable contribution on not only determining CVD risks, but also incorporating interventions for prevention.
International Journal of Public Health 10/2011; 57(3):535-42. · 2.54 Impact Factor
