ABSTRACT
INTRODUCTION@#This study aimed to compare early and on-demand maternal feeding after Caesarean delivery in terms of gastrointestinal complaints and patient satisfaction.@*METHODS@#A total of 262 women with uncomplicated singleton term pregnancies who underwent a Caesarean section under regional anaesthesia were randomised to a soft food diet served at Postoperative Hour 2 (early feeding group) or eating whenever they wanted to upon return to the ward (on-demand group). Patient satisfaction scores at the time of discharge and gastrointestinal complaints were compared.@*RESULTS@#The fed-early group comprised 133 (50.8%) women and the on-demand group comprised 129 (49.2%) women. Major characteristics and surgical procedures were comparable between the two groups. No significant between-group differences in demographic criteria or surgical procedures were evident (p > 0.05). The mean time to the first feeding was 120.00 ± 00.00 minutes for the early feeding group as compared to 236.59 ± 107.74 minutes for the on-demand feeding group (p = 0.001). Satisfaction levels did not differ significantly between the two groups (p = 0.366). Duration to first breastfeeding, analgesia on the ward, passage of flatus, defecation, mobilisation and urination after catheter removal did not differ significantly between the two groups (p > 0.05).@*CONCLUSION@#Early initiation of solid food in low-risk women after Caesarean delivery under regional anaesthesia was associated with high satisfaction and did not increase gastrointestinal complaints. We suggest having flexibility in terms of postoperative feeding time. This may shorten hospitalisation time and reduce hospitalisation costs.
ABSTRACT
Background: The association between blood types and ovarian reserve is investigated in this study
Materials and Methods: As an index of ovarian reserve, women with a follicle stimulating hormone [FSH] level of >/=10 mIU/ml in the early follicular phase were designated as having diminished ovarian reserve. In this prospective study, early follicular phase serum FSH and estradiol levels and blood types were evaluated in 500 patients who were admitted to the Infertility Department of Ministry of Health Etlik Zubeyde Hanim Women's Health Training and Research Hospital between January 2012 and June 2012. Women with serum FSH level <10 mIU/ml formed group I, and women with serum FSH >/=10 mIU/ml formed group II. The prevalence of blood types in each group and their association with ovarian reserve were analyzed
Results: Out of 500 patients, 438 women were in group I, while 62 women were in group II. There was no statistically significant difference among the two groups in terms of blood group proportions [p=0.69], this did not change after age adjustment [p=0.77]. The presence of A antigen [in A and AB blood type] [p=0.91], the blood type O [p=0.70], and the blood type B [p=0.51] were not statistically related to ovarian reserve after age adjustment. There was also no statistically significant correlation between rhesus factor and ovarian reserve after age adjustment [p=0.83]. The only factor that affected ovarian reserve was age of patients [p=0.006]
Conclusion: Blood groups do not constitute a risk or protective factor for ovarian reserve. Therefore, blood groups do not have any predictive value in evaluating ovarian reserve
ABSTRACT
Background: Mature cystic teratomas, often referred to as dermoid cysts, are the most common germ cell tumors of the ovary. In the recent years, transvaginal sonographic diagnosis of ovarian dermoid cysts together with laparoscopic approach have greatly improved the treatment of this benign lesion. We retrospectively reviewed the outcome of laparoscopic surgery for suspected ovarian dermoid cysts
Patients and Methods: The preoperative findings, operative techniques and postoperative complications were retrospectively reviewed in women who underwent laparoscopic surgery for dermoid cysts, between January 2000 and May 2003
Results: In 47 women aged 21 to 53 years [median, 38.8 years], 93.6% had a unilateral cyst with a diameter of 17 to 108 mm [median, 51 mm]. Clinical presentations were pain [62%], abnormal vaginal bleeding [21%] and ovarian torsion [2%], whilst 17% were diagnosed incidentally during routine examination. Surgery included cystectomy [57%], total [36%] or partial oophorectomy [6.4%] and laparoscopy-assisted vaginal hysterectomy with bilateral salpingo-oophorectomy [2%]. During the cyst extraction, minimal spillage occurred in 42.5% of the cases and none developed chemical peritonitis. In 2 patients, conversion to laparotomy [4.3%] was required, one for sigmoid colon injury and one for malignant ovarian tumor detected via frozen section. The median operating time was 80 minutes [range, 35-180 minutes]
Conclusion: Using strict adherence to guidelines for preoperative clinical assessment and intra-operative management, laparoscopic treatment of dermoid cysts appears to be a safe procedure