ABSTRACT
AIM: To compare Pfannenstiel-Kerr (PKM) and Misgav-Ladach (MLM) methods in terms of operation-related features and neonatal outcome in primary cesarean deliveries. METHODS: A total of 180 pregnant women randomized into PKM (n = 90) or MLM (n = 90) groups were included in this study. Primary outcome measures were total operative and extraction times, Apgar score, blood loss, wound complications, and the suture use. Secondary outcome measures were wound seroma and infection incidence, time of bowel restitution, and the perceived pain. RESULTS: Total operation and extraction times were significantly shorter and less suture material was used in the MLM group than the PKM group (p < 0.001). Initially, higher scores obtained for 6 h-VAS in the MLM group (p < 0.05) were normalized after 24 h of the operation. PKM and MLM were similar in terms of preoperative and postoperative levels of hemoglobin and hematocrit, wound complication, bowel restitution, fever, seroma, infection, wound dehiscence and the need for transfusion, antibiotic, and analgesics. CONCLUSION: The operation-related morbidity of the MLM and PKM for primary C/S seem to be comparable; however, the MLM seems to be superior in terms of operation time and the amount of suture usage but inferior in pain scores in the early postoperative period.
Subject(s)
Cesarean Section/adverse effects , Cesarean Section/methods , Adult , Algorithms , Apgar Score , Cesarean Section/statistics & numerical data , Elective Surgical Procedures/statistics & numerical data , Emergency Medical Services/statistics & numerical data , Female , Humans , Infant, Newborn , Postoperative Complications/epidemiology , Postoperative Complications/etiology , Postoperative Period , Pregnancy , Pregnancy Outcome/epidemiology , Young AdultABSTRACT
OBJECTIVE: This study was designed to evaluate the awareness, knowledge and attitudes of healthcare providers related to HPV infection and vaccine. MATERIAL AND METHODS: A total of 311 healthcare providers working in specialties other than obstetrics and gynecology at the Dr. Lutfi Kirdar Kartal Education and Research Hospital as physicians (n=142) or non-physician healthcare providers (n=169) were included in the present study. A questionnaire developed by researchers based on literature and including items concerning socio-demographic features, awareness of HPV infection and vaccine, attitudes related to HPV vaccine and regular gynecological controls and knowledge about HPV infection was applied to participants via a face to face interview method. Each correct answer was scored as one to decide the level of knowledge and awareness. RESULTS: The frequency of parenthood was lower and the ratio of males was higher in the physician group compared to the non-physician group. Awareness of virus mediated cancer (p=0.01), human papilloma virus (p=0.0001), cervical cancer, HPV vaccine, and types of HPV vaccine was significantly higher in the physician group. While consent levels for vaccine administration for themselves were similar for physician and non-physician subjects, the frequency of subjects favoring vaccine administration for their offspring was significantly higher among physicians (p<0.001 for daughters, p<0.05 for sons). HPV-related level of knowledge in the physicians was significantly higher when compared to the non-physician staff (p<0.001). CONCLUSION: Physicians were more competent regarding the relation of HPV infection to cervical cancer and more aware of the presence and types of HPV vaccines which may lead to a higher degree of willingness for vaccination when compared with non-physician healthcare providers.
