Papers by İrana Gorchiyeva
Biological Rhythm Research, Feb 17, 2020
International Urogynecology Journal, Sep 9, 2020
Perinatal journal, Aug 1, 2020
Duzce Universitesi Tip Fakültesi Dergisi, Apr 30, 2022
International Urogynecology Journal, 2020
Introduction and hypothesis Uterine fundal pressure is applied to accelerate birth by increasing ... more Introduction and hypothesis Uterine fundal pressure is applied to accelerate birth by increasing the expulsive force of the uterus in the second stage of delivery. The aim of the study was to evaluate the effect of using uterine fundal pressure during the second stage of delivery on the rate of pelvic floor damage among primiparous women using three-dimensional transperineal ultrasonography. Methods The women were divided into two groups: the fundal pressure group included women where the fundal pressure maneuver was applied (n = 39); the control group included women who delivered spontaneously without fundal pressure (n = 47). 3D-TPU was performed within 48 h of delivery, and LAM biometry, LAM defect and loss of tenting were determined. Results Anteroposterior hiatal dimensions on resting, maximal Valsalva and maximal PFMC were found to be higher in the fundal pressure group (p < 0.0001, p = 0.008, p = 0.007, respectively). The mean hiatal area at rest was larger in the fundal pressure group than in the control group (p = 0.04). The rate of LAM defect was significantly higher in the fundal pressure group (p = 0.001). The rate of loss of tenting was significantly higher in the fundal pressure group (p < 0.0001). According to multivariate regression models, the fundal pressure was the only independent factor associated with LAM defect (OR = 5.63; 95% CI = 12.01-15.74) and loss of tenting (OR = 8.74; 95% CI = 2.89-26.43). Conclusions Fundal pressure during the second stage of delivery is associated with a higher risk of LAM defect and loss of anterior vaginal wall support. Clinical Trial Registration NCT03752879
Journal of Clinical Obstetrics & Gynecology, 2020
Our primary objective is to evaluate the short-term maternal and perinatal results associated wit... more Our primary objective is to evaluate the short-term maternal and perinatal results associated with the mode of delivery after cesarean section (CS). A second objective is to investigate the factors governing the success of trial of labor after cesarean (TOLAC). Material and Methods: In this retrospective cohort study, 126 singleton cephalic deliveries of women who had a history of one CS delivery were analyzed. The patients were divided into two groups: those who underwent TOLAC (n=31) and those who underwent elective repeat cesarean section (n=95). Delivery data, demographics, obstetric and medical history, intrapartum events, and maternal and perinatal outcomes were assessed. Results: The rate of successful vaginal birth after cesarean among the women who chose TOLAC was 64.5%. The groups were similar to each other with regard to maternal and perinatal complications. According to the current pregnancy characteristics of the patients with successful and failed vaginal delivery attempts; there were statistically significant differences between the groups in terms of Bishop scores and birth weights. The Bishop scores were higher in the successful TOLAC group (3.5 vs. 1; p=0.001). However, the birth weights were lower in the successful TOLAC group (3393±395 vs. 3708±430; p=0.049). The rate of spontaneous labor was higher in the successful TOLAC group, although it did not reach statistical significance. Conclusion: TOLAC is a farily safe procedure for selected pregnant women with one previous cesarean sections. It should be offered to all suitable pregnant women in order to reduce high CS rate and prevent complication associated with higher order repeat cesarean.
International Urogynecology Journal, 2020
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Papers by İrana Gorchiyeva