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    Investigation of cesarean sections at Konya Training and Research Hospital Obstetrics and Gynecology Department between 2010 and 2015
    (Via Medica, 2017) Inal, Zeynep Ozturk; Inal, Hasan Ali; Kucukkendirci, Hasan; Oruc, Ayla Sargin
    Objectives: Analysis of the annual distribution of cesarean sections and indications between 2010 and 2015 in our clinic. Material and methods: Medical records of 10,437 cesarean section patients from a total number of 24,283 deliveries performed at Department of Obstetrics and Gynecology between 2010-2015 were evaluated retrospectively. The indications for Cesarean section were analyzed and compared based on years. Results: The lowest cesarean section rate was 18.67% in 2011 and the highest rate was 24.5% in 2013, and the annual rates were close to each other in this 6-year period (p > 0.05). History of uterine surgery was the indication with the highest rate of 49.52%, while fetal distress was the second most frequent with 12.53%; presentation anomalies were observed as the most frequent third indication with 7.55%, and umbilical cord prolapse was the least frequent indication with 0.33%. Conclusions: Patient education about normal delivery and providing means for pain control during normal delivery, improvement in physical conditions of the clinics, frequent and regular training of the assisting staff with obstetrics physicians are important to diminish the rates of primary cesarean sections. In addition, a normal delivery after a previous cesarean section must be encouraged.
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    Spermiogram Test Results of Patients Presenting to our IVF Center Due to Infertility
    (Derman Medical Publ, 2017) Inal, Zeynep Ozturk; Inal, Hasan Ali; Aksoy, Emine; Kucukkendirci, Hasan
    Aim: The aim of this study was to evaluate the semen samples of patients who had presented to our andrology laboratory for spermiogram analysis, according to the WHO 2010 criteria. Material and Method: Spermiogram tests of 10,153 patients who had presented to our andrology laboratory between January 2010 and December 2015 were retrospectively analyzed. The cases were classified as normozoospermia, oligozoospermia, severe oligozoospermia, teratozoospermia, astenozoospermia, oligoastenoteratozoospermia, and azoospermia. Age, body mass index (BMI), marital status, smoking habit, alcohol consumption, drug abuse, fast food consumption, cellular phone use, and history of previous varicocele surgery were evaluated as well. Results: The distribution of 10,153 admissions across years was as follows: 2010: 574; 2011: 1,118; 2012: 1,583; 2013: 2,008; 2014: 2,346; and 2015: 2,524. 9,219 of the participants (90.80%) were married. All were between 17-65 years of age; the mean age was 37.73 +/- 14.04. The mean BMI was 25.79 +/- 4.03. 4,715 (46.44%) of the presenting individuals were smokers, 67 (0.66%) used alcohol, and 693 (6.82%) were smokers and alcohol users. Only 14 (0.13%) had drug abuse. 3,298 (32.48%) consumed fast food and 9,997 (98.46%) used cellular phones. 1,827 (17.99%) had a history of varicocele surgery. According to the WHO 2010 criteria, 4,330 (42.56%) had normozoospermia, 1,952 (19.22%) had teratozoospermia, 1,238 (12.20%) had oligoastenoteratozoospermia, 807 (7.94%) had severe oligozoospermia, 759 (7.48%) had astenozoospermia, 717 (7.06%) had azoospermia, and 351 (3.45%) had oligozoospermia. Discussion: Our data demonstrate an increase in male infertility over the period of the study, and further studies are needed to illuminate the causes of this increase and the preventable factors.