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    Comparison of Robson Classification in adolescent pregnant with adult pregnant
    (Yuzuncu Yil Universitesi Tip Fakultesi, 2024) Gunkaya, Samet Osman; Bestel, Melih; Koyuncu Aydın, Seher; Ayanoglu, Esra; Bağlar, Ismail; Tug, Niyazi
    The number of cesarean sections performed worldwide is increasing day by day. Establishing a common classification system for cesarean births is important in understanding what factors lead to the increase in these procedures. The aim of our study is to identify trends in adolescent cesarean births by applying the Robson classification, compare them with the adult group, and examine the groups that make the most significant contribution to the increasing rates. This retrospective cohort study documented information on birth weight, mode of delivery, gestational age at birth, parity, maternal gestational age, cesarean indications, and ten-group Robson Classification in pregnant adults and adolescents. The cesarean section rate in adult pregnant women was 39.4%, and the cesarean section rate in adolescents was 14.8%. Group 5 made the biggest contribution to cesarean section rates in both the adult group and the adolescent group. Group 5 was statistically significantly higher in adult cesarean deliveries (p=.001). Other groups where adult cesarean section was significantly more common were group 3 and group 8 (8%; p=0.009, 4.4% p=0.001, respectively). In adolescent cesarean delivery, significant cesarean contributions in group 1, group 2 and group 6 were higher in the adolescent group (23.5%; p=.001, 16.3%; p=.001, 16.3%; p=.001). The contribution of adult pregnant women and adolescent pregnant women to cesarean section rates varies. This study reveals the need for trained health personnel who are prepared and scheduled to attend teenage births. © 2024, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
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    Diagnostic Role of Hysteroscopy In Women With Abnormal Uterine Bleeding: A Single-Center Retrospective Study
    (Yuzuncu Yil Universitesi Tip Fakultesi, 2025) Gunkaya, Samet Osman; Tekelioğlu, Meltem; Karataş, Suat; Sahin, Fatih; Keskin, İlkhan; Bestel, Melih; Tug, Niyazi
    Hysteroscopy is a minimally invasive technique that has advantages over blind curettage, such as direct visualization of the intrauterine cavity, biopsy of the suspicious area, and simultaneous treatment of benign intracavitary lesions. The stud y aims to evaluate the diagnostic role of hysteroscopy in endometrial and focal intracavitary lesions. This retrospective study was conducted in the department of obstetrics and gynecology of a tertiary center between January 2018 and July 2022. Diagnostic hysteroscopy was performed on women with abnormal uterine bleeding, and lesions seen during hysteroscopy were noted and excised using a resectoscope. Uterine sampling with blind curettage was applied to all patients. The resected lesions and uterus samples were evaluated histopathologically. Diagnostic accuracy of hysteroscopy was higher than 90% in each group classified according to morphology of endometrium as normal, atrophic and hyperplastic. Sensitivity, specificity and diagnostic accuracy were higher than 90% for focal intracavitary pathologies. Sensitivity for endometrial hyperplasia and cancer were 80% and 50%, respectively. Hysteroscopy is exceedingly viable for distinguishing intracavitary pathologies such as polyps, myomas and foreign bodies in ladies with abnormal uterine bleeding. However, for the diagnosis of endometrial hyperplasia and cancer, a hysteroscopy-guided biopsy with uterine curettage is needed to be combined with hysteroscopy. © 2025, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.