Investigation of the chronic pelvic pain developing after bening and malignant caused hysterectomy surgery

2024-12-04T17:14:46+03:00

Objective: Chronic pelvic pain is a condition that typically persists for a minimum of three to six months and is not associated with pregnancy. However, it is not an organic pathology or laboratory abnormality. This study aimed to evaluate the development of chronic pelvic pain in individuals who underwent hysterectomy for benign and malignant indications, and to examine the correlation between pain scores and the development of depression.

Methods: A survey method was used in this study, which was conducted on 163 hysterectomized patients at the Department of Gynecology and Obstetrics of Selçuk University Faculty of Medicine. Patients were categorized according to benign and malignant causes. The Visual Analog Scale was used for pelvic pain, and the Short Beck depression inventory was used for pain-related depression.

Results: A total of 163 patients were examined in terms of indication, of whom 52 (31.9%) were operated on for benign reasons and 111 (68.1%) for malignant reasons. No significant difference was observed in pain levels at the third and ninth months, irrespective of the indication. (p<0.05). However, there was a significant difference in pain levels in the third month depending on the age of the patients (p<0.05). In total, the pain levels of patients aged 45 and under in the third month are lower than those of patients over 45 years of age. Pain scores in the benign and malignant groups were higher in the ninth month, but it was determined that there was no significant difference in pain scores between these two groups. Beck depression levels were evaluated at the 3rd and 9th months in relation to pain across different ages, with and without comorbidities, and for pain associated with various indications. No significant differences were observed among these groups (p>0.05).

Conclusion: Each patient should receive personalized care, including a thorough evaluation of their complete pain constellation and a careful assessment of potential diagnoses. Evaluations should also consider the individual's surgical, psychological, and medical conditions.

Breastfeeding status of Syrian infants at a tertiary hospital in Turkey: a single-center study

2024-09-26T14:28:36+03:00

Objective: Turkey is home to the largest refugee population in the world, with approximately half of all refugees being children who are at high risk of developmental issues due to the disruption and lack of resources they have experienced. Syrian refugee children in Turkey face various risks to their health and well-being, including communicable and non-communicable diseases, post-traumatic stress disorder, depression, domestic violence, child labor, and child marriage. This study aimed to investigate the breastfeeding status of Syrian mothers, who are a disadvantaged group in Turkey due to migration. The study also aimed to contribute to the literature.

Methods: This was a retrospective observational study using data from medical records of Syrian infants who were followed in our hospital at the neonatal intensive care unit, delivery room, and puerperal service between January 1, 2020, and January 1, 2022. The breastfeeding status of Syrian women who gave birth in our hospital and their babies were followed for a year.

Results: A total of 10,312 births occurred at our hospital between January 1, 2020, and January 1, 2022. Of these, 17% (n=1,754) were Syrian children. Of the Syrian infants, 52.6% were female (n=922) and 47.4% were male (n=832). A total of 2% (n=212) of all infants and 2% (n=37) of Syrian infants were born prematurely. The majority of preterm cases, specifically 72% of all cases and 84% of Syrian cases, were followed in the neonatal intensive care unit. A total of 40.1% (n=705) of Syrian infants are classified as low birthweight (LBW), 6.7% (n=119) as very low birthweight (VLBW), and 1.8% (n=33) as extremely low birthweight (ELBW). The proportion of infants who were breastfed within one hour of birth was 68% (n=1193), while 20.9% (n=368) received prelacteal food. The proportion of infants who were exclusively breastfed for the first six months was 48.2% (n=845), while 44.7% (n=784) were bottle-fed. The proportion of infants who were breastfed for one year was 53.6% (n=940).

Conclusion: There have been very few studies on migrant children in our country, and what we know about breastfeeding is limited. Increasing studies and raising awareness on this issue will be more beneficial for refugee children. We should provide refugee mothers with regular breastfeeding training and psychological and social support. In our study, we observed that Syrian mothers benefited from breastfeeding training during the outpatient clinic monitoring process.

The Injector

Investigation of the chronic pelvic pain developing after bening and malignant caused hysterectomy surgery

Breastfeeding status of Syrian infants at a tertiary hospital in Turkey: a single-center study