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YOLDEMİR, AHMET TEVFİK

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YOLDEMİR

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AHMET TEVFİK

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2011 - 20193
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    Delayed cord clamping in term large-for-gestational age infants: A prospective randomised study
    (WILEY, 2019) YOLDEMİR, AHMET TEVFİK; Vural, Irmak; Ozdemir, Hulya; Teker, Gulsen; Yoldemir, Tevfik; Bilgen, Hulya; Ozek, Eren
    Aim To compare the post-natal effects of delayed cord clamping (DCC) and early cord clamping (ECC) in term large-for-gestational age (LGA) infants. Methods This prospective randomised study included 51 term LGA infants. The umbilical cords of these infants were clamped at 15 s in group 1 (ECC group (n = 26)) and at 60 s in group 2 (DCC group (n = 25)). Data for Apgar scores, cord blood, pH and lactate values, second haematocrit, 24th bilirubin levels, duration of hospital stay and admission to the neonatal intensive care unit (NICU) were recorded. Results The demographic characteristics of the infants in the study group were not significantly different. No statistically significant difference was observed in the post-natal haematocrit and bilirubin levels between the groups. Six infants (group 1, n = 3; group 2, n = 3) were diagnosed with polycythaemia (P = 0.79); however, these infants remained asymptomatic, and no treatment was required. One infant in each group developed hyperbilirubinemia, which required phototherapy (P = 1.00). The infant with hyperbilirubinemia in the DCC group presented with asymptomatic polycythaemia. Three neonates in the DCC group required admission to the NICU for transient tachypnoea. Conclusions No significant increase in the rate of post-natal complications of DCC in term LGA infants was observed in the study. However, before recommending DCC on a routine basis, studies with a larger sample size and long-term follow-up are required to elucidate the risks and benefits of DCC in this group of infants.
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    Surgical challenges in the treatment of perimenopausal and postmenopausal endometriosis
    (TAYLOR & FRANCIS LTD, 2018) YOLDEMİR, AHMET TEVFİK; Ozyurek, E. S.; Yoldemir, T.; Kalkan, U.
    Endometriosis is classically defined as a chronic, recurrent and progressive disease. It is known to be estrogen-dependent, but can still be observed during the peri- and postmenopausal periods. Medical management of endometriosis is palliative symptomatic relief. Surgery when properly and timely performed for the right person may treat endometriosis. However, there is always a risk of possible major or minor surgical complications, as well as loss of some functions due to nerve damage. Management of endometriosis in the woman approaching the end of her reproductive life may require special attention both due to the potential for recurrence and transformation into various endometriosis-associated malignancies.
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    Decreasing bleeding due to uterine fibroid with electroacupuncture
    (ELSEVIER SCIENCE INC, 2011) YOLDEMİR, AHMET TEVFİK; Cakmak, Yusuf Ozgur; Akpinar, Ihsan Nuri; Yoldemir, Tevfik; Cavdar, Safiye
    Objective: To report the usefulness of electroacupuncture (EA) for the management of menorrhagia due to submucous uterine fibroid. Design: Case report. Setting: University hospital. Patient(s): A 48-year-old woman with a symptomatic submucous uterine fibroid, who presented with severe menorrhagia. Intervention(s): Electroacupuncture. Main Outcome Measure(s): Doppler ultrasonographic assessment of uterine blood flow and number of pads used during menorrhagia. Result(s): Doppler ultrasound revealed decreased blood flow of the uterine artery with EA stimulation. With repetitive sessions of EA fewer pads were used during menorrhagia. Conclusion(s): We present the first human case in which decreasing uterine artery blood flow with EA improved menorrhagia due to uterine fibroma. Electroacupuncture could be a useful, alternative, and relatively noninvasive tool for the management of fibroids with menorrhagia as a severe complaint. (Fertil Steril (R) 2011