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    Maternal Vitamin D deficiency may be a risk factor for transient tachypnea of the newborn [Maternal Vitamin D Eksikligi Yenidoganin Geçici Takipnesi Için Bir Risk Faktörü Olabilir]
    (Turkiye Klinikleri, 2015) Gür E.B.; Kasap E.; GENç M.; Tatar S.; Bugday S.; Turan G.A.; Haksever A.; Takma Ç.; GÜçLÜ S.
    Objective: The aim of the study, to evaluate whether maternal vitamin D deficiency is a risk factor for transient tachypnea of the newborn (TTN). Material and Methods: In this study, 25-hydroxy vitamin D3 (25(OH)D3) levels of 34 newborn with TTN and their mothers and 68 healthy controls were compared. The factors that can effect VD deficiency were evaluated with a questionnaire. 25(OH)D3 levels was measured with isotope dilution liquid chromatography-tandem mass spectrometry (LC-MS/MS). The correlation between 25(OH)D3 level of mothers and newborns were calculated. Results: Serum 25(OH)D3 levels were normal, at mothers 22 (32.5%) in the control group and 4 (11.7%) in TTN group, at neonates 10 (14.7%) and 2 (5.8%) respectively. Mean maternal 25 (OH) D3 levels 15.06±6.9 at control group and 11.6±5.4 TTN group (p=0.05). And cord blood 25 (OH) D3 levels 12.3±4.8 at control group and 7.4±3.8 TTN group (p<0.01). Strong and significant correlation was observed between the maternal blood and umblical cord 25(OH)D3 level (r=0.8, p<0.001). Body mass index, and seaside vacation time and season were found to be effective factors in the maternal vitamin D levels. Conclusion: Both maternal and neonatal VD deficiency may be a risk factor for TTN. Copyright © 2015 by Türkiye Klinikleri.
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    The overview of high cesarean section rate in Turkey through the eyes of obstetricians and midwieves [Türkiye'de kadi{dotless}n dogum hekimleri ve ebeler açi{dotless}si{dotless}ndan yüksek sezaryen orani{dotless} ni{dotless}n degerlendirilmesi]
    (Turkiye Klinikleri, 2014) Gür E.B.; Turan G.A.; Tatar S.; Oran N.; Yavuz M.Y.; Hepyilmaz I.; Güçlü S.
    Objective: To investigate the effect of the hospitals' conditions to high cesarean birth rates in Turkey and obstetricians and midwieves's thoughts on this issue. Material and Methods: A private hospital, a public hospital, and a university hospital in Izmir were identified as the study area. A face-to-face questionnaire was administered to midwives and obstetricians at these hospitals. Participants were asked as "Is this effective on the cesarean rate in your hospital?" and the answer was "yes or no". All the answers for each factor were evaluated. The positive response rate was grouped as partially effective (less than 50%); effective (between 50-75%) and very effective (more than 75%). Results: Four doctors and eight midwives (100%) at private hospital, 12 doctors and 15 midwives (82%) at public hospital and 35 doctors and 27 midwives (77%) at educational institution were included this study. The medico-legal reasons were the most effective on the high cesarean rates. Insufficiency of emergent conditions, doctor on call and midwives' experience were very effective factors, especially in private hospital. The doctors denoted that the avoidance from risky deliveries was very effective factor in high cesarean ratio. Except for the elective caesarean, patient -related causes were partially effective in the private hospital. Conclusion: In our country, infrastructure and working conditions of maternity services in hospitals are quite different from each other. Suggestions for the solution are improvement of medico-legal issues and emergency working conditions and increase the training and responsibilities of midwieves. copyright © 2014 by Türkiye Klinikleri.