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    Attention for fetomaternal and obstetric outcomes of advanced maternal age: a broad range clinical evaluation
    (Derman Medical Publ, 2019) Yilmaz, Ahmet; Yolbas, Ilyas; Yilmaz, Hatice; Bucaktepe, Gamze; Ulucas, Unal; Aktar, Fesih; Ertugrul, Sabahattin
    Aim: Pregnancy >= 35years may lead to different health problems in neonates. The present study was aimed to investigate the effect of pregnancy >= 35 on maternal and infant health. Material and Method: Mothers of the neonates in our neonatal unit were separated into two groups and compared: Group I comprised those between 18 and 35 years old, and Group II comprised those >= 35. Results: Out of 1.193 mothers, 22.1% (264) were above the age of 35 years, whereas 77.8 % (929) were under the age of 35 years. However, there was no significant difference between the groups regarding gender, number of previous delivery, gestational week, the rate of neonatal mortality, polyhydramnios, and oligohydramnios. A statistically significant increase in gestational diabetes, the rate of cesarean delivery and the rate of delivery meconium aspiration syndrome and occurrence of preeclampsia were found in the group for those with advanced age than the other group. Discussion: Much attention should be taken in terms of developing preeclampsia and gestational diabetes in advanced maternal age pregnancies. For a closer follow-up of pregnant women >= 35, establishing relevant units and referral of mother candidates at this age to experienced centers may help to decrease the higher feto-maternal risks for advanced maternal age population.
  • Küçük Resim
    Öğe
    The prevalence of diabetes mellitus, dysglycaemia and factors that affect them in public employees of Kahramanmaras
    (Family Medicine Academy, 2015) Yılmaz, Ahmet; Kılınç, Faruk; Usman, Mustafa Gökhan; Sucaklı, Mustafa Haki; Aslanhan, Hamza; Bucaktepe, Gamze; Kars, Veysel; Tanrıverdi, Halis Mehmet
    Aim: Our aim is to determine the prevalence of diabetes mellitus, impaired fasting glucose and sociodemographic characteristics of employees in public institutions and organizations in Kahramanmaras province and to assess the effect of these variables in the development of diabetes mellitus. Methods: The work, which was planned as an observational, cross-sectional and an analytical type study, was conducted with 1201 male and female participants between 01/10/2013 and 01/12/2013 in the city of Kahramanmaras. The age, gender, body mass index (BMI), systolic and diastolic blood pressure, marital status and educational status of participants were recorded. The association between these parameters and diabetes mellitus or impaired fasting glucose (IFG) were evaluated Results: The mean age of the study participants 42.86 ± 9.56, of those 79% were male, 21% were women.DM was observed in 120(10%) persons, BAG was observed in 373 (31%) persons, hypertaension was observed in 218 (18,1%) persons. Marital status single / widowed patients with DM and IFG rate of sequentially 4.7% and 24.3% , In the married respectively; 10.7% and 31.7% (p< 0,05). DM and IFG ratio were significantly different in participants who were graduated from primary school 15% , IFG is 27.9% , in the high school graduates respectively; 11.6% and 29.8% while university graduates were respectively; 6.6% and 29.9% (p< 0,05). The rate of DM and BAG were respectively; 15% , 35.3% in first-degree relatives in the story of DM, while there were 6,8% , 28.2 % and in patients with no DM family story (P<0.05). Conclusion: An increase in the level of education to reduce the incidence of diabetes and family history, marital life were found to increase the rate of DM and IFG. We obtain the finding that increased the level of DM and IFG when increse the Body Mass Index (BMI).Firstly, the identification of risk groups and lifestyle changes, such as; exercise, appropriate training, etc., were eligible to be given to this group by the current practice of family medicine units.