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Yayın 28-34. Gastasyonel haftadaki ağır preeklamptik anne inflantlarının neonatal prognozları(Afyonkarahisar Sağlık Bilimleri Üniversitesi, 2005) Haliloğlu, Berna; Şahin, Figen Kır; Demirbaşoğlu, Sema; Bozoklu, Özlem; Haliloğlu, Berna; Peker, Hakan28-34. gestasyonel haftalarda ağır preeklampik annelere normotansif annelerden doğan infantların neonatal prognozlarının karşılaştırılması.Yayın 3D high frequency endovaginal ultrasound evaluation of urethral and pelvic morphology in stress urinary incontinence in first pregnancy(Elsevier, 2021) Peker, Hakan; Peker, Berna HaliloğluObjective: We aimed to compare the morphological characteristics of pelvis and urethra in nulliparous pregnant women with and without stress urinary incontinence (SUI) by 3D high-frequency endovaginal ultrasound (3D-EVUS). Study design: At 36-38 weeks of gestation, 40 nulliparous pregnant women with and without SUI underwent 3D-EVUS assessment. The anteroposterior and transverse diameters of levator hiatus (LH), pubovisceral muscle thicknesses at 3,9 and 12 o'clock, right and left paravaginal areas, symphysis angle, bladder-symphysis distance (BSD), uretral complex thickness (Ut), urethral complex width (Uw), urethral complex volume (UV), urethral length (UL), intramural urethra, rhabdosphincter thickness (Rt), rhabdosphincter width (Rw), rhabdosphincter length (RL), and rhabdosphincter volume (RV) were measured by 3D-EVUS. Results: Longer LH transverse diameter (34.8 +/- 3.8 mm vs 31.1 +/- 2.1 mm), shorter LH anteroposterior diameter (47.8 +/- 6.2 mm vs 52.4 +/- 2.6 mm), and wider symphysis angle (116.3 +/- 5.6 vs 111.5 +/- 5.3 degrees) were detected in nulliparous pregnant women with SUI compared those without SUI (p = 0.001, p = 0.001 and p = 0.013; respectively). RV of less than 1.26 cm(3) was found to have a sensitivity of 100 % and a specificity of 100 % for the presence of SUI in nulliparous pregnant women. Conclusions: Constitutionally different pelvic shape and decreased urethral rhabdosphincter measurements can be used to predict SUI in nulliparous pregnant women. (C) 2021 Elsevier B.V. All rights reserved.Yayın Analysis of outcome and risk factors for failure aftersingle-incision sling procedure(2021) Gursoy, Ali; Peker, HakanAim: To assess the effectiveness and safety of a single-incision sling (SIS) and to detect the risk factors for failure after surgery inwoman with stress urinary incontinence (SUI).Materials and Methods: The medical records of the one hundred thirty-two patients were analyzed. Preoperatively, medical historywas taken and urogynecological examination was made. Patients were asked to answer Urinary Distress Inventory (UDI-6) and Incontinence Impact Questionnaire (IIQ-7). Objective cure of SUI was defined as the absence of leakage of urine on the cough test. Subjective cure was based on negative response to UDI-6, question 3. Patients were divided into two groups according to objective cure rate: cured patients (Group A) and failed patients (Group B). Results: The overall objective and subjective cure was 87.8% and 90.1%, respectively. According to the objective cure rate, there were116 patients (87.8%) in Group A and 16 patients (12.2%) in Group B. In terms of subjective cure, Quality of Life (QoL) scores (IIQ-7 and stress subdomain of UDI-6) of Group B were statistically improved after surgery (p=0.001 and p=0.005 respectively). When two groups were compared, Group B had higher prevalence of severe SUI (IIQ scores ?15 points) and reduced urethral mobility (Q-tip ? 30°) (0.8% vs 87.5%, p=0.0001 and 3.4% vs 68.7%, p=0.0001, respectively). The overall recommendation rate for surgery was 90%.Conclusion: Our study showed that SIS procedure has high subjective and objective cure rates. The main risk factors for failure weredetected as reduced urethral mobility and SUI severity expressed with IIQ scoresYayın Does YouTube Provide Reliable and High-Quality Information? Assessment of Pap Smear Test Videos(Karger, 2020) Gursoy, Ali; Peker, HakanAim:YouTube is one of the most popular video-sharing platforms and is used by many people as a source of information regarding health conditions. Although there are many studies examining YouTube health-related videos in terms of quality, content and accuracy, there is not any study observing the content of YouTube videos about the Pap smear test. Therefore, we intended to evaluate YouTube videos related to the Pap smear test.Methods:We made a search by typing Pap smear test and observed the first 100 videos. According to our selection criteria, only 42 videos were reviewed. We used 3 different questionnaires to rate the videos. The videos were independently rated by 2 gynecologists in terms of technical aspects, follow-up protocol, and video quality.Results:Our study showed that clarity of the technical aspects of Pap smear testing (Q1) was 40% and that of the follow-up protocol (Q2) was only 11%. In terms of video quality (Q3), the adequacy rate was 34%. There was a statistically significant negative correlation between search rank and the video power index (which increased as the ranking decreased to rank 1,r: -0.481).Conclusion:We did not find quality and reliable information on YouTube videos about the Pap smear test, which is important for early detection of cervical cancers. While preparing health-related videos for YouTube and similar websites, the support of professional healthcare workers will help provide more accurate content.Yayın The Effects of Maternal Total Protein, Albumin and Hemoglobin Levels on Birth Weight(Galenos Yayincilik, 2007) Haliloğlu, Berna; Şahin, Figen Kir; Gurbuz, Ayşe; Peker, HakanObjective: The present study was designed to investigate the influence of third trimester maternal total protein, albumin, hemoglobin levels on birth weight. Material and Method: Between January 2005 and July 2005, 750 pregnant women applied for delivery at Zeynep Kamil Women's and Children Education and Research Hospital at 37-40 week's gestation were examined. Maternal total protein, albumin and hemoglobin levels were measured. Data included maternal age, gravidity, parity, gestational age, birth weight, gender, presence of iron supplementation and its duration. Results: The birth weight was significantly higher in anemic and hypoproteinemic groups compared those with normal levels. After adjusting for counfounding factors, significance of both findings lost. The cases received iron supplementation had infants with higher birth weight, however, it was not statistically significant (p:0.055). A significant positive relation was observed between birth weight and maternal age, gravidity, parity and gestational age. No relation found between maternal total protein, albumin, hemoglobin levels and birth weight. Conclusion: The last trimester maternal total protein, albumin, hemoglobin levels seem not to be a determining factor on infant's birth weight.Yayın Fluid intake and voiding parameters in asymptomatic Turkish women(SPRINGER LONDON LTD, 2012) Haliloglu, Berna; Peker, Hakan; Ilter, Erdin; Celik, Aygen; Kucukasci, Meryem; Bozkurt, SerpilFor an accurate evaluation of bladder diaries, we aim to investigate normal urinary habits and determining factors on functional bladder capacity, frequency, and 24-h volume in the bladder diaries of asymptomatic women. One-hundred and fifteen asymptomatic women who recorded a 24-h bladder diary were included in the study. Linear regression analyses were used to explore associations between diary values and patient characteristics. Total number of voids was related to age, body mass index, total voided volume, total fluid intake, total diuresis rate, and maximum fluid intake in one go. Maximum, average, and minimum volumes per void were found to be related to body mass index, total voided volume, total fluid intake, total diuresis rate, and maximum fluid intake. When we used multiple regression analysis, only maximum fluid intake was found to be related to the total number of voids, maximum, average, and minimum volumes per void. Maximum fluid intake rather than total voided volume seems to be an important determinant factor for total number of voids and functional bladder capacity.Yayın Intraoperative superior hypogastric plexus block for pain relief after a cesarean section: a case-control study(Medicinska Naklada, 2021) Peker, Hakan; Atasayan, Kemal; Peker, Berna Haliloğlu; Kilicci, ÇetinAim To investigate the efficacy of intraoperative superior hypogastric plexus (SHP) block for postoperative pain relief in patients undergoing a cesarean section. Methods One hundred and fifteen pregnant women scheduled for an elective cesarean under general anesthesia were randomly divided into an SHP block (n = 65) and a control group (n = 50). SHP block was administered with bupivacaine injection. The controls received saline injection in the SHP area. Postoperative pain was assessed by the 10-cm visual analog scale (VAS). The presence of side effects and complications, including opioid or non -steroidal anti-inflammatory drugs (NSAID) requirement, gastrointestinal function, nausea, and vomiting were evaluated. Results The SHP block group had significantly lower VAS scores 2, 6, 24, and 48 hours postoperatively (P < 0.001) and required a significantly lower rescue dose of NSAID or opioids (P = 0.003, P < 0.05, respectively). Conclusions SHP block may be an effective and safe pain relief treatment after a cesarean section.Yayın İzole oligohidramnios indüksiyon uygulanan gebeliklerde perinatal sonuçları etkiler mi?(Turkish Society of Obstetrics and Gynecology, 2008) Haliloğlu, Berna; Şahin, Figen Kır; Peker, Hakan; Gürbüz, Ayşe; Koca, IşılAmaç: Oligohidramnios yüksek riskli gebeliklerde kötü perinatal sonuçlara neden olduundan, genellikle doum indüksiyonu için bir endikasyon olarak kabul edilmektedir. Amacımız indüksiyon uygulanan komplike olmayan (izole) oligohidramnioslu term gebeliklerde perinatal sonuçları deerlendirmektir. Gereç ve Yöntem: Bu prospektif çalıöada, izole olgohidramniosu (amniotik sıvı volümü [AFI] 5 cm) olan 125 olgu ile normal amniotik sıvısı (AFI>5 cm) olan 125 olgu deerlendirildi. Tüm hastaların Bishop skoru indüksiyon için uygun (>4) olup tüm hastalara amniotomi sonrası oksitosin ile indüksiyon yapıldı. Doum ekli, güven verici olmayan (non-reassuring) fetal kalp trasesi, sezaryen endikasyonu, doum kilosu, gestasyonel haftasına göre ufak bebek (SGA), 1. ve 5. dakika APGAR skorları, yenidoan youn bakım ünitesi (YDYBÜ) ihtiyacı açısından iki grup karılatırıldı. Bulgular: Güven verici olmayan (non-reassuring) fetal kalp trasesi oranı kontrol grubuna göre çalıma grubunda anlamlı olarak daha yüksek idi (p=0.02). 1. dakika APGAR skorunun <7 olma oranı (p=0.01) ve fetal distrese balı sezaryen olma oranı (p=0.01) da çalıma grubunda daha yüksek saptandı. Lojistik regresyon analizi sonucunda da her iki paramatre istatistiksel olarak anlamlı kaldı. Sonuç: 37-40. gestasyonel haftalarda indüksiyon uygulanan olgularda izole oligohidramnios kötü perinatal sonuçlar için bir risk faktörü olarak gözükmektedir.Yayın İzole oligohidramnios indüksiyon uygulanan term gebeliklerde perinatal sonuçları etkiler mi?(2008) Şahin, Figen Kır; Gürbüz, Ayşe; Koca, Işık; Haliloğlu, Berna; Peker, HakanAMAÇ: Oligohidramnios yüksek riskli gebeliklerde kötü perinatal sonuçlara neden olduğundan, genellikle doğum indüksiyonu için bir endikasyon olarak kabul edilmektedir. Amacımız indüksiyon uygulanan komplike olmayan (izole) oligohidramnioslu term gebeliklerde perinatal sonuçları değerlendirmektir. MATERYAL METOD: Bu prospektif çalışöada, izole olgohidramniosu (amniotik sıvı volümü [AFI]?5 cm) olan 125 olgu ile normal amniotik sıvısı (AFI>5 cm) olan 125 olgu değerlendirildi. Tüm hastaların Bishop skoru indüksiyon için uygun (>4) olup tüm hastalara amniotomi sonrası oksitosin ile indüksiyon yapıldı. Doğum şekli, güven verici olmayan (non-reassuring) fetal kalp trasesi, sezaryen endikasyonu, doğum kilosu, gestasyonel haftasına göre ufak bebek (SGA), 1. ve 5. dakika APGAR skorları, yenidoğan yoğun bakım ünitesi (YDYBÜ) ihtiyacı açısından iki grup karşılaştırıldı. BULGULAR: Güven verici olmayan (non-reassuring) fetal kalp trasesi oranı kontrol grubuna göre çalışma grubunda anlamlı olarak daha yüksek idi (p=0.02). 1. dakika APGAR skorunun <7 olma oranı (p=0.01) ve fetal distrese bağlı sezaryen olma oranı (p=0.01) da çalışma grubunda daha yüksek saptandı. Lojistik regresyon analizi sonucunda da her iki paramatre istatistiksel olarak anlamlı kaldı. SONUÇ: 37-40. gestasyonel haftalarda indüksiyon uygulanan olgularda izole oligohidramnios kötü perinatal sonuçlar için bir risk faktörü olarak gözükmektedir.Yayın Laparoscopic Sacrohysteropexy in aWoman at 12 Weeks' Gestation(ELSEVIER SCIENCE INC, 2018) Peker, Berna Haliloglu; Ilter, Erdin; Peker, Hakan; Celik, Aygen; Gursoy, Ali; Gunaldi, Onur…Yayın Relationship between bone mineral density, bone turnover markers and homocysteine, folate and vitamin B12 levels in postmenopausal women(SPRINGER HEIDELBERG, 2010) Haliloglu, Berna; Aksungar, Fehime Benli; Ilter, Erdin; Peker, Hakan; Akin, Figen Temelli; Ozekici, UmitWe aimed to investigate whether levels of homocysteine (Hcy), folate, and vitamin B12 are related to bone turnover markers and bone mineral density (BMD) in postmenopausal women. One hundred and twenty postmenopausal women were divided into three groups: osteoporotic, osteopenic and normal, according to the BMD measurements. The age, weight, body mass index (BMI), years since menopause (YSM), gravidity, parity, bone turnover markers [type I collagen C-telopeptides (CTx) and bone-specific alkaline phosphatase (BAP)], serum Hcy, parathyroid hormone (PTH), vitamin B12, folate, calcium and magnesium levels were compared with each other. Twenty-five women had osteoporotic, 42 women had osteopenic, and 53 had normal BMD values. After adjusting for confounding factors, serum Hcy levels were significantly higher in osteoporotic women [adj OR = 38.95 (1.474-1029.88) p = 0.02]. The age, YSM, PTH, CTx and BAP levels were related to serum Hcy in all women (beta = 0.523, p = 0.0001; beta = 0.446, p = 0.001; beta = 0.295, p = 0.005; beta = 0.239, p = 0.026; beta = 0.451, p = 0.001, respectively). Our data showed that vitamin B12, folate and Hcy levels were not related with BMD in postmenopausal women. We think that one of the underlying mechanisms of increased Hcy levels and osteoporosis may be a mechanistic link which cannot detected by BMD or biochemical markers.Yayın Relationship between bone mineral density, bone turnover markers and homocysteine, folate and vitamin B12 levels in postmenopausal women (vol 281, pg 663, 2010)(Springer Heidelberg, 2010) Haliloglu, Berna; Aksungar, Fehime Benli; Ilter, Erdin; Peker, Hakan; Akin, Figen Temelli; Mutlu, Nilgün; Özekici, Umit[Abstract Not Available]Yayın Relationship Between Genitourinary Syndrome of Menopause and 3D High-Frequency Endovaginal Ultrasound Measurement of Vaginal Wall Thickness(Elsevier Sci Ltd, 2021) Peker, Hakan; Gürsoy, AliBackground: To date, there is no certain method for diagnosis of genitourinary syndrome of menopause (GSM) and vaginal atrophy. Aim: We aim to evaluate vaginal wall thickness (VWT) using 3D high frequency endovaginal ultrasound (3D EVUS) in GSM and also to investigate whether there is any association between VWT and postmenopausal sexual dysfunction. Methods: Postmenopausal women applied for routine gynecologic examination were assessed at the Outpatient Clinic of Gynecology, Maltepe University Hospital. After pelvic examination, GSM symptoms were questioned for all women and vaginal health scoring tool was applied. Twenty women with GSM and 20 women without GSM were included in the study. Outcomes: All patients filled in the Female Sexual Function Index (FSFI) and underwent 3D EVUS to evaluate VWT. Results: The women with GSM had significantly lower anterior and posterior VWT (P=.007 and P=.049, respectively). The total FSFI score, lubrication and pain sub-scores in patients with GSM was significantly lower than the patients without GSM. Anterior VWT was positively correlated with BMI and pain sub-score of FSFI (r=0.279, P=.047; r=0.344, P=.013, respectively). A significant negative correlation was detected between anterior vaginal VWT and age, time since menopause and satisfaction sub-score of FSFI (r=-0.332, P=.017; r=-0.354, P=.011; r=-0.301, P=.032, respectively). Posterior VWT was positively correlated with FSFI total score, arousal, lubrication and pain sub scores (r=0.451, P=.001; r=0.437, P=.001; r=0.415, P=.002; r=0.335, P=.016; respectively). Clinical Implications: Based on our results, measurement of VWT using 3D EVUS can be a useful non-invasive tool for the objective diagnosis of GSM. Strengths and Limitations: Considering that only total vaginal thickness can be measured with traditional transabdominal and transvaginal techniques, the main strength of the study is the use of 3D EVUS for separate measurement of anterior and posterior VWT. The study has sufficient statistical power. The small sample size of study is the main limitation. Conclusion: The 3D EVUS can be used for objective diagnosis of GSM and can also shed light on the causes of various sexual dysfunction symptoms in postmenopausal women, as it enables measuring the anterior and posterior walls of the vagina separately. Copyright (C) 2021, International Society of Sexual Medicine. Published by Elsevier Inc. All rights reserved.Yayın The role of urethral hypermobility and intrinsic sphincteric deficiency on the outcome of transobturator tape procedure: a prospective study with 2-year follow-up(Springer Nature, 2009) Haliloğlu, Berna; Karateke, Ateş; Çoksuer, Hakan; Peker, Hakan; Cam, ÇetinIntroduction and hypothesis The aim of this study is to investigate the effect of intrinsic sphincter deficiency (ISD) and urethral hypermobility on the outcome of the transobturator tape (TOT). Methods Sixty-five women were divided into three groups: group I, ISD with hypermobile urethra (n=18); group II, ISD with fixed urethra (n=16); and group III, hypermobile urethra without ISD (n=31). Cure of stress urinary incontinence was defined if the patient had negative cough stress test. Cure and improvement rates were compared at 6, 12, and 24 months. Results The cure and improvement rates of groups I and III were similar at 6, 12, and 24 months (96.1% vs 96.6%, 96.1% vs 96.6%, and 87.5 vs %96.4%, respectively). Group II had the lowest cure and improvement rates (68.7%, 66.7%, and 66.7%, respectively). Conclusion A lack of urethral hypermobility may be a risk factor for TOT failure.Yayın RÜPTÜRE ENDOMETRİOMA SONRASI GELİŞEN TUBO-OVARİAN APSE; VİRGİN KADINLARDA NADİR GÖRÜLEN BİR OLGU SUNUMU VE LİTERATÜR ARAŞTIRMASI(2020) Haliloğlu Peker, Berna; Günaldı, Onur; Peker, HakanVirgin kadınlarda, endometrioma kist rüptürü ile birliktebulunan tubo-ovarian apse, akut batın etyolojisindeçok nadir karşılaşılan bir durumdur. Acil polikliniğimizeşiddetli karın ağrısı nedeniyle başvuran hasta, endometriomakist rüptürü ve tubo-ovarian apse tanısıile yatırılarak intravenöz antibiyotik tedavisi başlandı.Şikayetleri devam eden hastaya laparoskopi yapıldı.Akut batın tablosuyla gelen kadınlarda hangi yaş grubundaolursa olsun ayırıcı tanılar arasında mutlakatubo-ovarian apse bulunmalı ve hızlı bir şekilde tanıkonularak tedavi yapılmalıdır. Aksi takdirde, morbiditeve mortalite oranları hızlı bir şekilde artar.Yayın Serotonin dilemma in postmenopausal women: Is it low or high?(ELSEVIER IRELAND LTD, 2008) Haliloglu, Berna; Aksungar, Fehime Berth; Ilter, Erdin; Akin, Figen Temelli; Mutlu, Nilgun; Peker, Hakan; Ozden, SelcukObjective: In this study, we have studied with premenopausal (PM), naturally menopausal (NM) and surgically induced menopausal (SM) women in order to investigate the differences in serum cortisol, dehydroepiandrosterone sulfate (DHEA-S), follicle stimulating hormone (FSH) and estradiol (E2) levels on serum serotonin levels. Methods: Forty premenopausal (36.7 +/- 3.5 years), 40 naturally menopausal (54.2 +/- 8.4 years) and 38 surgically induced menopausal (55.4 +/- 11.2 years) women were included in the study. None of the subjects were using antidepressants or hormone replacement therapy. In NM and SM, years since menopause (YSM) were 3.16 +/- 1.58 and 3.36 +/- 1.89, respectively. Cortisol, DHEA-S, FSH and E2 levels were determined by immunochemiluminisence while serotonin levels were determined by HPLC. Results: Serum serotonin levels in NM women were higher than the other two groups [144.23 +/- 45.29 mu g/L vs 61.35 +/- 37.72 mu g/L in SM women and 98.74 +/- 50.29 mu g/L in PM women]. E2 and DHEA-S were positively correlated, while FSH and cortisol were negatively correlated with serotonin in NM and SM. There was no significant correlation between serotonin and age or YSM. In the PM group, there was no significant correlation between serotonin and the hormones. Conclusion: In conclusion, increased serotonin levels in naturally menopausal women may be a compensatory mechanism to decreased E2 levels as it is postulated that there is strong interaction between E2 and the serotoninergic system. (C) 2008 Elsevier Ireland Ltd. All rights reserved.Yayın Üçüncü trimester maternal total protein, albümin ve hemoglobin seviyelerinin doğum kilosuna etkisi(2007) Şahin, Figen Kır; Peker, Hakan; Haliloğlu, Berna; Gürbüz, AyşeAMAÇ: Gebeliğin son trimesterindeki maternal total protein, albümin ve hemoglobin değerlerinin doğum kilosuna etkisini incelemek. MATERYAL-METOD: 2005 Ocak- 2005 Temmuz ayları arasında Zeynep Kamil Kadın ve Çocuk Hastalıkları Hastanesi Doğum Polikliniği’ne başvuran 37-40. gestasyonel haftalar arasında bulunan 750 gebeden kan alınarak total protein, albümin ve hemoglobin seviyelerine bakıldı. Ayrıca hastaların demir replasmanı alıp almadıkları ve alış süreleri de değerlendirildi. Hastalar total protein, albümin ve hemoglobin seviyelerine göre gruplara ayrılarak doğum kiloları açısından karşılaştırıldı. Aynı zamanda total protein, albümin ve hemoglobin seviyeleri ile doğum kilosu arasında korelasyon olup olmadığına bakıldı. BULGULAR: Anemik ve hipoproteinemik olgularda doğum kilosu anlamlı olarak yüksek bulundu. Ancak lojistik regresyon analizi yapıldığında bu anlamlılığın kaybolduğu görüldü. Demir replasmanı alan olguların doğum kilosu almayan olgulara göre daha yüksek bulunmakla birlikte istatistiksel olarak sınırlı derecede anlamlı idi (p: 0.055). Doğum kilosu ile yaş, gravida, parite ve gestasyonel yaş arasında pozitif korelasyon bulunurken, total protein, albümin, hemoglobin seviyeleri ve demir replasman süresiyle doğum kilosu arasında korelasyon saptanmadı. SONUÇ: Son trimester maternal total protein, albümin ve hemoglobin seviyelerinin doğum kilosu üzerine belirleyici etkide bulunmadığını düşünmekteyiz.Yayın Üçüncü trimester maternal total protein, albümün ve hemoglobin seviyelerinin doğum kilosunda etkisi(Turkish Society of Obstetrics and Gynecology, 2007) Haliloğlu, Berna; Şahin, Figen Kır; Gürbüz, Ayşe; Peker, HakanAmaç: Gebeliğin son trimesterindeki maternal total protein, albümin ve hemoglobin değerlerinin doğum kilosuna etkisini incelemek. Materyal ve Metod: 2005 Ocak- 2005 Temmuz ayları arasında Zeynep Kamil Kadın ve Çocuk Hastalıkları Hastanesi Doğum Polikliniği’ne başvuran 37-40. gestasyonel haftalar arasında bulunan 750 gebeden kan alınarak total protein, albümin ve hemoglobin seviyelerine bakıldı. Ayrıca hastaların demir replasmanı alıp almadıkları ve alış süreleri de değerlendirildi. Hastalar total protein, albümin ve hemoglobin seviyelerine göre gruplara ayrılarak doğum kiloları açısından karşılaştırıldı. Aynı zamanda total protein, albümin ve hemoglobin seviyeleri ile doğum kilosu arasında korelasyon olup olmadığına bakıldı. Bulgular:Anemik ve hipoproteinemik olgularda doğum kilosu anlamlı olarak yüksek bulundu. Ancak lojistik regresyon analizi yapıldığında bu anlamlılığın kaybolduğu görüldü. Demirreplasmanı alan olguların doğum kilosu almayan olgulara göre daha yüksek bulunmakla birlikte istatistiksel olarak sınırlı derecede anlamlı idi (p: 0.055).Doğum kilosu ile yaş, gravida, parite ve gestasyonel yaş arasında pozitif korelasyon bulunurken, total protein, albümin, hemoglobin seviyeleri ve demir replasman süresiyle doğum kilosu arasında korelasyon saptanmadı. Sonuç:Son trimester maternaltotal protein,albümin ve hemoglobin seviyelerini ndoğum kilosu üzerine belirleyici etkide bulunmadığını düşünmekteyiz.
