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    Ectopic Mesenteric Deciduosis Imitating Peritoneal Carcinomatosis: a Case Report
    (Springer India, 2023) Goksu, Mustafa; Kadirogullari, Pinar; Seckin, Kerem Doga
    Ectopic deciduosis in the omentum and peritoneum is usually encountered incidentally during cesarean section and is a rare condition. It is usually not accompanied by any symptoms or complications and does not require treatment. Although the pathophysiology is not fully understood, it is accepted that peritoneal deciduosis develops as a result of progesterone-induced metaplasia of subserosal stromal cells during pregnancy. Pathological evaluation is very important because the lesions can be confused macroscopically with diseases such as peritoneal carcinomatosis or tuberculosis. This hormonal and physiological condition has a very good prognosis and resolves spontaneously after delivery. In this case, we present a clinical phenomenon of mesenteric deciduosis encountered during cesarean section and diagnosed pathologically after surgery.
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    The effect of uterine massage after vaginal delivery on the duration of placental delivery and amount of postpartum hemorrhage
    (Springer Heidelberg, 2023) Kadirogullari, Pinar; Cetin, Berna Aslan; Goksu, Mustafa; Arslan, Hale Cetin; Seckin, Kerem Doga
    Objective The aim of this study was to investigate the effects of uterine massage performed before placental delivery on the third stage of labor and postpartum hemorrhage after vaginal delivery. Materials and methods The study was designed as a prospective randomized controlled study. Between June 2018 and June 2019, 242 women who gave birth in Istanbul Kanuni Sultan Suleyman Training and Research Hospital were included in the study. The women were divided into two groups; group 1 received uterine massage after vaginal delivery before placental delivery (n: 128) and group 2 did not receive massage (n: 114). Demographic characteristics, delivery times of the baby and placenta, duration of uterine massage, amount of postpartum hemorrhage and postpartum hemoglobin values of both groups were recorded. Results Baseline characteristics were similar in both groups. Placental output time after delivery was 8.3 +/- 4.2 min in group 1 and 13.5 +/- 6.3 min in group 2. The third stage of labor was significantly shorter in group 1 (p = 0.012). The amount of blood loss of 500 mL or more after delivery was higher in group 2 but not statistically different (p > 0.05). Hemoglobin value measured within 12-24 h after delivery was significantly lower in group 2 (hemoglobin < 8 g/dL after 12- 24 h p = 0.003; hemoglobin < 10 g/dL after 12-24 h p = 0.001). Delta hb value was also significantly lower in group 2 (p = 0.03). With this result, it was determined that bleeding intense enough to require transfusion was more common in group 2. Conclusion In patients delivering vaginally, uterine massage before placental delivery shortens the placental delivery time and reduces postpartum hemorrhage. In addition to oxytocin and controlled cord traction to reduce postpartum blood loss, uterine massage should be routinely used in the active management of the third stage of labor.