GYNECOLOGY AND OBSTETRICS
We serve successfully in our Gynecology and Obstetrics Department, which consists of experienced doctors and professional staff and advanced technology products with uninterrupted service 24/7.
Our Gynecology and Obstetrics Department works in cooperation with other branches.
Immediately after the birth, periodic vaccinations are applied to the baby with the evaluation by pediatricians.
In the Gynecology and Obstetrics Departments, services are provided in many areas such as general women’s health, menopause-osteoporosis, pregnancy follow-up, monitoring risky pregnancies and assisted reproductive techniques.
Painless normal delivery is performed with epidural analgesia
SCREENING TESTS DURING PREGNANCY
The tests which are performed to screen for possible chromosome abnormalities during pregnancy can be examined in two groups.
Amniocentesis (taking a sample from the amniotic fluid surrounding the baby) and ultrasound and biochemical tests that show whether there is a change in age-dependent risk are the first to be applied among these tests.
Every woman has the risk of having a baby with chromosomal abnormalities at any age. The most common of these anomalies is Down syndrome (Mongolism) and the risk increases with advancing age.
Down syndrome is a congenital disease caused by the 21st chromosome having, not 2, but 3 (trisomies) and can progress with mental retardation and other body abnormalities.
The risk of carrying a baby with Down syndrome increases significantly from the age of 35 and goes above the amniocentesis risk (1/200).
For this reason, amniocentesis is conventionally recommended for expectant mothers who are over 35 years old when they deliver their baby.
On the other hand, the risk of Down syndrome increases mathematically in expectant mothers with twin pregnancies due to the presence of two babies.
The age at which amniocentesis should be performed in twin pregnancies is accepted as 31.
In recent years, the sensitivity of screening tests has increased and especially between 11-14th weeks of gestation, the possibility of diagnosing babies with Down syndrome without amniocentesis has increased by measuring the nuchal skin thickness and checking whether the nasal bone is present or not.
The necessity of performing amniocentesis has shifted to more advanced ages and even now it has become decided by looking at screening tests for all ages.
Although the risk is very low in women who have normal results of 11-14 weeks of screening test and in some cases between 16-18 weeks of 2nd trimester screening test and do not have any marker to be associated with Down syndrome on ultrasound, it is not zero.
Amniocentesis may not be applied to women with these characteristics and over the age of 35. Especially under the age of 38, this practice is becoming more common.
The decision not to have amniocentesis should be made by the expectant mother and father.
Doctors are only guiding and do not undertake the decision of amniocentesis as medico-legal (medical-legal reasons).
There is a risk of loss of a healthy baby in those who have amniocentesis, and there is a risk of giving birth with Down syndrome in those who are not.
These risks should be balanced with the risk test and should be decided by the couple after discussing them with their doctor
WHAT IS INFERTILITY
Infertility is defined as not getting pregnant within 1 year despite regular sexual intercourse. In young couples, the waiting period might be longer. If the woman is over 35 years old, or if there are any findings in the history and physical examination that may be related to infertility, investigations should be started earlier.
In order to get pregnant, sexual intercourse must be at least once a week. In cases where sexual intercourse is less frequent, the chance of pregnancy decreases. The ideal frequency of sexual intercourse for pregnancy is 2-3 times a week.
Menopause is the cessation of menstrual bleeding in women.
According to the data obtained from Western societies, the average age of menopause is 51.5 and has not changed in the last 100 years. Menopause before the age of 40 is called premature menopause, and before the age of 45 is called early menopause. There is especially a connection between the age of menopause of the mother and the age of menopause of the girl child. The risk of early menopause is higher in women whose mothers have early menopause.
Menopause occurs later in women who have given birth than those who have not and women who have used birth control pills than those who have not. The age of menopause is 1.5 years earlier in women who smoke 10 or more cigarettes a day.
Loss of one of the ovaries as a result of surgical intervention, endometriosis and chemotherapy and radiotherapy for cancer are among the factors for an early menopause.
Examinations to be applied in menopausal women;
- PAP Smear test
- Bone density measurement
- Genetic Risk Profiling