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    ISA New Technical Mode in Mammography: Self-Compression Improves Satisfaction
    (AVES, 2019-01-01) Ulus, Sila; Kovan, Ozge; Arslan, Aydan; Elpen, Pinar; Aribal, Erkin
    Objective: We aimed to evaluate the mammography experience of patients using a manually controlled self-compression tool compared to their previous experience based on technician performed breast compression by a questionnaire survey study. Materials and Methods: The survey studies of 365 patients who underwent screening or diagnostic mammography between April 2017 and July 2017 at our center were reviewed retrospectively. Each patient had completed a 12-item questionnaire following mammography examinations. Women who never had a mammography before or who had a previous mammography examination more than 2 years ago or who did not want to use the self-compression device were excluded from the study. 106 women were included in the study. Results: Patient satisfaction was high. Regarding the comparison of the experience of the exam to previous ones, 70.8\% said it was a better experience. The examination was found comfortable by 85.4\% of the participants and 75.5\% found the examination more comfortable compared to previous ones. Only 11.3\% were anxious and 52.8\% declared they were less anxious compared to previous examinations. Regarding the attractiveness of the new design, 66.9\% declared they found the new design attractive, 39.7\% found it more attractive than previous examinations, and 27.3\% said the new design decreased anxiety. In the evaluation of impact of patient-assisted compression (PAC) on comfort, 80.2\% said that they found it more comfortable and 64.2\% said that PAC decreased anxiety. Furthermore, 72.6\% said the exam was shorter. Conclusion: Self-compression technique decreases pain and anxiety of women during mammography examinations and promises to enhance compliance of clients and patients with follow-up mammography recommendations.
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    Comparison of early and on-demand maternal feeding after Caesarean delivery: a prospective randomised trial
    (SINGAPORE MEDICAL ASSOC, 2021-01-01) Ozbasli, Esra; Takmaz, Ozguc; Dede, Faruk Suat; Gungor, Mete
    INTRODUCTION This study aimed to compare early and on-demand maternal feeding after Caesarean delivery in terms of gastrointestinal complaints and patient satisfaction. METHODS A total of 262 women with uncomplicated singleton term pregnancies who underwent a Caesarean section under regional anaesthesia were randomised to a soft food diet served at Postoperative Hour 2 (early feeding group) or eating whenever they wanted to upon return to the ward (on-demand group). Patient satisfaction scores at the time of discharge and gastrointestinal complaints were compared. RESULTS The fed-early group comprised 133 (50.8\%) women and the on-demand group comprised 129 (49.2\%) women. Major characteristics and surgical procedures were comparable between the two groups. No significant between-group differences in demographic criteria or surgical procedures were evident (p > 0.05). The mean time to the first feeding was 120.00 +/- 00.00 minutes for the early feeding group as compared to 236.59 +/- 107.74 minutes for the on-demand feeding group (p = 0.001). Satisfaction levels did not differ significantly between the two groups (p = 0.366). Duration to first breastfeeding, analgesia on the ward, passage of flatus, defecation, mobilisation and urination after catheter removal did not differ significantly between the two groups (p > 0.05). CONCLUSION Early initiation of solid food in low-risk women after Caesarean delivery under regional anaesthesia was associated with high satisfaction and did not increase gastrointestinal complaints. We suggest having