JHSM
Journal of Health Sciences and Medicine

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Original Article
Perception and practices of obstetricians and ophthalmologists eye diseases during pregnancy
Abstract
Aims: Cesarean delivery can be crucial for both the mother and the baby, with indications often stemming from fetal or maternal health concerns. In addition to obstetric factors, non-obstetric conditions such as eye diseases frequently necessitate cesarean delivery. Among the eye diseases commonly encountered during pregnancy are refractive errors, diabetic retinopathy, ocular malignancies, and glaucoma. Some of these conditions may exacerbate during pregnancy due to related health issues like diabetes or hypertension, or they may be aggravated by the stress of vaginal labor. Consequently, the decision regarding the continuation of pregnancy, the mode of delivery, and even the choice of anesthesia can vary depending on the specific eye disease and its severity or characteristics. The aim of this study was to assess the knowledge and attitudes of obstetricians regarding the management of pregnant women with different eye conditions, with the ultimate goal of increasing awareness among obstetricians.
Methods: In this study, a total of 46 obstetricians and 30 ophthalmologists practicing in Turkiye were included. Participants were surveyed to gather information, as no existing survey or scale pertaining to our study subject was available. Therefore, a novel survey form was developed based on previous studies addressing similar topics, and this survey was administered to all participants.
Results: During the study, both obstetricians and ophthalmologists were queried about the management of 17 distinct eye diseases occurring during pregnancy. Ophthalmologists advocated for normal vaginal delivery (NVD) in 13 out of the 17 eye diseases. On the other hand, obstetricians opted for NVD in 5 out of the 17 cases, while recommending ophthalmology consultation in 12 out of the 17 scenarios.
Conclusion: It has been noted that ophthalmologists suggest vaginal birth in 9 out of 17 eye diseases, whereas obstetricians tend to recommend consulting ophthalmologists rather than making independent decisions. This trend may stem from the fact that obstetricians may lack sufficient knowledge about eye diseases, as these conditions are not primarily within the scope of pregnancy-related care. Additionally, obstetricians might be inclined to share responsibility, possibly due to the rise in malpractice cases against obstetricians in recent years in Turkiye.

Keywords : Normal spontaneous vaginal delivery, cesarean section, ophthalmology, pregnancy-related diseases, obstetrician, non-obstetric reason

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1. Unal K, Ozturk Can H. Investigation of factors affecting mothers&rsquo; satisfaction with childbirth and the supportive care given to them during labor. <em>Afr J Reprod Health</em> 2024;28(2):96-106.
2. Nasrabad HBR, Hosseini-Chavoshi M, Abbasi-Shavazi MJ. Socio-demographic determinants of infertility: a study in four selected provinces of Iran. <em>Int J Womens Health Reprod</em> Sci. 2024;12:094-102.
3. Ketema DB, Aragaw FM, Wagnew F, et al. Birth asphyxia related mortality in Northwest Ethiopia: a multi-centre cohort study. <em>PLoS One.</em> 2023;18(2):e0281656.
4. Garg P, Priyadarshi A, Singh S, Sinha P. Pregnancy induced ocular changes. <em>Adv Ophthalmol Visual Syst.</em> 2023;13:1-3.
5. Sarvepalli SM, Bailey BA, D&rsquo;Alessio D, et al. Risk factors for the development or progression of diabetic retinopathy in pregnancy: Meta-analysis and systematic review. <em>Clin Exp Ophthalmol.</em> 2023;51(3):195-204.
6. Uysal E, Kulhan NG, G&uuml;nenc O. Neonatal outcomes of patients with vaginal delivery after a cesarean section. <em>Cukurova Med J</em>. 2023;48(4):1357-1364.
7. Kord A, Chamangasht M, Kamrani MA, Zalzar S, Farid M. Non-obstetric causes of cesarean section in Iranian pregnant women referring to medical services commission. <em>Shiraz E-Med J.</em> 2023;24(6).
8. Yenerel NM, K&uuml;&ccedil;&uuml;men RB. Pregnancy and the eye. <em>Turk J Ophthalmol.</em> 2015;45(5):213.
9. Bexultan S, Akerke S, Asem O, Danagul E, Aman B. The course of pregnancy and the peculiarities of childbirth with high-grade myopia. <em>Universum: Med i Farm.</em> 2023;(6(99)):34-39.
10. Demarinis G, Tatti F, Taloni A, et al. Treatments for ocular diseases in pregnancy and breastfeeding: a narrative review. <em>Pharmaceuticals.</em> 2023;16(10):1433.
11. Li P, Ma X, Han S, et al. Risk factors for failure of conversion from epidural labor analgesia to cesarean section anesthesia and general anesthesia incidence: an updated meta-analysis. <em>J Matern Fetal Neonatal Med.</em> 2023;36(2):2278020.
12. Mohammadi S-F, Letafat-Nejad M, Ashrafi E, Delshad-Aghdam H. A survey of ophthalmologists and gynecologists regarding termination of pregnancy and choice of delivery mode in the presence of eye diseases. <em>J Curr Ophthalmol.</em> 2017;29(2):126-132.
13. Korpole NR, Kurada P, Korpole MR. Gender difference in ocular diseases, risk factors and management with specific reference to role of sex steroid hormones. <em>J Mid-life Health.</em> 2022;13(1):20-25.
14. Khong EW, Chan HH, Watson SL, Lim LL. Pregnancy and the eye. <em>Curr Opin Ophthalmol</em>. 2021;32(6):527-535.
15. Kerry T, Cudahy P, Holst H, Ramsunder A, McGrath N. A doctor at a PHC clinic: A &lsquo;must-have&rsquo; or &lsquo;nice-to-have&rsquo;? <em>S Afr Med J.</em> 2023;113(1):24-30.
16. Liu S, Heaman M, Kramer MS, et al. Length of hospital stay, obstetric conditions at childbirth, and maternal readmission: a population-based cohort study. <em>Am J Obstet Gynecol.</em> 2002;187(3): 681-687.
17. Ozden MGN, Koruk S, Collak Z, Panik N. Comparison of the effects of general and spinal anesthesia for cesarean delivery on maternal and fetal outcomes: A retrospective analysis of data. <em>North Clin Istanbul.</em> 2023;10(5).
18. Shemer A, Zloto K, Peretz Z, et al. Rates of recurrent retinal detachment after vaginal versus cesarean deliveries: A retrospective analysis and review of the literature. <em>Retina.</em> 2024; 44(1):78-82.
19. Taub MB, Lievens CW. Pregnancy and the retina; be aware of the many retinal conditions that may affect-or be affected by-the course of the pregnancy. <em>Rev Optom.</em> 2008;145(6):53-60.
20. Danaj B, Simaku E. The significance of argon laser in patients with peripheral retinal breaks in preventing retinal detachment. <em>Anglisticum J Assoc-Instit English Lang Am Studies.</em> 2023;12(10):21-31.
21. Bhat S, Menon AS. Glucose control and diabetic retinopathy: is there more than meets the eye? <em>Chro Diabet Res Prac.</em> 2023;2(1):1-3.
22. Clarke K, Webster L, Althauser S, et al. The risk of development and progression of diabetic retinopathy in a group of ethnically diverse pregnant women with diabetes attending three regional diabetic eye screening programs in the UK. <em>Eye.</em> 2024;38(1):179-184.
23. Abdelaal AM, Alqahtani AS. Mode of delivery in the setting of repeated vitreous hemorrhages in proliferative diabetic retinopathy: a case report and review of the literature. <em>Cureus. </em>2020;12(10).
24. Diress M, Getnet M, Akalu Y, et al. Myopia and its associated factors among pregnant women at health institutions in Gondar District, Northwest Ethiopia: a multi-center cross-sectional study. <em>Front Glob Womens Health.</em> 2022;3:1078557.
25. Razeghinejad MR, Tai TYT, Fudemberg SJ, Katz LJ. Pregnancy and glaucoma. <em>Surv Ophthalmol.</em> 2011;56(4):324-335.
26. Kaufman AR, Al-Djasim LA, Rivkin AC, et al. Pregnancy outcomes in the medical management of glaucoma: an international multicenter descriptive survey. <em>Eur J Ophthalmol. </em>2024;34(2):471-479.
27. Cavalli AP, Bettes PSL, Friedrich AP, et al. Refractive errors during pregnancy: a bibliographic review. <em>Seven Editora.</em> 2023.
28. Madike R, Cugati S, Qin Q, Chen C. Pregnancy and the eye: What do we need to watch out for? A review. <em>Clin Exp Ophthalmol.</em> 2024;52(2):234-247.
29. Jiang L, Zhang L, Dai C, et al. A self-generated electricity-driven drug delivery system for precision management of myopia. <em>Nano Energy.</em> 2024;119:109040.
30. Davidson TM, Hieken TJ, Glasgow AE, Habermann EB, Yan Y. Pregnancy-associated melanoma: characteristics and outcomes from 2002 to 2020. <em>Melanoma Res.</em> 2024;34(2):175-181.
31. Wiedemann SV, M&uuml;ller V, Toth B, et al. CLAUDIUS Study: Risk of materno-fetal transmission of melanoma cells in pregnant women with high grade melanoma-A retrospective multicenter study and literature review. <em>EJC Skin Cancer.</em> 2023:100005.
32. Barnea ER, Inversetti A, Di Simone N, FIGO Childbirth and Postpartum Hemorrhage Committee, et al. FIGO good practice recommendations for cesarean delivery: prep-for-labor triage to minimize risks and maximize favorable outcomes. <em>Int J Gynecol Obstet.</em> 2023;163:57-67.
Article available in :
Volume 7, Issue 4, 2024
Page : 378-386
https://doi.org/10.32322/jhsm.1456286
Article Information
Received : 20 Mar 2024
Accepted : 07 Haz 2024
Published : 30 Tem 2024
Corresponding Author :

Emre Uysal: Department of Obstetrics and Gynecology, Yusufeli State Hospital, Artvin, Turkiye

[email protected]
Citation : Uysal E, Kulhan NG, Günenc O, Kulhan M, Esenkaya Ü. Perception and practices of obstetricians and ophthalmologists eye diseases during pregnancy. J Health Sci Med. 2024;7(4):378-386.

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