Investigation of fetal cardiac function using tissue doppler imaging in fetuses compromised by growth restriction

Objectives: The primary aim of this study was to evaluate fetal cardiac systolic and diastolic function using the tissue Dopplertechnique in pregnancies with complications of fetal growth restriction (FGR) and to examine the relationship betweenFGR with umbilical artery Doppler parameters and fetal cardiac function in complicated pregnancies.Material and methods: This study included 30 pregnant women with FGR complications and 46 pregnant women withoutFGR complications. Both groups were at 24–34 gestational weeks. Fetal cardiac examination was performed using pulsedDoppler and tissue Doppler imaging (TDI) in all pregnancies. In the analysis of myocardial tissue by tissue Doppler, thetracing obtained from the junction of the tricuspid valve annulus with the right ventricle was recorded by measuring theduration of the isovolumetric contraction wave (IVC), ejection time (ET), and isovolumetric relaxation time (IVR). Furthermore,we calculated the myocardial performance index (MPI) and then measured and recorded the early diastolic annular rate.Results: Based on the TDI studies, the mean IVC and IVR values were significantly longer and the ET values were significantlyshorter in the study group than those in the control group. The study group also had significantly longer MPI measurements.Conclusions: Because TDI is a considerably more sensitive method than cardiac sonographic evaluation using pulsedDoppler, tissue Doppler parameters facilitate the detection of cardiac dysfunction at a relatively early stage. In addition,TDI and myocardial evaluation in fetuses with FGR can be noninvasively performed in clinical practice

Dynamic collagen changes in cervix during the first trimester and decreased collagen content in cervical insufficiency

Objective: To determine the changes in cervical collagen during the first trimester of pregnancy and to evaluate the collagen deficit in cases with a previous diagnosis of cervical insufficiency (CI)

Open Fetal Surgery in Turkey

WOS: 000456677600010PubMed ID: 30300900

Opinions concerning male and female sterilisation in Turkey

WOS: 000277147800009PubMed ID: 19916765Background Vasectomy is well accepted in some countries, but uncommonly used in others. The failure of family planning programmes may be the result of men failing to play a role in contraception. This study was carried out to determine the attitudes of women and men regarding male and female sterilisation. Study design Women of reproductive age (17-35 years old; n = 1211) and their husbands (n = 1174) were enrolled in this study. Information was collected from the participants via face-to-face interviews using a questionnaire. Results In our study, 61.4% of women would agree to their husbands' undergoing a vasectomy but only 3.7% of husbands agreed to it. Most (92.7%) men said they would agree to their wives' undergoing a sterilisation and 83.1% of women would agree to tubal occlusion. Only 2% knew anyone who had been sterilised. Nearly a fifth of women thought vasectomy could lead to impotence. Conclusion The prejudices against vasectomy are probably due to misinformation. Female sterilisation, however, is widely accepted by both participants. Family planning programmes organised equally for women and men, supported also by mass media could improve access to convenient and effective contraception

The effectiveness of double incision technique in uterus preserving surgery for placenta percreta

Abstract Background Placenta percreta is a life-threatening condition that places patients at risk of massive bleeding. It necessitates very complicated surgery and can result in mortality. Caesarean hysterectomy is the accepted procedure worldwide; however, recent studies discussing conservative treatment with segmental resections have been published. Foetal extraction and segmental resection can be performed through the same incision (single uterine incision) or through two different incisions (double uterine incision). In this study, we aimed to evaluate the effectiveness and results of the double incision technique. Methods Twenty-two patients with a diagnosis of placenta percreta who underwent conservative surgery were included. Segmental resection was performed via single incision in ten patients and double incision in twelve patients. Results There was no difference between the patients who underwent segmental resection via single and double incision in terms of age, gravida, number of previous caesarean deliveries, gestational age at delivery, or rate of elective surgeries. The operation time, transfusion requirement, intensive care unit admission, total hospitalization and success of conservative surgery were comparable between the groups. Conclusions Based on the outcomes of our study, double uterine incision allows for the safe extraction of the foetus during uterus-preserving surgery in patients with placenta percreta without worsening the results compared to single uterine incision. Trial registration NCT02702024 , Date of registration: February 26, 2016, retrospectively registered

Comparison of chromosomal abnormality rates in ICSI for non-male factor and spontaneous conception

WOS: 000298999200005PubMed ID: 22038381To compare cytogenetic data of first-trimester missed abortions in intracytoplasmic sperm injection (ICSI) for non-male factor-mediated and spontaneous pregnancies. Using karyotype analysis, we conducted a retrospective cohort trial of missed abortions following ICSI for non-male factor and spontaneous pregnancies. Patients experienced missed abortions during the first 12 weeks of pregnancy. Dilation and curettage procedure was performed followed by cytogenetic evaluations. Two patient groups were created: ICSI (n = 71) and spontaneous pregnancies (n = 81). At least 20 GTG-banded metaphases were analyzed in each case for cytogenetic analyses. Statistical analyses were performed using NCSS 2007 Statistical Program software. The significance level and confidence interval for all analyses were set to p 39 years = 90.9%). However, the observed increases in fetal aneuploidy rates were not statistically significant (p=NS). The aneuploidy rates and sex chromosome anomalies following ICSI for non-male factor were similar to those following natural conception

Surgical Site Infections in a Tertiary Referral Obstetric and Gynecologic Clinic Center in Istanbul and Review of the Literature

Objective: The present study aimed to define characteristics of the patients who were readmitted with the diagnosis of surgical site infections after gynecologic or obstetric procedures and management of these patients. We also reviewed the literature in this context. Study design: We examined 120 patients with surgical site infections that had been hospitalized and managed medically and/or surgically between April 2014 and April 2015. Characteristics of the patients were recorded and analyzed. Results: The mean age of the patients was 33.4±11.8 years. The patients were readmitted for surgical site infections on the mean of 9.6±5.4 days after the first operation. The most frequent procedures resulted with SSI were cesarean delivery, abdominal hysterectomy and vaginal birth. When patients were compared according to these procedures, there were statistically significant differences regarding age, gravida, parity, preoperative white blood cell count, postoperative white blood cell count and antibiotics usage. Conclusion: Combining evidence-based surgical site infections prevention practices and clinician and patient cooperation will result in reduction in surgical site infections incidence following obstetric and gynecologic procedures. Because of economic burden and threat to the physical and psychological health of the patients, these modifiable risks should be recognized and surgical site infections should be minimized. After surgical site infections occurred, diagnosis and proper management with antibiotics and wound care with debridement and secondary suturing is important