Evaluation of complications developing during and after transvaginal ultrasound — guided oocyte retrieval

Objectives: To investigate the complications of the oocyte retrieval procedure currently used in in vitro fertilisation. Material and methods: We examined 1.031 patients who underwent oocyte retrieval in the IVF unit of our hospital for complications developed during and after the procedure. Results: No complications developed related to sedation or general anaesthesia. Vaginal bleeding was observed in 3.1% of the patients. There was no intra-abdominal bleeding or pelvic organ injuries requiring surgery. Two patients developed pelvic abscesses. Ovarian hyperstimulation syndrome (OHSS) occurred in 1.45% of the patients. Almost all of the patients tolerated the oocyte retrieval process well. After the procedure, only 2% of the patients described their pain as severe, and 0.4% as the worst pain they had ever experienced. Conclusions: The most common complication during oocyte retrieval is vaginal bleeding, which is largely controlled by buffer application. In conclusion, the oocyte retrieval process can be considered a safe procedure

Unilateral Tubal Obstruction Associated with Contralateral Ectopic Pregnancy

Ectopic pregnancy is one of the pregnancy related complications, seem to be increased in recent years due to gradual increase in ART(Assisted Reproductive Techniques) cycles. An interesting case of unilateral tubal obstruction with contralateral ectopic pregnancy occurence is presented to our clinic. It is postulated that ectopic pregnancy occured in the contralateral part as a result of oocyte migration transperitoneally. The case is presented as 35 year-old women with a history of IVF(in vitro fertilization) treatment as a result of tubal factor infertility. In the diagnosis of ectopic pregnancy cases, the most important point is the high index of ectopic pregnancy suspicion. Ectopic pregnancies should be evaluated with associated risk factors and treated accordingly with defined protocols

The modes of delivery and neonatal outcomes of pregnancies concieved after recurrent abortion

Amaç: Bu çalışmanın amacı tekrarlayan gebelik kaybı sonrası oluşan gebeliklerde doğum ve neonatal bulguların geçmi- şinde düşük öyküsü olmayan kontrol grubu primigravid ve multigravid kadınlarla karşılaştırılması. Gereç ve Yöntem: 2001 – 2006 yılları arasında Süleymaniye Kadın Hastalıkları ve Doğum Hastanesine başvuran tekrarlayan iki veya daha fazla düşük sonrası gebe kalan 45 hasta (abort grubu) ile 139 gebeden oluşan (74 primigravid, 65 multigravid) kontrol grubunun kayıtları retrospektif olarak incelendi. Bulgular: Tekrarlayan düşük sonrası gebe kalan hastaların sezaryen oranı (% 47,8) primigravid ve multigravidlere göre anlamlı olarak fazladır (p<0.05). Abort grubunda en sık sezaryen nedeni kıymetli gebeliktir. Abort grubunda oksitosinle indüksiyon oranı primigravid ve multigravid olgulara göre anlamlı derecede daha azdır (p<0.001). Tekrarlayan düşük sonrası gebe kalan kadınlarda ve multigravid gebelerde anne yaşı ortalaması primigravid gruba göre anlamlı olarak fazladır. Doğan çocukların doğum tartısı, multigravid gruptaki gebelerde primigravid ve abort grubuna göre anlamlı olarak fazla bulunmuştur (p<0.001). Abort grubunun doğum öncesi hematokrit ortalaması primigravid ve multigravid olgulara göre anlamlı derecede daha fazladır (p< 0.001). Multigravid ve abort gruplarının doğum sonrası hematokrit ortalaması nulligravid olgulara göre anlamlı derecede fazladır (p<0.01). Sonuç: Çalışmamızın sonucuna göre tekrarlayan düşük sonrası gebe kalan kadınlarında yüksek sezeryan oranı saptandığı halde bu gebelikler kötü neonatal sonuçlarla ilgili bulunmamıştır.Objective: We compared the neonatal outcomes and the route of delivery in women who have had recurrent spontaneous abortions with the primigravid and multigravid women without a history of spontaneous abortion. Material and Methods: This study included 45 women with a history of recurrent spontaneous abortions and 139 women as the control group who gave birth at Suleymaniye Obstetrics and Gynecology Hospital between 2001-2006. The control group was divided into two subgroups: 74 primiravid women and 65 multigravid women. Data were collected from hospital records retrospectively. Results: The rate of cesarian section in the recurrent abortion group (47.8 %) were found to be significantly higher than the other groups (p<0.05). The most frequent indication of cesarian section in the recurrent abortion group was found to be precious pregnancy. Oxytocin for labor induction was used significantly less in the abortion group (p<0.001). Maternal age were higher in abort and multigravid group than primigravid group. The mean birth weight were higher in multigravid group than the abort and primigravid group “(p<0.001).” Hematocrit levels before birth were found to be significantly higher in abortion group than multigravid and primigravid group. Hematocrit levels after birth were found to be significantly higher in abortion and multigravid group than primigravid group (p<0.01). Conclusion: In conclusion we found that pregnancies after recurrent pregnancy losses were not related with adverse neonatal outcomes although they had high cesarean rates

Delayed Interval Delivery in Triplet Pregnancy: A Case Report and Literature Review

We report a case of triplet gestation delivered at 22 weeks with an interval of 48 days. We performed immediately a McDonald’s cerclage after the first triplet’s delivery and used intravenous beta-mimetic and broad-spectrum antibiotics for 14 days. In the literature whereas delaying the delivery of remaining fetuses improves their prognosis, there is no consensus about optimal management for these patients

The modes of delivery and neonatal outcomes of pregnancies concieved after recurrent abortion

Amaç: Bu çalışmanın amacı tekrarlayan gebelik kaybı sonrası oluşan gebeliklerde doğum ve neonatal bulguların geçmi- şinde düşük öyküsü olmayan kontrol grubu primigravid ve multigravid kadınlarla karşılaştırılması. Gereç ve Yöntem: 2001 – 2006 yılları arasında Süleymaniye Kadın Hastalıkları ve Doğum Hastanesine başvuran tekrarlayan iki veya daha fazla düşük sonrası gebe kalan 45 hasta (abort grubu) ile 139 gebeden oluşan (74 primigravid, 65 multigravid) kontrol grubunun kayıtları retrospektif olarak incelendi. Bulgular: Tekrarlayan düşük sonrası gebe kalan hastaların sezaryen oranı (% 47,8) primigravid ve multigravidlere göre anlamlı olarak fazladır (p<0.05). Abort grubunda en sık sezaryen nedeni kıymetli gebeliktir. Abort grubunda oksitosinle indüksiyon oranı primigravid ve multigravid olgulara göre anlamlı derecede daha azdır (p<0.001). Tekrarlayan düşük sonrası gebe kalan kadınlarda ve multigravid gebelerde anne yaşı ortalaması primigravid gruba göre anlamlı olarak fazladır. Doğan çocukların doğum tartısı, multigravid gruptaki gebelerde primigravid ve abort grubuna göre anlamlı olarak fazla bulunmuştur (p<0.001). Abort grubunun doğum öncesi hematokrit ortalaması primigravid ve multigravid olgulara göre anlamlı derecede daha fazladır (p< 0.001). Multigravid ve abort gruplarının doğum sonrası hematokrit ortalaması nulligravid olgulara göre anlamlı derecede fazladır (p<0.01). Sonuç: Çalışmamızın sonucuna göre tekrarlayan düşük sonrası gebe kalan kadınlarında yüksek sezeryan oranı saptandığı halde bu gebelikler kötü neonatal sonuçlarla ilgili bulunmamıştır.Objective: We compared the neonatal outcomes and the route of delivery in women who have had recurrent spontaneous abortions with the primigravid and multigravid women without a history of spontaneous abortion. Material and Methods: This study included 45 women with a history of recurrent spontaneous abortions and 139 women as the control group who gave birth at Suleymaniye Obstetrics and Gynecology Hospital between 2001-2006. The control group was divided into two subgroups: 74 primiravid women and 65 multigravid women. Data were collected from hospital records retrospectively. Results: The rate of cesarian section in the recurrent abortion group (47.8 %) were found to be significantly higher than the other groups (p<0.05). The most frequent indication of cesarian section in the recurrent abortion group was found to be precious pregnancy. Oxytocin for labor induction was used significantly less in the abortion group (p<0.001). Maternal age were higher in abort and multigravid group than primigravid group. The mean birth weight were higher in multigravid group than the abort and primigravid group “(p<0.001).” Hematocrit levels before birth were found to be significantly higher in abortion group than multigravid and primigravid group. Hematocrit levels after birth were found to be significantly higher in abortion and multigravid group than primigravid group (p<0.01). Conclusion: In conclusion we found that pregnancies after recurrent pregnancy losses were not related with adverse neonatal outcomes although they had high cesarean rates