Corrigendum to “The status of depression and anxiety in infertile Turkish couples” [Iran J Reprod Med 2011; 9: 99-104]

The publisher has been informed of an error that occurred on page 99 in which the second authors name must be changed to Ozlem Kayacik Gunday. On behalf of the author, the publisher wishes to apologize for this error. The online version of article has been updated on 31 August 2023 and can be found at https://doi.org/10.18502/ijrm.v9i2.104

Reproductive Outcome After Surgical Treatment of Endometriosis – Retrospective Analytical Study

Objective: The aim of the study was to investigate the reproductive outcomes of patients after surgical treatment of endometriosis. Material and Methods: The study included 100 infertile women, aged 21 to 41 years, who underwent surgical treatment of endometriosis. From January 2007 to January 2012, excision of endometriosis was performed by operative laparoscopy or laparotomy. Demographic, clinical, surgical and reproductive outcomes of 52 patients were retrospectively analyzed. Result: Twenty-three pregnancies (44%) were obtained in 52 patients, resulting in 16 term pregnancies, 4 spontaneous abortions under 16 weeks gestation, 2 spontaneous abortions at 20 gestational weeks and 1 ectopic pregnancy. Twenty nine patients did not achieve pregnancy and 68.9% (20/29) of them were treated with IVFICSI. Spontaneous pregnancies were obtained within 7 months after the surgery, whereas IVF-ICSI pregnancies were obtained within the period of 11 months. Seven patients were stage I, 14 patients stage II, 19 patients stage III, and 12 patients stage IV according to the American Fertility Society (AFS) Classification of Endometriosis. The pregnancy rate was 57% in stages I-II, 47% in stage III, 16% in stage IV endometriosis; and the rate of term pregnancies was 83%, 66%, and 0%, respectively. Seven pregnancies (7/14) were obtained in patients with bilateral endometriosis and 5 of them resulted in term pregnancy. Sixteen pregnancies (16/38) were obtained in patients with unilateral endometriosis and 11 of them resulted in term pregnancy. Conclusion: After surgical treatment of endometriosis, the pregnancy and live birth rates seem to be improved. Reproductive outcome is closely associated with the AFS score. Bilaterality of endometriosis does not affect pregnancy outcome

Ocena łożyska całkowicie przodującego przy pomocy rezonansu magnetycznego i ultrasonografii w celu wykrycia łożyska wrośniętego i jego wariantów

Objective: To evaluate the importance of ultrasonography (US) and magnetic resonance imaging (MRI) in detecting placental adherence defects. Material and methods: Patients diagnozed with total placenta previa (n=40) in whom hysterectomy was performed due to placental adherence defects (n=20) or in whom the placenta detached spontaneously after a Cesarean delivery (n=20) were included into the study between June 2008 and January 2011, at the Department of Obstetrics and Gynecology, Ege University (Izmir, Turkey). Gray-scale US was used to check for any placental lacunae, sub-placental sonolucent spaces or a placental mass invading the vesicouterine plane and bladder. Intra-placental lacunar turbulent blood flow and an increase in vascularization in the vesicouterine plane were evaluated with color Doppler mode. Subsequently, all patients had MRI and the results were compared with the histopathologic examinations. Results: The sensitivity of MRI for diagnosis of placental adherence defects before the operation was 95%, with a specificity of 95%. In the presence of at least one diagnostic criterion, the sensitivity and specificity of US were 87.5% and 100% respectively, while the sensitivity of color Doppler US was 62.5% with a specificity of 100%. Conclusions: Currently, MRI appears to be the gold standard for the diagnosis of placenta accreta. None of the ultrasonographic criteria is solely sufficient to diagnose placental adherence defects, however, they assist in the diagnostic process.Cel pracy: Celem pracy była ocena przydatności ultrasonografii (US) i rezonansu magnetycznego (MRI) w wykrywaniu nieprawidłowości implantacji łożyska. Materiał i metoda: Do badania włączono pacjentki, które leczone były w Klinice Położnictwa i Ginekologii na Uniwersytecie Ege w Izmirze (Turcja), w okresie od czerwca 2008 do stycznia 2011, z powodu łożyska całkowicie przodującego (n=40). U 20 pacjentek wykonano histerektomię z powodu trudności w oddzieleniu łożyska a u 20 łożysko oddzieliło się samoistnie w trakcie cięcia cesarskiego. Zastosowano skalę Graya do oceny lakun w łożysku, wolnych przestrzeni pod płytą łożyska oraz masy łożyskowej naciekającej płaszczyznę pęcherzowo-maciczną oraz pęcherz moczowy. W badaniu USG z kolorowym Dopplerem oceniano turbulentny przepływ krwi w lakunach wewnątrzłożyskowych oraz wzrost unaczynienia w płaszczyźnie pęcherzowo-macicznej. Następnie wszystkie pacjentki miały wykonane badanie MRI a wyniki porównano z oceną histopatologiczną. Wyniki: Czułość badania MRI dla rozpoznania nieprawidłowości implantacji łożyska przed operacją wyniosła 95% a specyficzność również 95%. Przy obecnym przynajmniej jednym kryterium diagnostycznym, czułość i specyficzność badania USG wyniosły odpowiednio 87,5% i 100%, podczas gdy czułość kolorowego Dopplera wyniosła 62,5% a specyficzność 100%. Wnioski: Obecnie badanie MRI jest złotym standardem wykrywania łożyska wrośniętego. Żadne z ultrasonograficznych kryteriów nie jest wystarczające do rozpoznania nieprawidłowości implantacji łożyska, aczkolwiek pełnią funkcję pomocniczą w procesie diagnostycznym

Fetal Inflammatory Response Syndrome

Systemic inflammatory response that occurred in foetus called foetal inflammation response syndrome. İt is characterized via existance of fetal vasculitis and increased proinflamatory cytokines in amnion fluid or in fetal blood. There is a intrauterine infection and foetus gives reaction to it. It effects maternal decidua,myometrium, amniotic and chorionic membranes, amnion fluid, umblical cord and placenta. Recent studies claims that these intraamniotic cytokines is originated from foetus. The effect of foetal inflammatory response on probable consequences are more important. In conclusion it is claimed that the ethiology of mostly seen complications like periventricular leukomalacia, intraventricular hemorrhage in preterm delivery may occur due to perinatal cytokin responce and gives rise to cerebral damage. Furthermore; impaired biophysical profile, depression at labour, asfixia are the clinical findings of this syndrome

The status of depression and anxiety in infertile Turkish couples

Background: Infertility is a major psychosocial crisis as well as being a medical problem. The factors that predict psychosocial consequences of infertility may vary in different gender and different infertile populations.Objective: The primary purpose of this study was to investigate whether Turkish infertile couples had higher levels of depression and anxiety when compared to non-infertile couples. Our secondary aim was to evaluate the relationship between sociodemographic characteristics and levels of depression and anxiety in Turkish infertile couples.Materials and Methods: We designed a descriptive cross sectional study of 248 infertile women and 96 infertile men with no psychiatric disturbance and 51 women and 40 men who have children to evaluate the depression and anxiety levels between infertile couples and fertile couples. A gynecologist evaluated participants for demographic data and then they were visited by a psychologist to perform questionnaire scales which were The Beck Depression Inventory and the State-Trait Anxiety Inventory for the evaluation of the degree of psychopathology. The data were statistically analyzed, with p<0.05 as the level of statistical significance.Results: We observed significant differences between the infertile couples and fertile couples with respect to state and trait anxiety (p<0.0001) while no difference was regarding with depression, both of women and men. Anxiety and depression were observed as independent from gender when infertile women and men were compared (p=0.213).Conclusion: We believed that the psychological management at infertile couples must be individualized with cultural, religious, and class related aspects

Prediction of neonatal respiratory distress syndrome via pulmonary artery Doppler examination

###EgeUn###Objective: We aimed with this study to evaluate the role of pulmonary artery acceleration time to ejection time ratio (PATET) in the prediction of respiratory distress syndrome (RDS) in preterm neonates. Materials and methods: In this prospective cohort study, 105 singleton pregnant women with no congenital abnormalities and pregnancy complications who delivered before 37 weeks of gestational age were included. All the patients underwent ultrasound examination to obtain fetal pulmonary artery Doppler. 15 patients were excluded from the study as they did not give birth within 3 days subsequent to ultrasound examination, or inadequate Doppler measurements. After delivery the neonates were grouped according to diagnosis of RDS as RDS + and RDS-. Results: One hundred five women met the inclusion criteria. Regarding the Doppler findings; only the PATET ratio was significantly different between the groups (0.2965 +/- 0.042 versus 0.386 +/- 0.068 p < .001, Z = -5.206). There was an inverse correlation between the diagnosis of RDS in the neonates and the PATET values, even after adjusted for gestational age estimated fetal weight and fetal gender (r = -0.52 and p = .0017). A cut-off value of 0.327 provided optimal specificity of 77.1%, a sensitivity of 90.9%, a negative predictive value of 95.4%, and a positive predictive value 52.7%. Conclusions: In consideration of these results fetal PATET ratio is a promising noninvasive tool to predict RDS in cases of preterm deliveries

Over kökenli matür kistik teratom olgularının analizi

OBJECTIVE: The aim of the study is to analyze the clinical management of patients with ovarian mature cystic teratomas. MATERIAL AND METHODS: Eighty-three patients with ovarian mass underwent exploratory laparotomy and diagnosed as having mature cystic teratoma with histopathological examination. The medical records of these patients were evaluated retrospectively. RESULTS: The ovarian mass presented asymptomatically in 43.3%(36/83) of the cases. Unilateral salpingooophorectomy was performed in 51.8%(43/83) of the cases and the types of surgery in the rest of the patients were ovarian cystectomy 19.2%( 16/83) and abdominal total hysterectomy and bilateral salpingooophorectomy 28.9%(24/83). The torsion of the ovarian mass was detected in 8 of the patients. The ovarian mass ranged between 2 cm and 25 cm in size. Postoperative complication was not observed in any of the patients. CONCLUSION: Ovarian mature cystic teratomas are the most common ovarian tumors seen in reproductive age; therefore conservative surgical management should be selected in most of the cases.AMAÇ: Bu çalışmanın amacı over kökenli matür kistik teratom olgularında klinik yönetimin incelenmesidir. GEREÇ VE YÖNTEM: Over kökenli kitlesi olan 83 hastada eksploratif laparatomi ve histopatolojik inceleme ile matür kistik teratom tanısı konmuştur. Bu hastaların tıbbi kayıtları retrospektif olarak değerlendirilmiştir. BULGULAR: Olguların %43.3'ünde (36/83) over kökenli kitle asemptomatik olarak bulunmuştur. Olguların %51.8'inde (43/83) unilateral salpingoooforektomi, %19.2'sinde (16/83) ovarian kistektomi ve %28.9'unda (24/83) abdominal total histerektomi ve bilateral salpingoooforektomi uygulandı. Olguların 8'inde torsiyon saptandı. Over kökenli kitlenin büyüklüğü 2 cm ile 25 cm arasında değişmekteydi. Olguların hiçbirinde postoperatif komplikasyon gelişmedi. SONUÇ: Over kökenli matür kistik teratom olguları en sık reprodüktif yaşta görüldüğünden olguların çoğunda konservatif cerrahi yaklaşım seçilmelidir