Fetal Circulatory Variation in an Acute Incident Causing Bradycardia

Umbilical artery\vein, middle cerebral artery, and ductus venosus Doppler velocimetry were performed at 33 weeks of gestation in the settings of an intrauterine growth restricted fetus during a heart rate deceleration. Interestingly, we recorded a sudden onset redistribution of fetal blood flow with fetal bradycardia. Spontaneous normalization of waveforms was observed once fetal heart rate returned to normal. Our case provides evidence to circulatory variation of a human fetus resulting from an acute incident causing bradycardia

Do Bmı or Waıst-to-Hıp Ratıo Interfere wıth The Number of Oocytes Retrıeved ın IVF Cycles?

The effect of obesity on ovarian response to ovulation induction and on in vitro fertilization (IVF) outcome is controversial. This controversy might stem from the fact that almost all studies on the subject use body mass index (BMI) for obesity measurement. We aimed to determine which obesity measure predicts the possible effect of obesity on ovarian response in IVF patients. In this retrospective study, patients who presented for IVF and underwent an antagonist protocol were included. Their histories and cycle properties were recorded, as well as their BMI and waist-to-hip (W/H) ratios. A total of 35 patients were included. While normal BMI significantly lowered the gonadotropin dose, normal W/H ratio increased the antral follicle count (AFC). Both BMI and W/H ratio did not significantly affect either the number of oocytes retrieved or the metaphase II oocytes. Ovulation induction during IVF cycles can overcome the adverse effects of obesity on ovarian reserve. Large-sample-sized, well-designed studies must be performed to clarify the best obesity measurement method for infertility treatment and to determine the real effect of obesity on IVF success

Is BMI Sufficient to Evaluate the Association between Obesity and Ovarian Reserves?

Body fat content and distribution might have an effect on ovarian reserves. Here, we studied the effects of body fat distribution on the antral follicle count (AFC) of women who consulted for infertility. In this two-center study, the ovarian reserves of patients who came to the hospital for infertility treatment was evaluated based on their AFC and early follicular phase follicle-stimulating hormone (FSH) levels. In addition, adiposity was evaluated using their body mass index (BMI) and waist-to-hip ratios (WHRs), the subcutaneous tissue thickness of the bicipital and tricipital regions, and the body adiposity index (BAI). Body fat distribution was evaluated using bioelectrical impedance analysis (BIA). We evaluated 58 patients in this study. While we failed to show a relationship between BMI and WHR based on the AFC, there was a significant relationship between body fat percentage and the AFC. The AFC in patients with < 35% body fat and ≥ 35% body fat was 11.54 ± 4.27 and 9.00 ± 3.95, respectively (p = 0.029). There was no significant relationship between the AFC and the WHR, BAI, and bicipital and tricipital subcutaneous tissue thickness. BMI may not reflect the adiposity of every patient. When evaluating the ovarian reserves of patients, we must consider other measures of obesity that reflect body fatness. Further large studies must be conducted to investigate the relationship between body fat and infertility

Fetal Circulatory Variation in an Acute Incident Causing Bradycardia

Umbilical artery\vein, middle cerebral artery, and ductus venosus Doppler velocimetry were performed at 33 weeks of gestation in the settings of an intrauterine growth restricted fetus during a heart rate deceleration. Interestingly, we recorded a sudden onset redistribution of fetal blood flow with fetal bradycardia. Spontaneous normalization of waveforms was observed once fetal heart rate returned to normal. Our case provides evidence to circulatory variation of a human fetus resulting from an acute incident causing bradycardia

Fatal Disseminated Tuberculous Peritonitis following Spontaneous Abortion: A Case Report

We describe a rare case of fatal disseminated tuberculous peritonitis in a young woman with rapid progressive clinical course following spontaneous abortion of 20-week gestation. Clinical and laboratory findings were initially unremarkable. She underwent diagnostic laparoscopy which revealed numerous tiny implants on the peritoneum and viscera. Histopathology showed chronic caseating granulomas, and the tissue culture grew Mycobacterium tuberculosis. At fifth day of the antituberculous treatment multiorgan failure occurred in terms of pulmonary, hepatic, and renal insufficiency. She developed refractory metabolic acidosis with coagulopathy and pancytopenia, and she died of acute respiratory distress syndrome and septic shock on her twelfth day of hospitalization

Knowledge and Perception about Oocyte Donation in a Semirural Region of Turkey

Objective: To evaluate the general knowledge and perception of people living in a semi-rural area of Turkey where oocyte donation is currently illegal and to explore decision-making factors around the adoption of oocyte donation