Maternal and perinatal outcomes of dichorionic diamniotic twin pregnancies diagnosed with vanishing twin syndrome: a retrospective analysis from a single clinical center

Objectives: Multiple pregnancies are known to be associated with adverse maternal and perinatal complications. How­ever, data regarding the outcomes of spontaneously reduced twin pregnancies are limited. In the current study we aimed to evaluate the consequences of the vanishing twin syndrome (VTS) in dichorionic diamniotic twin pregnancies for both mother and baby in our perinatal center. Material and methods: A total of 711 pregnancies were included into the study. 51 cases of vanishing twin syndrome constituted Group 1, 235 cases of normal twins constituted Group 2, and 425 singleton pregnancies formed Group 3. The pregnancies that had multifetal reduction and monochorionic twinning were excluded from both study group and twin control group. The collected data were as follows: age, gravidity, parity, gestational week at birth, delivery route, birth weight, obstetric complications, and maternal and perinatal outcomes. Results: No significant difference was observed between the groups regarding mean maternal age (p > 0.05). Mean birth weight, gestational age at birth and preterm birth ratio were significantly lower in the Group 2 when compared with Group 1 and Group 3 (all p < 0.001). Adverse perinatal outcomes including very low birth weight (VLBV) and low Apgar scores were more common in Group 1 (p < 0.05), but no significant difference was found between the groups in terms of neona­tal intensive care unit admission and perinatal mortality ratios (p > 0.05). Obstetric complications such as preeclampsia, gestational diabetes and intrauterine growth restriction were significantly higher in Group 2 than in Group 1 and Group 3 (all p < 0.05). However, severe maternal morbidities were similar among three groups (p = 0.141). Conclusions: VTS is seems to be associated with VLBV and low Apgar scores. However, the incidence of severe maternal and perinatal morbidity and mortality in pregnancies with VTS is similar to other pregnancies

Parameters affecting to select of contraceptive methods

Aim of this study is to evaluate the relationship between choose a contraceptive method and demographic values in patients who examined in our family planning clinic. This study included 252 patients who want to choose a contraceptive method to prevent pregnancy in Zekai Tahir Burak Women Health and Resource Hospital family planning clinic. Risk factors recorded were age, gravidity, parity, duration of marriage, education status, systemic disease and selected contraceptive method. The mean age of the study group was 30.4±8.6 and the mean of the duration of marriage, gravidity, parity were 9.4±6.2(0-12) years, 3.1±1.6 (0-7), 2.6±1.4 (0-5); respectively. The most commonly used method were coitus interruptus (% 30.6). The frequency of other methods were; intrauterine device (IUD) (%29.7),oral contraceptives (%15.1), condom (%11.5), tubal ligation (% 3.1), depot progesterone (%9.12), subcutaneous implants (%0.8); respectively. Women's level of education increases, subcutaneous implants , oral contraceptives and IUD use was increasing (p [Med-Science 2016; 5(3.000): 790-2

The Predictive Role of Serum Cystatin C Levels in Polycystic Ovary Syndrome in Adolescents

Study Objective: To evaluate the correlation between serum cystatin levels and clinical parameters in adolescents with polycystic ovary syndrome (PCOS)

Association of oxidative stress marker ischemia modified albumin and polycystic ovary syndrome in adolescent and young girls

Objective: The pathophysiologic features of polycystic ovary syndrome (PCOS) seem to be a combination of genetic predisposition and environmental factors. However, data regarding the exact effect of oxidative stress on PCOS is conflicting. This cross sectional and case-control study was designed to compare the serum ischemia modified albumin (IMA) levels in adolescent and young girls with and without PCOS

Association of clinical outcomes and complications with obesity in patients who have undergone abdominal myomectomy

Background: This study aimed to evaluate the association between complications and clinical parameters with obesity in 273 women who have undergone abdominal myomectomy during the study period. Methods: The patients were classified into two groups according to body mass index (BMI) (≤30 kg/m2 and >30 kg/m2). Demographic, preoperative and postoperative clinical parameters were evaluated. Results: Demographic, preoperative and postoperative clinical parameters were evaluated. The results showed statistically significant differences between the obese and non-obese groups in terms of age, gravidity, diameter of fibroid (DOF), postoperative hemoglobin, duration of hospital stay, and complications. Patients in the obese group had greater DOF and complications such as hemorrhage, postoperative fever, wound infection and ileus (p < 0.05). Conclusion: Based on our results, we conclude that obesity adversely affects the clinical outcomes of patients who undergo abdominal myomectomy