Makale Arama

\r\n Aim: The aim of this study is to determine the relationship between pregnancy outcomes and histopathology examination of the intended placenta and umbilical cord specimens.

\r\n Patients and Methods: 112 placenta materials were scanned as retrospective in an archive of Usak University Education and Research Hospital of Pathology Department. Term placentas measurement were based on Kaufmann’s Pathology thus; 37-40 week, size 18 cm, weight 350-750 gr, thickness 2-2,5 cm. Umbilical cord's vessel number, membrane structure, chorioangioma, infarct, hematoma, hemorrhage were recorded. Infarct, chorioamnionitis, subchorionic fibrin deposit, congestion of chorionic vessel, subchorionic hemorrhage, corangiosis, chorioangioma, calcification, perivillous fibrin deposit, an effect of meconium, fibrinoid necrosis, villitis, ectasia of a chorionic vessel were detected as histopathologic findings. Gender, mode of delivery, maternal disease, birth weight, maternal age, parity, birth length, head circumference, APGAR between 0-9 were recorded.

\r\n Results: 112 placentas; 4 of 29 (13,7%) placental infarct, 2 of 19 (10,5 %) placental corangiosis, one of 17 (5,8%) subchorionic haemorrhage, 2 of 29 (6,8%) chorioamnionitis, one of 12 (8,3%) umbilical cord congesione cases were detected with abnormal pregnancy outcomes. Statistically significant results were found between subchorionic haemorrhage and placenta size (P = 0, 004), maternal age and umbilical cord dimension (P = 0, 0001), birth weight and placenta and umbilical cord dimensions (p = 0.000). However, no association was found between these parameters and pregnancy outcomes. Relationship between baby weight and placenta and umbilical cord size was determined in diabetic, preterm, ablatio placenta, and stillbirths and pregnancies. No significant association was found between histopathologic findings and pregnancy outcomes.

\r\n Conclusion: When placenta and umbilical cord specimens are evaluated, the location and size of the lesion should be indicated along with the presence of the lesion in order to explain regular clinical follow-up and adequate anamnesis as well as the effect on the pregnancy outcome.

Aim: Another issue that is as important as breast milk and breastfeeding today is the mental health of
postpartum mothers. The aim of the study is to evaluate the effect of postpartum depression and anxiety
levels of puerperant women aged 18-49 on breastfeeding attitude s.
Patients and Methods: This study was conducted with 243 participants over the age of 18, who did
not have any psychiatric disease before or during pregnancy, who applied for puerperal and newborn
vaccination between February 1, 2021 and August 1, 2021, registered to the central family health centers.
Results: It was observed that women's education, necessity of breast milk, breastfeeding knowledge
level and breastfeeding duration affected their breastfeeding attitude levels. When we examined the
breastfeeding attitudes according to the weeks of birth, it was seen that the breastfeeding attitudes of
the participants who gave birth before 32 weeks were at a higher level than those who gave birth at 36
weeks or more (p=0.001).
Conclusion: It is evaluated in terms of the state of the optimizable how it affects the views according to
the results. In the field of education, which receives support in state anxiety and postpartum appearance,
it can be played that the body will affect the mother and baby positively, regarding the communication in
this regard, for better general appearance.

The presence of cardiac disease in pregnancy is still one of the most important reason of maternal mortality. The possibility of acute coronary syndrome increases in pregnancy. Birth with caesarean section provides proper hemodynamic monitoring and management in parturients with cardiac disease. However the ideal anesthetic to be applied to parturient with cardiac disease is controversial. Although regional anesthesia is usually preferred method, general anesthesia may be applied in some special cases. Invasive monitoring reduces mortality and morbidity in cardiac patients undergoing general anesthesia. Opioid use reduces the stress response to surgery and intubation. If the use of opioid is required before birth, remifentanil is the ideal agent because of its rapid onset of action and metabolism. In this case, we aimed to present our general anesthesia experience on a parturient with high cardiac risk where regional anesthesia is contraindicated because of the use of anticoagulation.

ABSTRACT

Objective: The aim of this study was to investigate the effects of kinesiological banding on symptoms in carpal tunnel syndrome associated with pregnancy.

Materials and Methods: Patients who were admitted to the Physical Therapy and Rehabilitation Clinic due to carpal tunnel syndrome and who were diagnosed with carpal tunnel syndrome by electromyography and who were able to reach the visuel analog score, Short Form-36, Boston Carpal Tunnel Questionnaire and Pittsburgh Sleep Quality Index values were included in the study.

Results: In both groups, there was a significantly difference between the first visuel analog score day-night and the last visuel analog score day-night and first and last Pittsburgh Sleep Quality Index (p<0,05). While there was a significantly improvement in the Boston Symptom Severity Scale, there was no significantly difference in Boston Functional Capacity Scale. In the comparison between the groups, visuel analog score day, Short Form-36 pain parameter and decrease in Boston Symptom Severity Scale were found statistically significant.

Conclusions: In our study, although the superiority of kinesiological banding on hand-wrist rest splint could not be clearly shown, decreased pain and symptoms and an increase in sleep quality were observed.The kinesiological banding should be in mind in patients who have no response to resting splint because of low treatment options during pregnancy.

\r\n Tubal torsion is a very rare case, especially in pregnancy. We present a case of a patient of 24 weeks gestation that was admitted to our clinic with acute abdomen. Radiological and biochemical investigations did not reveal the cause of abdominal pain which resulted in laparatomic exploration. During the operation, the Morgagni cyst, previously explored by ultrasonographic examination, and the right fallopian tube were found twisted among themselves. Cystectomy and detorsion was performed of the Morgagni cyst and the fallopian tube, respectively.  

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 Heterotopic pregnancy is a condition in which intra- and extrauterine pregnancies occur at the same time. However in the last decades there has been a significant increase of heterotopic pregnancy as high as %1-3 , this raised frequency has been attributed to the extended use of assisted reproductive technologies. Because it is a rare condition,there is no standart management or treatment method for heterotopic pregnancy. Usually methotrexate, RU 486 (Mifepristone) and prostaglandins aren’t used if intrauterine pregnancy wanted to persist, because of their potantial teratogenic effects on embryo. Here we present a case with heterotopic pregnancy who were treated by surgery for ectopic pregnancy and intrauterine pregnancy ended with labour of a healthy infant in term.

\r\n Autism spectrum disorder is a neuro-developmental disorder characterized by social interaction and communication, and restricted and repetitive behaviors. Autism is seen in nearly one of 68 children. The incidence is reported to increase, and the increase is suggested to arise from increased information, awareness and alterations in diagnostic criteria. However, environmental factors and their relationships to several unknown genetic factors are also considered to contribute to the increase. The assessment of whether environmental factors lead to risks for autism spectrum disorder in perinatal period, especially when children are exposed to these factors in a neurodevelopmentally important and fragile stage, is so important. It is reported that in pregnancy, there is an association between autism spectrum disorder, and exposure to such drugs as valporic acid, terbutaline and Selective Seratonin Reuptake Inhibitors.Exposure to heavy metals and pesticides increases the risk of autism spectrum disorder.Intense smoking, and alcohol consumption and drugsdisrupt neurodevelopmental process, Also, gestational diabetes may elavate the risk of autism spectrum disorder due to autoimmunal disorders, infections and inflammatory pocesse of prolonged fever. Migration, seasons and air pollution exposed in pregnancy are also reported to affect autism spectrum disorder risk. The awareness level between environmental factors and autism spectrum disorder should be increased among prospective mothers, and these mothers should be trained as to the risk factors. Because prospective mothers avoid these factors, or the elimination of these factors should be beneficial for reducing autism spectrum disorder risk, analyzing related studies and enlightening risk factors are especially important. Here, we aimed at revising recent studies related to prenatal factors from a holistic perspective.

Objective: To determine the effect of COVID-19 infection on anxiety level in pregnant women.

Material and Methods: In this study, a questionnaire and Beck anxiety scale were applied to pregnant women who referred to outpatient clinic for routine pregnancy control in June 2020 to determine their concerns that may be related to COVID-19. Pregnant women admitted with obstetric emergencies and obstetric risk were not included in the study.

Results: 177 pregnant women were included in the study and the pregnant women were divided into four groups according to their score on Beck anxiety scale. Anxiety level of pregnant women was 44.6%. The possibility of not being with his family at the time of birth and the fear of death due to COVID-19 were statistically significantly associated with higher anxiety levels.

Conclusions: In this process, it is important to provide psychosocial support in addition to the follow-up of pregnant women by a multidisciplinary team consisting of perinatology, newborn and intensive care specialists.

Objectives:  In this study, the results of hearing screening tests were compared to explore the effects of iron deficiency anemia (IDA) on hearing in newborns whose mothers have IDA and who do not have any known risk factor for sensorineural hearing loss.

Methods: This retrospective cross-sectional study. The study included 6578 healthy neonates born to mothers who were beyond their gestational week 37, and who themselves or their family did not have hearing loss or any comorbid disease other than iron deficiency anemia.  The participating neonates’ birth characteristics and the maternal demographic characteristics, auditory brainstem response (ABR) results were obtained from the hospital database.

Results: A positive result was obtained from the second level hearing test in 174 newborns. An idiopathic hearing loss was detected in 25 (0.38%) newborns during their third line of hearing assessment. While anemia was present in the mothers of 17 (0.25%) newborns, no anemia was found in the mothers of 8 (0.12%) newborns (p:0,001).

Conclusions:  Knowing the impact of iron on myelination, and therefore, on hearing function is important to prevent any academic and behavioral problems that can be faced by these newborns in their future lives.