Fatma Devran Bildircin

Comparison of perinatal outcome between adolescent and adult pregnancies

Abstract Objective: The aim of this study was to compare perinatal outcomes between adolescent and adult pregnancies. Material and methods: In 527 adolescent and 1334 adult pregnant women who delivered at Ondokuz Mayis University Obstetrics and Gynecology Department between 2006 and 2013, perinatal outcomes were retrospectively compared in terms of including spontaneous abortion, induced abortion rate, dilatation and curettage (D&C), pregnancy-induced hypertension, premature prelabor and prelabor rupture of membranes, polihydramnios, oligohydramnios, maternal anemia, delivery modes and also neonatal outcomes including 5th minute Apgar score and fetal birth weight. Results: The ratio of pregnancy induced hypertension and postpartum hemorrhage was higher in adults, but, anemia was more common in adolescents. There was statistically significant difference in the mode of delivery; the ratio of cesarean section was higher in adults whereas the rate of induced abortions and D&C significantly increased in adolescents. Low birth weight (LBW) and extremely LBW rates were significantly higher in adolescents, however, 5th minute Apgar scores were found to be higher than adult group. Conclusion: These results show that the perinatal care is fairly improved in Turkey.

Successful Pregnancy and Delivery in a Patient with Bladder Exstrophy

Bladder exstrophy (BE) is a rare congenital anomaly. Owing to the advanced reconstructive surgical techniques and effective antibiotics, the incidence of urinary and systemic complications in patients with BE has decreased and the life expectancy has increased. However, this brings along social, sexual, and psychological problems; particularly, successful pregnancy and delivery is extremely rare in females with BE. We present a pregnancy of an 18-year-old female with BE, who has been followed at our university hospital since birth.

Long-Term Outcome of Fetuses with Soft Marker and Without Genetic or Structural Abnormality

PurposeTo determine long-term outcome of infants with isolated or multiple soft markers but no structural or chromosomal abnormalities.MethodsA retrospective study of 78 pregnant women who were referred for amniocentesis and found to have soft markers including echogenic intracardiac focus/foci (EIF), echogenic bowel (EB), unilateral or bilateral choroid plexus cysts, (UCPCs or BCPCs) mild pyelectasis and single umbilical artery but no structural anomalies and outcomes of the liveborns with a 4- to 9-year follow-up was conducted.ResultsAmong 28 fetuses with EIF, allergic asthma and epilepsy were diagnosed in two liveborns. We followed up nine pregnancies with EB, epilepsy was present in one case. Allergic asthma was detected in both UCPCs and BCPCs, whereas epilepsy and attention-deficit/hyperactivity disorder (ADHD) were diagnosed in two liveborns with BCPCs. Twelve liveborns with multiple soft markers were evaluated; no pathology was detected in most of them except one case of allergic asthma, one case of hearing impairment and one case of ADHD.ConclusionsThis study shows longer-term favorable outcomes of the liveborns with isolated or multiple soft markers without any aneuploidy and may provide insight into this debated point.

A Very Rare Case of Subacute Isolated Tubal Torsion In a Postmenopausal Woman

Isolated tubal torsion is a very rare entity with a reported incidence of 1:1.500.000. In postmenopausal period it is even more rare. In this case report we present a postmenopausal patient with subacute pelvic pain and adnexal mass whose definitive diagnosis at laparotomy was isolated tubal torsion. Until now, to our knowledge, only 3 cases of postmenopausal isolated tubal torsion has been described in the literature. One-month duration of symptoms indicating the subacute nature of torsion was also unique in this case. Intraoperatively, the right tube was twisted 7-8 times just beside a paratubal cyst which is in the form of a 10x8x8 cm hemorrhagic necrotic cystic mass. Total abdominal hysterectomy, bilateral salpingoophorectomy and appendectomy procedure was undertaken.