Fatma Yazıcı

Ovarian cancer during pregnancy

To evaluate the clinical features, pregnancy outcome, and treatment of patients with ovarian cancer diagnosed during pregnancy.

Are major depression and generalized anxiety disorder associated with intrauterine growth restriction in pregnant women? A case-control study

OBJECTIVE This study examined the prevalence of major depression and generalized anxiety disorder in pregnant women with and without a diagnosis of intrauterine growth restriction (IUGR). METHOD The study sample included 56 pregnant women with a diagnosis of IUGR and 92 control subjects. IUGR was determined by means of ultrasound assessment and was defined as estimated fetal weight, by ultrasound scan, which falls below the 10th percentile for the gestational age. Psychiatric evaluations were performed with depression and anxiety symptom scales and with structured clinical interviews. RESULTS Pregnant women with IUGR had higher scores of depressive and anxiety symptom scores and had a higher prevalence rate of major depression and generalized anxiety disorder. CONCLUSIONS According to the results of the present study, both major depression and generalized anxiety disorder appear to be associated with IUGR in pregnant women.

A New Technique For the Treatment of Transverse Vaginal Septum by Foley Catheter

We report a new surgical technique for the management of transverse vaginal septum in a 13-year-old girl who presented with abdominal pain. Imaging techniques yielded hematocolpos. The patient and her family refused vaginal surgery in order to preserve hymenal integrity for sociocultural beliefs. At laparotomy, a vertical incision was made on posterior vaginal wall. An artery forceps was introduced from the hymenal opening while preserving the hymenal integrity. The septum located on the upper third of vagina was perforated by the help of a forceps introduced from posterior vaginal wall via an abdominal route. A Foley catheter was introduced from the introitus toward the septal perforation and was held by the forceps. The balloon of the catheter was placed on the perforated septum and it was insufflated with 10 ml of fluid. The Foley catheter was in place for 2 weeks. After removal of the catheter, she received oral contraceptive pills for 3 months postoperatively. She had regular spontaneous menses on follow-up for 6 months duration.

Results of hysterosalpingogram in women with previous B‐Lynch suture

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Prenatal diagnosis of Milroy's primary congenital lymphedema

Primary lymphedema, which is caused by an intrinsic defect of the lymphatic vessels, can be genetic in origin (aplasia, hypoplasia, hyperplasia, and tortuosities). The most common form of hereditary primary lymphedema is Milroy disease, also known as primary congenital lymphedema. It is a relatively rare disorder, characterized by a firm edema of the lower extremities that can be generalized to the whole leg or limited to the feet or toes [1]. Its inheritance is autosomal dominant, and it is estimated to occur with an incidence rate of approximately 1 in 6000. The only known molecular cause of Milroy disease is mutation in the vascular endothelial growth factor receptor 3 (VEGFR3) gene. The gene locus of this malformation has been mapped to 5q35.3 [2]. In some families, the disorder is completely penetrant, while in others penetrance is incomplete (80e84%), with a male/female ratio of 1:2.3 [3].

Is Depression Associated With Glucose Tolerance Abnormality in Pregnant Women? A Cross-Sectonal Study

This study aims to examine the association between glucose tolerance abnormality and depression and anxiety in pregnant women. One hundred and sixty-seven women with gestational ages ranging from 24 to 28 weeks were screened with the 50 g oral glucose challenge test. All participants were assessed with the Beck Depression Inventory and the Beck Anxiety Inventory. The rate of depression was higher in women with abnormal glucose results (44.3%) than in women with normal glucose results (21.7%). Similarly, depressed women had higher glucose levels than non-depressed women. Findings suggest that depression and anxiety may be associated with glucose tolerance abnormality in pregnant women.