This study demonstrated that, entanglement of umbilical cord around the fetal neck or NC is not related with adverse perinatal outcomes such as acidosis and low APGAR scores. So that, a targeted care on NC via ultrasound during labor, is not an essential part of the examination.

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Objective:To evaluate the effect of a pre-procedural information video on anxiety levels in patients undergoing hysterosalpingography (HSG).Material and Methods:Among a total of 131 primary or secondary infertile patients, 66 were shown an information video and 67 control patients received standard care between August 2014 and January 2016. The video included information on the procedure, personnel, and the room for the procedure; the video was shown on the morning of the procedure. Patients were randomized using the complete randomization technique through which patients were included in the study and control groups week by week, randomly. The Beck Anxiety Inventory scale was conducted to the patients one hour before the procedureResults:There were no differences in demographic data. The history of previous gynecologic operations was higher in the control group. The Beck Anxiety score was significantly lower in the study group compared with the control group (6 vs 10).Conclusion:Our findings suggest that as an easy intervention to implement, a pre-procedural video education may be a beneficial tool for the management of HSG-related anxiety.

No abstract

A disintegrin-like and metalloproteinase domain with thrombospondin-type 1 motifs (ADAMTS) protein superfamily includes 19 secreted metalloproteases. Proteolytic substrates of ADAMTS enzymes have been linked to reproductive function. The aim of this study was to investigate serum ADAMTS-3, -13, -16, and -19 levels in women with habitual abortions compared with those in healthy controls. A total of 86 women were enrolled in this prospective case-control study. ADAMTS-3, -13, -16, and -19 values were recorded and analyzed in association with demographic and clinical parameters. There were no statistically significant differences between the two groups in terms of demographics. No statistically significant differences were observed between the groups with regard to ADAMTS-13 and -19 levels (p>0.05). However, ADAMTS-3 and -16 were significantly higher in the study group than in the control group (p=0.004 and p=0.005, respectively). To estimate habitual abortions using an area under receiver operating characteristic curve analysis, the cutoff values for ADAMTS-3 and -16 were found to be 87.28 ng/mL (sensitivity, 64.44%; specificity 68.29%) and 15.75 ng/mL (sensitivity, 66.67%; specificity 68.29%), respectively. In conclusion, the pregnancy-loss rate seems to be affected by both ADAMTS-3 and -16.

There is no association between CD markers and unexplained RPL. For the present, we do not recommend screening for ATA IgA and ATA IgG in patients with a history of RPL.

Objective: This study aimed to evaluate the association between subclinical hypothyroidism and thyroid autoantibodies with clinical pregnancy rate after intrauterine insemination (IUI) in euthyroid women. Methods: In this prospective cohort study, we recruited 497 women who underwent IUI treatment. We assessed thyroid function tests, thyroid antibodies and clinical pregnancy rates of the patients. Results: The patients were divided into two groups according to TSH values: normal group, n=387, and subclinical hypothyroidism group 2, n=110. The clinical pregnancy rate was 15.2% in the Control Group and 17.3% in the study group ( p =0.656). In the Study Group, 35% of the patients had anti-TPO positivity ( p =0.531) and 42.1% of the patients had anti-TG positivity ( p =0.285). There was no statistically significant difference in clinical pregnancy rates between the groups in terms of antithyroid antibody positivity ( p =0.54; p =0.559, respectively). Conclusion: Anti-TPO antibodies and subclinical hypothyroidism had no impact on clinical pregnancy rates in the women submitted to IUI.

Ektopik gebelik, fertilize olmuş ovumun uterus dışında, sıklıkla fallop tüplerinde implante olması olarak tanımlanmaktadır. Ektopik gebeliğin tanısında; anamnez, fizik ve jinekolojik muayene, ultrasonografi, serum β-hCG değerleri, culdosynthesis, D&C ve laparoskopi kullanılmaktadır. Ektopik gebelik, medikal veya cerrahi olarak tedavi edilebilir ya da yalnızca izlenebilir. Her iki yöntemde etkilidir. Tercih; klinik duruma, ektopik gebelik lokalizasyonuna ve mevcut olanaklara bağlıdır. Bu olgu sunumunda kasık ağrısı ile polikliniğe başvuran, β-hCG değeri düşük olan intraoperatif ektopik gebelik düşünülen ve patoloji sonucu da ektopik gebelik ile uyumlu gelen bir olgu sunulacaktır.