The perception of pain was significantly reduced with the use of a transperineal ultrasound assessment compared with routine digital vaginal examination. However, only during the latent stage of labor was the magnitude of the observed effect sufficiently great to be considered clinically significant. Our results indicate that transperineal ultrasound assessment could be preferred to digital examination for the evaluation of progression of labor during this phase. Digital examination has no clinically relevant effects on state anxiety levels, as measured by the STAI. Copyright © 2016 ISUOG. Published by John Wiley & Sons Ltd.
Purpose: Aim of the recent study to evaulate the relationship between premenapousal and postmenapousal women with abnormal uterin bleeding and endometrial sampling histopathological results. Material and Methods: Seven hundred sixty five women who applied Ankara University Departments of Obstetrics and Gynecology,and had endometrial sampling in September 2012-September 2014 were included inthis retrospective study. Patients were grouped as premenapousal and postmenapousal. Data was analyzed with a statistical processing analysing program (SPSS). Results: The mean age was 43,14 ± 7,92 in premenapousal group and 60,7 ± 7,88 in postmenapousal group. Of all cases, 33,3 % had endometrial polip and %1,6 had malignancy. In postmenapousal group had a higher incidence of malignancy. Conclusion: So we have to evaluate postmenapousal patients who have abnormal uterin bleeding more carefully, endometrial sampling should be applied in this patients.
Objectives:To determine the impact of the presence and severity of nause and vomiting in pregnancy (NVP) on health-related quality of life in pregnant adolescents. Methods: Two hundred and fifty adolescent pregnant women were included in this study. The Rhodes test was performed to determine the severity of nausea and vomiting, and the self-reported 36-Item Short Form Survey (SF-36) Scale was administered. The study was divided into four groups according to nausea severity (no, mild, moderate, severe) groups and SF-36 scores were compared among the groups. Results: Of the 250 pregnant women included in the study, 74.5% of women reported NVP. Low scores on the SF-36 were found for all items with increasing severity of NVP, with the lowest scores in the severe NVP group and the highest scores in the group with no NVP (p = 0.001). Multivariable analyses showed that severity of NVP was the most important factor for both the physical (PCS) and mental component summary (MCS) scales. The number of living children was significantly associated with lower PCS scores and being unable to share problems with spouse/relatives was correlated with lower MCS scores. Conclusion: The negative impact of nausea and vomiting on health-related quality of life, emphasises the importance of psychological support and optimal management of NVP in pregnant adolescents.
Objective:To investigate the association of first trimester serum uric acid levels with the development of gestational diabetes mellitus (GDM) in low-risk pregnant women.Materials and Methods:In this retrospective data analysis, the results of pregnant women who completed both first trimester biochemical panel and two-step GDM screening were compared with an age-, body mass index, and gestational age-matched control group. The women were grouped as either GDM or impaired glucose tolerance (IGT) according to 100-g oral glucose challenge results. Uric acid levels were compared between the groups and diagnostic utility was tested with receiver-operating characteristics curves.Results:Sixty-six women in GDM group and 358 women in the IGT group were compared against 202 healthy pregnant women. The groups did not differ significantly in terms of parity, pre-gestational body mass index and gestational age. Serum samples for uric acid levels were obtained. The mean serum uric acid levels were significantly higher in the GDM and IGT groups (5.95 mg/dL (±0.97 mg/dL) and 4.76 mg/dL (±1.51 mg/dL), respectively) compared with the control group (3.76 mg/dL (±1.07 mg/dL) (p<0.001). The area under the curve for uric acid levels was 0.92 (95% confidence interval 0.88-0.95) for diagnosis of GDM. At a diagnostic threshold of 3.95 mg/dL, uric acid levels predicted development of GDM with 60% specificity and 100% sensitivity.Conclusion:First trimester serum uric acid has a linear association with the development of GDM and IGT.
OBJECTIVE:We performed a retrospective study to evaluate adolescent pregnancies as for gestational complications, and prinatal outcomes.METHODS:We evaluated 341 pregnants whose data we could reach regarding gestational, and perinatal complications.RESULTS:In our study group anemia (35.4%), preeclampsia/eclampsia (1.45%), premature membrane rupture (1.4%), intrauterine growth retardation (3.81%), and instrumental delivery (0.3%) were seen in indicated incidence rates.CONCLUSION:In our retrospective study, we found lower our complication rates in adolescent age group when compared with the adult age group, and other studies performed in adolescents. Since our hospital is a tertiary health care institute, and we monitorized our patients closely, our incidence rates can be better than those cited in the literature. As long as proper antenatal surveillance is employed, adolescent mothers do not seem to have increased risk for most of obstetric complications.
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