Predictor variables in the success of slow-release dinoprostone used for cervical ripening in intrauterine growth restriction pregnancies

Oğlak, Süleyman Cemil; Bademkıran, Muhammed Hanifi; Obut, Mehmet

doi:10.1016/j.jogoh.2020.101739

Cited by 51 publications

(48 citation statements)

References 23 publications

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“…Fetal biometric measurements were made according to Hadlock nomograms and estimated fetal weight (EFW) was calculated with the Hadlock formula. Those with abdominal circumference (AC)/EFW <3 rd percentile or absent-reverse end-diastolic flow in the umbilical artery or AC/EFW <10 th percentile combined with a pulsatility index >95 th percentile in either the umbilical or uterine artery were considered to have an intrauterine growth restriction ( 14 ) .…”

Section: Methodsmentioning

confidence: 99%

Should isolated aberrant right subclavian artery be ignored in the antenatal period? A management dilemma

Behram¹,

Çaypınar²,

Oğlak³

et al. 2021

tjod

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Objective: To investigate the frequency and types of chromosomal abnormalities in fetuses with the aberrant right subclavian artery (ARSA) and to evaluate its association with other ultrasonographic findings. Materials and Methods: In all, 11,666 fetal anatomic surveys were performed between March 2014 and March 2020. The cases diagnosed as ARSA were examined. Accompanying ultrasound findings and chromosomal abnormalities were collected. Results: ARSA was detected in 140 fetuses (1.2%). The ARSA appeared isolated in 47.1% (66/140) of cases and the remaining 52.9% (74/140) of cases were associated with cardiac or extracardiac malformations and soft markers. Chromosomal abnormalities were detected in 17.8% (25/140) of all cases. Trisomy 21 was the most common chromosomal anomaly with a prevalence of 11.4% (16/140). The corresponding rate was 3% (2/66) and 18.9% (14/74) for isolated and non-isolated ARSA, respectively. DiGeorge syndrome was detected in 3% (n=2) and Turner syndrome was in 3% (n=2) of the isolated group. ARSA was not an isolated finding in any of the 4 fetuses with trisomy 18. Conclusion: Isolated ARSA may be the only antenatal predictor of trisomy 21 or other chromosomal anomalies, including DiGeorge or Turner syndrome. Hence, visualization of the right subclavian artery should be a part of the fetal anatomic survey and genetic analysis should be recommended even in the absence of associated findings.

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Section: Methodsmentioning

confidence: 99%

Should isolated aberrant right subclavian artery be ignored in the antenatal period? A management dilemma

Behram¹,

Çaypınar²,

Oğlak³

et al. 2021

tjod

Self Cite

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“…Clinical chorioamnionitis was diagnosed with the following signs: fever (≥ 38ºC orally), maternal tachycardia (> 100 beats/minute), fetal tachycardia (> 160 beats/minute), leukocytosis, purulent vaginal discharge, uterine tenderness, and abdominal pain [18]. We performed labor induction by cervical ripening with a vaginal prostaglandin E2 slow-release system [19]. Indication for cesarean section for non-reassuring fetal status was based on abnormal fetal heart rate monitoring [20].…”

Section: Methodsmentioning

confidence: 99%

Maternal serum IL-22 concentrations are significantly upregulated in patients with preterm premature rupture of membranes

et al. 2021

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“…Preeklampsi gebelikte en zorlu konulardan biri olup, ciddi maternal/perinatal mortalite ve morbiditeye neden olur (13,14). Bu nedenle, preeklampsi için konservatif ve destekleyici tedavi-yönetim protokolleri, HT tedavisi, epilepsi profilaksisi, doğum zamanın optimizasyonu, prematüreye bağlı komplikasyonların önlenmesi, annenin üçüncü basamak bir sağlık merkezine sevki ve ağır komplikasyonları olan hastaların yoğun bakım ünitesine alınması gibi preeklampsi ile ilişkili maternal/perinatal mortalite ve morbiditenin önlenmesine yöneliktir (15,16).…”

Section: Gereç Ve Yöntemlerunclassified

Preeklampsi ile komplike olmuş gebelerde 24 saatlik idrarda proteinüri değerlerinin maternal ve perinatal sonuçlar üzerine etkisi

Behram

Oğlak

Bolluk

et al. 2021

Jinekoloji-Obstetrik Ve Neonatoloji Tıp Dergisi

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Aim: This study aimed to evaluate the relation of 24-hour proteinuria (PU) levels in preeclamptic patients with maternal and perinatal outcomes. Materials and Methods:Patients who were hospitalized with the diagnosis of preeclampsia (n=97) were divided into three groups as mild (0.3-2 g), severe (2-5 g), and massive (≥5 g) PU, according to their 24-hour PU levels. The patients' descriptive and clinical data, prenatal and postnatal blood and urine biochemistry results, inputs about the weeks of birth, and hospitalizations, birth information of the newborn were obtained from the patient files, and comparison and relationship analyzes were performed between three PU groups.Results: There were 41, 17, and 34 patients in the mild, severe, and massive PU groups, respectively. The mean 24-hour PU amount of the patients before delivery was 4776.4±5616.6 (mg/dL). Besides, 20% of the mothers developed complications in the postpartum period. Age, red cell distribution width (RDW), and duration from hospitalization to birth were significantly lower in the severe PU group than the mild PU group. In the massive PU group, AST and cord pH were lower than in the mild PU group; but BUN, creatinine, and WBC were higher. A statistically significant increase was observed only in the creatinine level in the massive PU groups, in comparison with the severe PU group. Conclusion:In severe and massive PU groups, BUN, WBC, and creatinine levels are higher, cord pH is lower. Long-term and further studies are needed to determine whether BUN and creatinin values that show renal function affect long-term maternal renal function and the effect of low umbilical cord pH value at birth on long-term outcomes of newborns.

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Predictor variables in the success of slow-release dinoprostone used for cervical ripening in intrauterine growth restriction pregnancies

Cited by 51 publications

References 23 publications

Should isolated aberrant right subclavian artery be ignored in the antenatal period? A management dilemma

Should isolated aberrant right subclavian artery be ignored in the antenatal period? A management dilemma

Maternal serum IL-22 concentrations are significantly upregulated in patients with preterm premature rupture of membranes

Preeklampsi ile komplike olmuş gebelerde 24 saatlik idrarda proteinüri değerlerinin maternal ve perinatal sonuçlar üzerine etkisi

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