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Permanent URI for this collectionhttps://hdl.handle.net/11443/932
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Item Evaluation of the delivery time and adverse neonatal outcomes in urinary culture-positive preterm delivery and preterm premature rupture of membranes(CUKUROVA UNIV, FAC MEDICINE, 2020-01-01) Ozler, Sibel; Oztas, Efser; Solmaz, Derya; Guler, Basak G.; Ersoy, Ali Ozgur; Caglar, Ali T.; Danisman, NuriPurpose: We aimed to investigate the relationship between adverse neonatal outcomes and the time period of labor in between urinary tract infection in preterm premature rupture of membranes (PPROM) to preterm labor (PL). Materials and Methods: We evaluated a total number of 1033 pregnant patients who admitted to our center between 2008 and 2014, with retrospective analysis. Study groups consisted of 446 PPROM and 587 PL patients who had urine cultures. Results: We determined cervical lengths which were measured by transvaginal ultrasonography, with OR = 0.806 and amniotic fluid index (AFI), OR = 0.961 in PPROM group, which had positive urine culture, and also cervical length OR = 0.862 in PL group which had positive urine culture and to be associated with shorter than seven days of delivery. Additionally, we determined that only the AFI, with OR = 0.982, to be associated with adverse neonatal outcomes in the PPROM group, having positive urine culture. Conclusion: AFI and cervical length can also be used to predict adverse neonatal outcomes and time of delivery in urine culture positive PPROM and PL patients.Item Maternal and perinatal outcomes of dichorionic diamniotic twin pregnancies diagnosed with vanishing twin syndrome: a retrospective analysis from a single clinical center(VIA MEDICA, 2018-01-01) Timur, Hakan; Aksoy, Rifat Taner; Tokmak, Aytekin; Timur, Burcu; Coskun, Bugra; Uygur, Dilek; Danisman, NuriObjectives: Multiple pregnancies are known to be associated with adverse maternal and perinatal complications. However, data regarding the outcomes of spontaneously reduced twin pregnancies are limited. In the current study we aimed to evaluate the consequences of the vanishing twin syndrome (VTS) in dichorionic diamniotic twin pregnancies for both mother and baby in our perinatal center. Material and methods: A total of 711 pregnancies were included into the study. 51 cases of vanishing twin syndrome constituted Group 1, 235 cases of normal twins constituted Group 2, and 425 singleton pregnancies formed Group 3. The pregnancies that had multifetal reduction and monochorionic twinning were excluded from both study group and twin control group. The collected data were as follows: age, gravidity, parity, gestational week at birth, delivery route, birth weight, obstetric complications, and maternal and perinatal outcomes. Results: No significant difference was observed between the groups regarding mean maternal age (p > 0.05). Mean birth weight, gestational age at birth and preterm birth ratio were significantly lower in the Group 2 when compared with Group 1 and Group 3 (all p < 0.001). Adverse perinatal outcomes including very low birth weight (VLBV) and low Apgar scores were more common in Group 1 (p < 0.05), but no significant difference was found between the groups in terms of neonatal intensive care unit admission and perinatal mortality ratios (p > 0.05). Obstetric complications such as preeclampsia, gestational diabetes and intrauterine growth restriction were significantly higher in Group 2 than in Group 1 and Group 3 (all p < 0.05). However, severe maternal morbidities were similar among three groups (p = 0.141). Conclusions: VTS is seems to be associated with VLBV and low Apgar scores. However, the incidence of severe maternal and perinatal morbidity and mortality in pregnancies with VTS is similar to other pregnancies.Item The significance of reverse flow in ductus venosus between sixteen and twenty weeks' gestation (vol 14, pg 23, 2017)(GALENOS YAYINCILIK, 2017-01-01) Karakoc, Gokhan; Yuvuz; Yalcin, Serenat Eris; Akkurt, Mehmet Ozgur; Danisman, Nuri