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Objective: This study aimed to compare the postpartum outcomes of asymptomatic and symptomatic patients with coronavirus disease-2019 (COVID-19). Methods: This retrospective cohort study included pregnant women with COVID-19. Pregnant women were categorized into two sets as asymptomatic and symptomatic according to their clinics at the time of application. COVID-19 was diagnosed using the real-time reverse transcriptase-polymerase chain reaction on the oropharyngeal and nasopharyngeal swabs. Asymptomatic and symptomatic patients were compared in terms of maternal and perinatal outcomes. Results: Our study population consisted of 20 asymptomatic and 41 symptomatic patients with laboratory-confirmed COVID-19. The rate of primary cesarean section was more than twice in the symptomatic group (51.2%) than that of the asymptomatic group (20%) (p=0.019). Both groups are quite similar in terms of maternal [respiratory support, COVID-19-related treatment, and intensive care unit (ICU) admission], perinatal (preterm delivery, preterm premature rupture of membrane, preeclampsia, and mode of delivery), and neonatal outcomes [birth weight, Apgar scores, neonatal ICU (NICU) admission]. The rate of total cesarean section in the asymptomatic group (75%) was statistically similar to the symptomatic group (83%) (p=0.464). The NICU admission rate was found to be similar in the asymptomatic (54.2%) and symptomatic groups (50%) (p=0.858). However, NICU admissions were more frequent in the symptomatic group due to respiratory distress (p=0.032). The breastfeeding rate is higher in the asymptomatic pregnant group as expected (p=0.015). Additionally, the ferritin level was significantly lower in the asymptomatic group (p=0.006). Conclusions: The rate of primary cesarean section is quite high in symptomatic patients with COVID-19. Additionally, the total cesarean section rate was extremely high in both groups. We expected more adverse outcomes in symptomatic patients; however, we found similar maternal, perinatal, and neonatal outcomes between both groups.

Abstract Objective To evaluate the effectiveness and perinatal outcomes of cerclage procedure according to indication. Methods The pregnancy and neonatal outcomes of the patients who underwent cerclage with the diagnosis of cervical insufficiency between January 2016 and December 2020 were retrospectively analyzed. Patients were categorized into three groups: a history-indicated group, an ultrasound-indicated group and a physical examination-indicated group. Results Seventy-three patients who underwent cerclage were included in the study. Of these, 41 (56.2%) had history-indicated, 17 (23.3%) had ultrasound-indicated and 15 (20.5%) had physical examination-indicated cerclages. Compared to history- and ultrasound-indicated cerclage group, duration from cerclage to delivery (18.6 ± 6.9 weeks vs 17.8±5.9 weeks vs 11 ± 5.3 weeks, p = 0.003) was significantly lower and delivery 0.05). Conclusion Pregnant women who underwent physical examination-indicated cerclage had higher risks for preterm delivery

Aims:Fetal sex plays an important role in pregnancy and its outcomes due to hormonal and chromosomal differences. The current study examines the effect of fetal sex on delivery time, intrauterine death and maternal-neonatal outcomes.Methods:Pregnant women who gave birth in University of Health Sciences Turkey, Tepecik Training and Research Hospital Delivery Unit between 2014 and 2019 were screened retrospectively for the study. Pregnancies of ≥37 weeks (259 days) were included in the study, and pregnancies with ≥42 weeks (294 days) were classified as post-term (prolonged) pregnancy. Intrauterine death and maternal-neonatal outcomes were compared according to fetal gender.Results:The prevalence of post-term pregnancy was 0.76%. A total of 45,147 pregnancies were found, including 22,788 (50.5%) males (M) and 22,359 (49.5%) females (F) who met our criteria for the study. In births between 37-40 0/6 weeks male sexes ratio was higher (M/F sex ratio: 37 0/6 weeks: 1.05; 38 0/6 weeks: 1.01; 39 0/6 weeks: 1.01). The female sex birth rate becames more prominent after the 40th week, 75% of the newborns at the 44th week were observed to be female (M/F sex ratio: 44 0/6 weeks: 0.33). However, although female sex ratio was higher in post-term pregnancies, contrary to the literature, this difference was not significant. Intrauterine fetal death was observed more frequent in post-term pregnancies than term pregnancies (0.93% vs 0.3%, p=0.017). The risk of intrauterine fetal death was approximately three times higher in post-term pregnancies than term pregnancies (Odds ratio: 3.16; 95% confidence interval: 1.16-8.58). In post-term pregnancies, birth weight (3458.7±462.9 g vs. 3338.5±416.5 g), head circumference (35.2±1.1 cm vs. 34.9±1 cm) and body length [50 (44-56) cm vs. 50 (40-55) cm] were higher in male sexes and all these results were statistically significant (p=0.049, p=0.004 and p=0.003, respectively).Conclusions:Contrary to the literature, fetal sex is not a significant risk factor in post-term pregnancy. But intrauterine death increases about 3-fold in post-term fetuses compared to term fetuses.