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Objective: This study aims to investigate whether tubal reanastomosis can be considered a superior or alternative method to in vitro fertilization (IVF) for women who have previously undergone tubal ligation but wish to conceive again. The focus is on assessing tubal reanastomosis as an option for patients seeking natural conception after changing their minds for various personal reasons. The study specifically evaluates this method in relation to IVF, particularly in cases where factors such as age, ovarian reserve, and partner spermiogram values are considered. Material and Methods: This clinical trial and case series study screened women who had previously undergone tubal ligation and later applied to the Gynecology and Obstetrics Service at Zeynep Kamil Hospital between 2012 and 2022. From this group, 86 women were deemed suitable for surgery and underwent tubal reanastomosis. Postoperative pregnancy rates and outcomes, including abortion, ectopic pregnancy, and term delivery rates, were analyzed to assess the effectiveness of tubal reanastomosis. Results: The pregnancy rate following tubal reanastomosis was 33% within the studied group. Among these pregnancies, 8% ended in abortion, 3% resulted in ectopic pregnancies, and 89% reached full term. Tubal reanastomosis was shown to be a cost-effective method compared to IVF, avoiding complications associated with IVF, such as multiple pregnancies and ovarian hyperstimulation syndrome (OHSS). The method also demonstrated high patient compliance and success rates. Additionally, it allowed for simultaneous surgical intervention for co-existing conditions, such as endometrial polyps, ovarian cysts, fibroids, and adhesions. Conclusion: Tubal reanastomosis presents as an effective alternative treatment option to IVF for select patient groups, with favorable pregnancy rates and fewer associated complications. It is particularly suited for patients who are younger, have adequate tube length after ligation, a favorable hormone profile, and a supportive partner spermiogram. This method is less costly, has fewer risks, and offers a viable path to conception for those seeking natural pregnancy after tubal ligation. [ABSTRACT FROM AUTHOR]

Objective: The aim of the study was to compare the pregnancy and newborn outcomes of Turkish pregnant women and Syrian refugee pregnant women. Material and Methods: This two-centered study was carried out retrospectively on 5505 pregnant women between 2016 and 2019 in Zeynep Kamil Maternity and Children's Health Training and Research Hospital and Akçakale State Hospital. Results: The study was conducted with a total of 5505 pregnant women, whose ages ranged from 13 to 48. 2766 of the cases were Turkish and 2739 of them were Syrian. Antenatal follow-up rates of Syrian cases were significantly lower than of Turkish cases (p<0.001). The incidence of pre-eclampsia (PE) in Turkish cases (11.1%) was statistically significantly higher than in Syrian cases (2.6%) (p<0.001). The incidence of gestational diabetes mellitus (GDM) in Turkish cases (9.7%) was statistically significantly higher than in Syrian cases (1%) (p<0.001). The incidence of intrauterine growth restriction (IUGR) in Turkish cases (6.5%) was statistically significantly higher than in Syrian cases (1.9%). (p<0.001). While the rates of normal spontaneous vaginal delivery (NSVD) and cesarean section without episiotomy were higher in Turkish cases, the rate of NSVD with episiotomy was higher in Syrian cases (p<0.001). The mean values of antepartum, postpartum hemoglobin (Hb), and hematocrit of Turkish cases were statistically significantly higher than Syrian cases (p<0.001). Conclusion: In this study, we determined that adolescent pregnancy, pregnancy at younger age, inadequate antenatal follow-up rates, and the rate of birth with interventions were high in Syrian immigrants, and Hb values were low due to insufficient nutritional support. We also determined that PE, GDM, oligohydramnios, and polyhydramnios were common in Turkish population, and the need for neonatal intensive care and amount of postpartum bleeding was similar in both groups. [ABSTRACT FROM AUTHOR]

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