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In developing countries, failing to conceive is a life crisis with effects on an individual's social life, including stigmatization, loss of social status, marital instability and even conflicts of gender. The aim of this study was to evaluate the relationship between female infertility and intimate partner violence (IPV) in Turkey. This was a cross-sectional study including women with primary infertility who were admitted to University of Health Sciences Ankara Etlik Zubeyde Hanim Health Practice Research Center Hospital between August 2014 and February 2015. IPV was assessed using an Abuse Assessment Screen. Of the 142 participants, 68 (47.9%) confirmed the presence of IPV in their lives. The most common type of violence was psychological, with a prevalence of 76.5% (n = 52), followed by physical, sexual and both physical and sexual abuse, with 17.6% (n = 12), 4.4% (n = 3) and 1.5% (n = 1) prevalence, respectively. Women of low educational and economic level and women living in a compound family were found to be at greater risk for IPV. This high prevalence indicates that Turkey requires new policy for IPV immediately. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the effects of surgical anatomical correction on lower urinary tract symptoms (LUTS) in patients with a pelvic anterior compartment defect (PACD). Methods: This prospective study was carried out on 30 women who had stage II‐IV PACD. The women were questioned regarding LUTS symptoms such as urgency, urge incontinence, frequency, hesitancy, abnormal emptying, nocturia and dysuria pre and postoperatively. After a 7‐month follow up, the comparison of LUTS symptoms with respect to their healing, existence or de novo appearance was performed using the McNemar and Bowner and Wilcoxon signed‐rank tests. Results: For the repair of ACD, 15, 8 and 7 women were operated on using site‐specific surgery, transvaginal mesh placement and anterior colporrhaphy, respectively. Surgery has significantly improved the LUTS: urgency (100 vs 26.7%, urge incontinence (70 vs 16.7%), frequency (76.7 vs 13.3%), abnormal emptying (56.7 vs 10%), hesitancy (30 vs 6.7%), nocturia (83.3 vs 60%) and dysuria (30 vs 6.7%). The differences were statistically significant (P < 0.05). Conclusions: The correctional surgery on anterior compartment defects not only maintains the anatomy but also significantly heals the LUTS. [ABSTRACT FROM AUTHOR]

One hundred and seventy-two twin-pregnant patients were enrolled. The estimated foetal weight was calculated using 19 different formulas. Ong's formula (0.954 (95%CI = 0.938/0.966)), which was designed specifically for twins, produced the highest Cronbach's alpha value followed by Hadlock II (0.952 (95%CI = 0.935/0.965)), Hadlock I (0.952 (95%CI = 0.935/0.964)), Hadlock III (0.952 (95%CI = 0.935/0.964)), Hadlock IV (0.952 (95%CI = 0.935/0.964)) and our formula (0.952 (95%CI = 0.935/0.964)), which produced the same Cronbach's alpha values for twin A. For twin B, our formula produced the highest Cronbach's alpha value (0.961 (95%CI = 0.948/0.972) followed by Hadlock II (0.960 (95%CI = 0.946/0.971)), Hadlock I (0.960 (95%CI = 0.946/0.970)), Hadlock III (0.960 (95%CI = 0.946/0.970)) and Hadlock IV (0.960 (95%CI = 0.946/0.970)). In conclusion, our formula (AC, FL) performed well in predicting the foetal weights in twin pregnancies (>24 weeks) in our study. However, it should be tested in other populations. Hadlock II (AC, FL) produced a comparable performance to Hadlock I (BPD, HC, AC, FL), Hadlock III (BPD, AC, FL) and Hadlock IV (HC, AC, FL). Hadlock II may be preferable in twin pregnancies since it is based on AC and FL only. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the influence of threatened miscarriage on obstetric complications during pregnancy and early postpartum period. Methods: In this case–control study, hospital records of 12 050 first-trimester patients between January 2011 and December 2012 at the Research and Educational Hospital in Ankara, Turkey, were used. Of the 12 050 patients, 481 threatened miscarriage patients were evaluated. The control group was formed by age- and body mass index-matched cases without first trimester bleeding. Abortion, intrauterine foetal demise, preterm birth, preeclampsia, antenatal haematoma, uterine atony placental abruption and low birth-weights were compared between the study and the control group. Results: When compared with the control group, the risk of having a preterm birth (p = 0.014; OR: 1.95; 95% CI: 1.15–3.24), low-birth-weight infant (p = 0.001; OR: 2.33; 95% CI: 1.45–3.83) and abortion (p = 0.00; OR: 2.55; 95% CI: 1.62–3.91) increased in cases of threatened miscarriage. However, the risk of uterine atony was decreased (p = 0.006; OR: 0.09; 95% CI: 0.12–0.7) in the threatened miscarriage group when compared with the control group. Threatened miscarriage did not increase the risk of placenta praevia, placental abruption or intrauterine foetal demise. Conclusion: Increased complications after threatened miscarriage is probably due to the persistence of a triggering mechanism. As preterm birth and abortion rate increased, whilst uterine atony rate decreased, one of the mechanisms causing threatened miscarriage might be increased uterine contractility. [ABSTRACT FROM AUTHOR]

Objective: Polyhdramnios is seen nearly 0.4%-%1.7 of the obstetric population after 24th week. About 45% of these cases etiology can not be defined. Nearly 5% of the idiopathic polyhdramios post natal structural anomaly is detected. Gastro intestinsl system, urinar system and cardiovascular system anomalies are the most seen ones. Risk of having aneuploidy is higher in idiopathic polyhdramnios. Stuides have showed that early neonatal outcomes is not well when compared with healthy one. In this study post natal anaomlies and early neonatal outcomes of idiopathic polyhdramnios were analyzed. Methods: A case control study was conducted at Etlik Zubeyde Hanım Women's Health Research and Training Hospital. 207 idiopathic polhydramios cases and 336 control group pregnant are included in the study. With postnatal anomaly early neonatal outcomes are also investigated. Early neonatal outcomes are defined as 5 minute apgar score, NICU admission, ventilator requirement, TTS, newborn hypoglycemia. Results: Rate of post natal structural anomaly is higher in idiopathic polyhdramnios group when compared with control group (%5.3 vs %0.6, p=0.001). Patients with I.P. have increased rate of TTN(%1.9 vs %0.0, p=0.021), new born ressutation, (%3.4 vs %0.3, p=0.007), need for NICU (%6.8 vs %0.3, p=0.00), need for ventilator (%2.9 vs %0.0, p=0.03), new born jaundice (%6.3 vs %0.9, p=0.00) and new born hypoglycemia (%5 vs %1.2, p=0.006). Conclusion: In idiopathic polhydramnios, although antenatal follow up do not show any abnormality postnatally, there is higher rate of having structural anomalous fetus. In our study we found that higher rate of structural anomaly at postpartum period. Although prior studies did not find higher rate of early neonatal complication, in our study we found that higher. [ABSTRACT FROM AUTHOR]

Objective: One of the importatnt aspect of PPROM is subclincal infection and metabolic response of fetus to this infection. Response of fetus to this subclinical infection is know as FIRS (Fetal Inflammatory Response Syndrome). As a result of FIRS there is detoriation in the cardiac function in fetus. In the case of pprom there is also detoriation in umblical and splenic artery Doppler indices. It has been shown that after amnioinfusion there has been improvement in umblical artery Doppler indices. As a result of subclical infection and mechanical effect of fetus to amniotic vasculature there might be new vascular adaptaion and organization in umblical artery. In our study we examine effect of pprom on umbilical artery doppler indices. Methods: This was a case control study that was designed in Etlik Zubeyde Hanı m Women's Health and Tranining Research Hospital between January 2013 and July 2013. Cases were formed from the 42 patient that have the diagnosis of PPROM and control group formed from 58 pregnancy week matched healthy pregnant. Study group were formed from the pprom patient under 34 week of pregnancy without any know intrauterine growth restriction, clinical chorioamnionitis, olygohydramnios. Umbilical arter resistance and A/B indices were collected from the last measurement before the birth. Results: When the effect of duration of PPROM on umbilical artery Doppler indices evaluated, PPROM patient divided in to two group according to median value of pprom duration. The duration of PPROM have no effect on umbilical artery Doppler indices Conclusion: Preterm premature rupture of membranes have no effect on umbilical artery hemodynamic indices. Resistance indices and systole/diastole ratio did not diifer between study and control group. Yuce at al showed that in the cases of histological chorioamnionitis umbilical artery resistance increased. In our study we did not do subgroup analysis that compares subclinic chorioamnionitis with control group. In the case of subclinical chorioamnionitis this finding could be changed. There is need to be RCT trail to show exact effect of pprom on hemodynamic parameters of fetal circulation. [ABSTRACT FROM AUTHOR]

Objective: The objective of this study was to evaluate the relationship between oocyte yield, fertilization, and clinical pregnancy (CP), and anti-Mullerian hormone (AMH) level in serum and follicular fluid during in vitro fertilization treatment., Methods: Forty-four infertile women who underwent IVF treatment using multiagonist protocol were included in this study. Baseline level of AMH in serum and follicular fluid was measured on third day of menstrual cycle. AMH level in serum and follicular fluid was then measured again on day of oocyte pick-up. Pearson correlation and binary regression tests were used for statistical analysis. For Type 1 error, p=5% was selected as cut-off value for statistical significance., Results: Serum AMH level was positively correlated with total number of oocytes retrieved and rate of fertilization and CP (r=0.397, p=0.008; r=0.401, p=0.007; and r=0.382, p=0.011, respectively). There was significantly negative correlation between serum level of follicle-stimulating hormone (FSH) and fertilization rate (r=-0.320; p=0.034), as well as serum FSH level and CP rate (r=-0.308; p=0.042). There were no significant correlations between AMH level in follicular fluid and IVF treatment outcomes., Conclusion: Serum AMH levels may be more reliable for prediction of total number of oocytes retrieved and rate of fertilization and CP than AMH levels in follicular fluid., Competing Interests: Conflicts of Interest: None declared.