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Objective: This study aims to determinate the relationship between social support perceived by women, fatigue levels and maternal attachment in postpartum period. Methods: The sample of this descriptive study consists of 181 women who gave birth in the study period. The data was collected by the socio-demographic characteristics forms; “Multidimensional Scale of Perceived Social Support” (MSPSS); “Multidimensional Assessment of Fatigue Scale” (MAFS) and “Maternal Attachment Scale” (MAS) on the postpartum first days and 30–40th days. Results: MSPSS scores of women who had university or higher education, employed, had their first pregnancy, have 12 months or less between two pregnancies, were found to be significantly higher than others. MAS scores of women at the end of the postpartum first month were significantly increased. MAFS scores of women at the end of the postpartum first month were significantly decreased. The correlation between the fatigue levels and maternal attachment levels at the end of the postpartum first month was found to be negative and significant. Conclusion: In the postpartum period, the care of the mother should include social support, maternal attachment and fatigue assessment. Mothers should be encouraged to use social support resources. The continuity of social support systems should be provided. [ABSTRACT FROM PUBLISHER]

A unicornuate uterus with a rudimentary horn is an anomaly caused by defective fusion of the Müllerian duct, estimated to occur in one in 76,000 pregnancies. Life threateningly heavy bleeding is a highly expected clinical consequence of such pregnancies. According to the known literature, only two living twins and few living singleton pregnancies have been reported up to now. Here we report on an incidentally diagnosed unicornuate uterus with a communicating rudimentary horn, found during a cesarean section of a gravida 3, parity 2 (G3 P2) patient. This case is rather unique since the patient has had three full term pregnancies and three cesarean sections without significant fetal compromise. This delivery and the existing literature showed us that extensive uterine correction surgeries need not be automatically proposed when a unicornuate uterus is diagnosed in the preconception period. Such deliveries indicate that women with this uterine anomaly may have the potential to carry pregnancies to full term. [ABSTRACT FROM AUTHOR]

Intrauterine fetal transfusion needs extensive experience and requires excellent eye–hand coordination, good equipment and experienced team workers to achieve success. While the needle is in the umbilical vein, an assistant withdraws and/or transfuses blood. The needle point should be kept still to prevent lacerations and dislodging. We propose a simple set for Intrauterine Fetal blood transfusion is constructed by readily available materials in every clinic to minimize needle tip movement and movements during syringe attachments and withdrawals during the intrauterine fetal transfusion. This makes possible to withdraw fetal blood sample, and to transfuse blood with minimal intervention. [ABSTRACT FROM PUBLISHER]

Objective: We aimed to evaluate the subject of using diagnostic ultrasound and other radiological methods for firearm injury in pregnant women The military conflicts and terrorism terrorism is on the rise in our times. Mass casualty situations are encountered more frequently, nowadays, involving civilians and also pregnant women, therefore injuries with military weapons tend to increase in daily practice, with another increasing contribution being the violence against women using firearms. Methods: The literature on the subject was searched using Clinical Keys® and PubMed®. The evaluation of firearm injuries during pregnancy is critical. The extent of the injury and fetal involvement should be well evaluated and documented. The projectile should be identified, localized and recovered for ballistic investigation. Results: There are limited literature on the subject. However some guidelines are formed. In the pregnant trauma patient, ultrasound is often easily accessible in an emergency department and can provide crucial information. Conclusion: Although ultrasound is the primary tool of diagnosis for obstetricians, additional radiological investigations including computer tomography or plain X rays may aid in diagnosis, and should be ordered without hesitation when necessary, especially in life threathening conditions involving high speed penetrating projectile injuries to the abdomen. As stated in the guidelines(2):"Concern about possible effects of highdose ionizing radiation exposure should not prevent medically indicated maternal diagnostic X-ray procedures from being performed. During pregnancy, other imaging procedures not associated with ionizing radiation should be considered instead of X-rays when possible." Viability of the fetus can also be assessed and documented using fetal biometry and possible vascular injuries to both fetus and placenta can be assessed by using color doppler. 3D/4D ultrasound may also be utilized to surface scan the fetus for any possible injury when there is suspected uterine penetrating injury, this is of course, when the mother and fetus is stable. It should be remembered that ultrasound is unreliable for detecting placental abruption but it may be helpful to exclude placenta previa and demonstrate significant hemorrhage. [ABSTRACT FROM AUTHOR]

Objectives: To identify sexual dysfunction in married women of reproductive age, and to examine its relationship with stress coping styles., Methods: The cross-sectional, descriptive study was conducted between February and June 2019 at the obstetrics and gynaecology outpatient clinic of Gulhane Training and Research Hospital in Ankara, Turkiye. The sample comprised married women aged 18-49 years who had an active sexual life over the preceding month, and were neither pregnant nor in the postpartum phase. Data was collected using the Female Sexual Function Index, and the Stress Coping Styles Scale. Data was analysed using SPSS 22., Results: There were 216 women with mean age 33.58±6.77 years. The mean Female Sexual Function Index score was 22.29±6.08. The mean Stress Coping Styles Scale subscale scores were: self-confident 20.71±3.53, helpless 18.07±4.27, submissive 12.13±3.00, optimistic 13.70±2.35, and seeking social support 11.89±2.01. The total Female Sexual Function Index score had a positive, significant correlation with self-confidence (r=0.15; p=0.03) and seeking social support subscales (r=0.18; p=0.01) and a negative, significant correlation with submissive subscale (r=-0.17; p=0.02) of the Stress Coping Styles Scale., Conclusions: Establishing awareness among women about sexual dysfunction and improving effective coping styles may contribute to improved sexual health among women.

Background: Although ectopic pregnancies, nonviable missed abortions or blighted ova may occur subsequent to female sterilization, intrauterine pregnancy has not been reported. The sterilization failure risk persists for years after the procedure and varies by operator technique, method of tubal occlusion and female age., Case: A viable, 8-week intrauterine pregnancy developed in a 36-year-old woman, gravidity 3, parity 2, five years after laparoscopic tubal sterilization., Conclusion: The possible mechanisms for a pregnancy after tubal sterilization may be spontaneous reanastomosis or fistula formation or a viable endosalpinx caused by the failure of electrocoagulation. Operator failure may occur when the occluding device is placed on the round ligaments. In this case study, the pregnancy was most likely related to a possible fistula formation which could have developed over the years following surgery.