Objective: Single umbilical artery (SUA) in fetus have shown to be associated with structural anomalies, chromosomal disordersand growth restiction. In this study, we aimed to present the obstetric outcomes in fetuses with SUA. Material and Methods: In this retrospective study, obstetric results of 30 patients diagnosed with SUA over a 2-year period were analyzed. Results: There were 30 cases of prenatallydiagnosed SUA. Twenty eight patients had singleton pregnancies and 2 had dichorionic diamniotic twin pregnancies. The gestational week at thetime of diagnosis varied between 15 and 24 weeks, with the mean week of diagnosis at 21 weeks. Additional ultrasonographic findings accompanying the SUA were detected in 13 patients (43%). Minor abnormalities (renal pelviectasia, choroid plexus cyst, persistant right umbilicalvein) were detected in 4 patients in this group. More than one abnormality was detected in 7 fetuses. Structural abnormalities were distributed asfollows: cardiovascular system abnormalities in 9 fetuses, musculoskeletal abnormalities in 3 fetuses, urogenital system abnormalities in 3 fetuses,central nervous system abnormalities in 4 fetuses and gastrointestinal system abnormalities in 2 fetuses. Chromosomal abnormalities were detected in 3 fetuses. Intrauterin growth restiriction was not detected in isolated SUA patients and also no chromosomal abnormality was detectedin this group. Conclusion: Umbilical arteries of fetus should be checked during detailed ultrasound examination. Detailed fetal anatomic examination should include fetal echocardiography. During fetal echocardiography, fetal venous system must also carefully be examined.
|
Aim: Treatment of mixed type incontinence includes surgical and/or medical options. The efficacy of treatment frequently dependson the patient based choice. Thus, we aimed to compare treatment efficacy with UDI-6 and IIQ-7 questionnaire forms in groups with/without urodynamics in the diagnosis of mixed type incontinence.Material and Methods: In our study, 60 patients were registered. Patients were evaluated in 2 groups including 30 patients that:agreed (Group 1) to and did not agree (Group 2) for a urodynamic exam. "Quality of life" scoring questionnaires, urodynamics records,and urethral angle measurements were performed in both groups. Patients in the groups were evaluated in subgroups whether theyreceived TOT (Transobturator tape) and/or medical treatment. Group 1; A: TOT patients, B: TOT + medical treatment, C: Only medicaltreatment; Group 2; D: TOT + medical treatment, E: Only medical treatment.Results: The mean age of the patients was 49 and 70% of patients were postmenopausal. Most of the patients were obese 45%of patients had had a BMI of >40kg/m2. The rate of TOT received the patients in Group 1 and 2 were 21 (70%) and 13 (43.3%),respectively. An analysis of questionnaire scores %94.4 of all patients stated a regression in symptoms after treatment. Both surveysshowed positive changes in all groups. The change ratio in the survey scores was 81.1% and 67.3% in Group 1 and 2 respectively inUDI- 6 survey similarly with IIQ-7 survey results as 81.1% and 63.5 % in Group 1 and 2 respectively. In the comparison of medicaltreatment subgroups (C and E) the change rate was significantly lower in patients who did not agree with urodynamic in UDI 6 andIIQ7 surveys ( 86.4% vs 55.0%, p<.001 and 79.7% vs. 50.5%, p<0.001.Conclusion: Although it is limited in urge type dominant incontinence patients, non-complex UI patients benefit from appropriatetreatment regardless of urodynamics evaluation. In the management of UI patients' QoL questionnaires before and after treatmentmight be helpful.
|
Objectives: Our aim was to investigate the impact of iron defiiency anemia on HRQoL in the last trimester of pregnancy.Methods: 250 pregnant women in third trimester, visiting the Obstetrics Department of a tertiary medical center inAnkara city for their routine antenatal follow-up were included in the study. After obtaining sociodemographic andobstetric information in a face-to-face interview, the self-reported SF-36 Scale (SF-36) was administered with supervision. The study group was divided into two groups according to presence of anemia; non-anemic group (Hb≥11 g/dL,ferritine ≥12 mg/L; n=187) and anemic group (Hb<11 g/dL, ferritin <12 mg/L; n=63) and SF-36 scores were compared.Results: IDA frequency was found as 25.2% (n=63). The physical component summary (PCS), the mental componentsummary (MCS) and all of the QoL subscores were found to be signifcantly lower in the anemic group (p=0.000). Asignifiant relationship was found between Hb-ferritin levels and PCS-MCS scores; the scores of PCS and MCS increasedprogressively with increasing Hb-ferritin leves and decreased progressively with decreasing levels (p<0.05).Conclusion: Healthcare professionals need to be aware of the importance of anemia on QoL during pregnancy periodand consider that QoL in anemic pregnant patients is an important part of treatment.
|
