Amaç: Bu araştırma; riskli olan ve olmayan gebelerin algılanan stres düzeylerini ve stres nedenlerini incelemek ve karşılaştırmak amacıyla yapılmıştır. Gereç ve Yöntem: Çalışma örneklemini, Ağustos 2017-Şubat 2018 tarihleri arasında Ankara’da bulunan Sağlık Bakanlığı’na bağlı iki hastanenin Kadın Doğum Servisi ve Gebe Polikliniğine başvuran 312 gebe (156 riskli/156 normal) oluşturmaktadır. Çalışmada veri toplama aracı olarak “Anket Formu” ve “Algılanan Stres Ölçeği (ASÖ)" kullanılmıştır. Bulgular: Riskli gebelerde ASÖ puanı ortancası 24.0, normal gebelerde 21.0 olarak tespit edilmiş ve riskli gebelerde ASÖ puanı normal gebelerde elde edilen değerlerden anlamlı düzeyde yüksek bulunmuştur. Çalışmamızda riskli gebelik tanısının konmuş olması, gebelikte tehlike belirtilerinin varlığı, gebelikte olumsuz durumların ortaya çıkmış olması ve gebelik süreci ile ilgili belirsizlikler gibi stres nedenleri riskli gebelerde daha fazla oranda görülürken, doğum ile ilgili korkular nedeni ile stres yaşama durumu normal gebelerde fazla görülmektedir. Sonuç: Çalışmamızda her iki gruptaki gebelerin ASÖ puanı orta düzeydedir ve riskli gebelerde ASÖ puanı normal gebelerde elde edilen değerlerden anlamlı düzeyde yüksek bulunmuştur. Gebelikte olumsuz psikososyal reaksiyonların tanınması ve koruyucu sağlık hizmetlerinin geliştirilmesinin, anne ve bebeğin sağlık sonuçlarının iyileştirilmesine katkı sağlayacağı düşünülmektedir.

Background: The aim was to compare serum soluble urokinase-type plasminogen activator receptor (suPAR) levels as well as interleukin-6 levels (IL-6) in pregnant women with hyperemesis gravidarum (HG) and asymptomatic pregnant women. Methods: Our study population consists of voluntary first trimester-pregnant women who applied to the outpatient clinic of the department of obstetrics and gynecology of Ankara Ataturk Training and Research Hospital. Between February and May 2016, 60 pregnant women were included in our prospective study. Serum suPAR and IL-6 levels were evaluated with the ELISA method. Twenty-nine pregnant women with HG and 31 asymptomatic pregnant women were included in the study. Results: Serum suPAR level in the HG group was measured as 0.36 +/- 0.56 ng/ml, whereas this level in the healthy pregnant control group was measured as 0.15 +/- 0.15 ng/ml (p < 0.05). The interleukin-6 level in the HG group was 5.69 +/- 2.16 pg/ml, whereas in the control group it was measured as 3.88 +/- 0.28 pg/ml (p < 0.05). Conclusion: Serum suPAR and IL-6 levels proved to be high in the HG group. It is likely that suPAR could play a role in the etiopathogenesis of hyperemesis gravidarum. Copyright (C) 2017, the Chinese Medical Association. Published by Elsevier Taiwan LLC.

It was aimed in this study that the morphometric development of the hand in human fetuses throughout the fetal period be radiologically investigated and the clinical importance of this period be evaluated. A total of 50 fetuses with no external pathology or anomaly, and the ages of which varied between 20-40 gestational weeks were incorporated into the study. The fetuses were separated into groups according to gestational weeks, trimesters and months. After the general external measurements of the fetuses were performed, mammography and hand radiographies of the fetuses were shot in the way that their hands would be in a pronational position. Afterwards, the morphometric measurements of the hands were performed with the help of a digital caliper through the hand radiographies that were shot. The averages and standard deviations of the measured parameters were determined according to gestational weeks, trimesters and months. There was a significant correlation between the measured parameters and the gestational age (p<0.001). Additionally, it was observed that there was some difference among the groups in the comparison of the measured parameters involving trimesters and months (p<0.05). We are of the opinion that in evaluating the clinical studies regarding the morphometric development of the hand throughout the fetal period and in determining the pathologies and variations related to the fetal hand development, the data obtained in our study will be of use to the clinicians engaged in gynecology, and forensic medicine as well as those involved in this field.

Cyprus Journal of Medical Sciences

The aim of the study was obtain nomogram of fetal transcerebellar diameter at 18–24 weeks of gestation with known prognosis of normal pregnancies. The study included 1236 healthy fetuses in the 18th–24th gestational week of women aged from 18 to 40 years (mean: 28.70 ± 5.26). The transcerebellar diameter, bi-parietal diameter, femur length and abdominal circumference of the fetuses were measured. Additionally, groups were divided according to maternal age and according to body mass index. The transcerebellar diameter of fetuses from 18 to 24 weeks gestation varied from 18.13 ± 2.16 to 26.42 ± 1.91 mm (mean: 22.12 ± 2.57 mm). Additionally, the mean and standard deviation of transcerebellar diameter and fetal parameters were determined according to gestational week, maternal age and maternal body mass index. Later, the correlations between transcerebellar diameter with pregnancy week, maternal age, maternal body mass index and fetal parameters were examined. Transcerebellar diameter was correlated with pregnancy week and fetal parameters (p < 0.01) but was not correlated with maternal age (p > 0.01). Additionally, transcerebellar diameter and fetal parameters were determined to show negative correlation with maternal body mass index (p < 0.01). Comparison of transcerebellar diameter with pregnancy week determined differences between weeks (p < 0.05), but no differences for age groups and body mass index groups (p > 0.05). Maternal age and maternal body mass index are significant factors affecting fetal development. We believe our data related to the transcerebellar diameter obtained at the end of the study will be beneficial for assessment of fetal development and identification of fetal anomalies.