Background/aim: Basal level of follicle stimulating hormone (FSH), luteinizing le (LH), estradiol (E2), and antral follicle count are used as predictors of ovarian reserve before starting ovulation induction. e aimed to investigate the predictor potential of early fbllictilar phase FSH/LH ratio on controlled ovarian hyperstimulation-intrac Aasmic sperm injection (COH-ICSI) cycle outcomes. Materials and methods: This retrospective cohort study was conducted with 648 COH-ICSI cycles pertbrmed between 2012 and 2014. Cycles were classified according to their basal FSH/LH ratio, group 1(01) = FSH/LH ratio < 2, N = 473 and group 2(G2) = FSH/LH ratio 2, N = 175. Demographic characteristics and stimulation parameters were evaluated. Retrieved total oocyte count (TO C), mature oocyte count (MOO, transferred embryo number, and pregnancy results were obtained and transferred to computer by SPSS 21.0 programme. Results: TOC and \1O( of G1 were signilieantly higher than those of '2 "l he total gonadotrophin doses of 02 were significantly higher than 0l. "I here was no significant difference between groups for transferred embryo number. Pregnancy and live birth rates were similar in both groups. Conclusion. In our population, increased FSH/LH ratio did not affect he rates of pregnancy and live birth negatively.

This study aims to investigate placental and fetal lung stiffness in pregnant women with and without gestational diabetes, considering the well-established delay in fetal lung maturation associated with gestational diabetes.This prospective cohort study was conducted at a tertiary center and included pregnant women who underwent a 75-gram oral glucose tolerance test between 24–28 weeks of gestation. Elastography measurements were performed using point shear wave elastography (pSWE).The study included 60 pregnant women diagnosed with gestational diabetes and 60 pregnant women in the control group. The SWE velocity of the peripheral placenta, central placenta, and lung was higher in the gestational diabetes group compared to the control group. Furthermore, the SWE velocity of the peripheral placenta, central placenta, and lung was higher in newborns with neonatal respiratory morbidity. Based on the ROC analysis of patients with gestational diabetes, the AUC for lung SWE velocity was 0.88 (cut-off 12.4 kPa, 95% CI: 0.77–0.99, p<0.001) with a sensitivity of 71.4% and specificity of 95.6% for predicting neonatal respiratory morbidity.Fetal placental and lung stiffness increase in fetuses of pregnant women with diabetes. Moreover, higher fetal lung stiffness during the fetal period is associated with increased neonatal respiratory morbidity.

Objectives: Pregnancy is an inherently delicate process characterized by physiological and psychological changes, even in the absence of any health complications. This study compares the levels of anxiety, depression, self-esteem, and guilt in women diagnosed with high-risk pregnancies to those in a control group consisting of women with healthy pregnancies. Methods: A total of 172 women participated in the study, 108 of whom had high-risk pregnancies, and 64 had healthy pregnancies. All participants were administered a semi-structured Sociodemographic Data Form, Beck Depression Inventory (BDI), Beck Anxiety Scale (BAI), Rosenberg Self-Esteem Scale (RSES), and Guilt Inventory (GI). The findings were statistically analyzed and compared. Results: Women with high-risk pregnancies had significantly higher scores on the BAI (p = 0.002), BDI (p = 0.035), and GI (p = 0.001) compared to the control group. In the logistic regression analysis for calculating the risk of high-risk pregnancy, the multivariate analysis revealed that living in rural areas posed 3.5 times higher risk for high-risk pregnancy compared to urban living (OR = 3.500, 95% CI = 1.484–8.254). Additionally, for every one-point increase in the GI score, the risk of high-risk pregnancy increased by 1.064 times (OR = 1.064, 95% CI = 1.017–1.114). In the patient group, significant positive correlations were found between the BAI score and BDI, RSES, and GI scores, while a significant negative correlation was observed between BAI and parity. There were also significant positive correlations between the BDI and RSES as well as the GI scores. Additionally, a positive significant correlation was found between the RSES and GI scores. Conclusions: Our findings may help in identifying the psychological states of women with high-risk pregnancies and

Objectives: This study aimed to assess the diagnostic contribution of fetal MRI across different anatomical systems and evaluate its added value beyond prenatal ultrasonography. Methods: This retrospective cohort included 556 fetuses who underwent both prenatal ultrasound and fetal MRI in a single tertiary center. Cases were classified by anatomical system. The concordance between ultrasound and MRI findings, as well as additional or ruled-out findings identified by MRI, was analyzed. Statistical significance and clinical relevance were also evaluated. Results: Among the 556 cases, complete concordance between ultrasound and MRI findings was observed in 48.9%. MRI ruled out the initial diagnosis in 20.1% and revealed additional findings in 32% of cases. A total of 192 additional findings were identified, while 115 previously suspected anomalies were ruled out. The highest diagnostic contribution was observed in central nervous system (CNS) and gastrointestinal system (GIS) anomalies. Posterior fossa abnormalities and cystic or mass lesions were frequently detected as additional findings on MRI. In contrast, ultrasound alone was generally sufficient for evaluating genitourinary (GUS), thoracic, and vertebral anomalies. The overall diagnostic yield of MRI was higher in anatomically complex or sonographically ambiguous cases. Conclusions: Fetal MRI provides significant additional diagnostic value, particularly in CNS and GIS anomalies, by detecting additional findings, clarifying uncertain diagnoses, or excluding suspected anomalies. Its selective use may enhance both prenatal counseling and postnatal management.