Objective: This study aimed to evaluate and compare maternal and fetal outcomes between pregnancies in women aged 40 and over and those in women under 40 years of age at a tertiary care hospital. Methods: A retrospective cohort study was conducted at Necmettin Erbakan University Medical Faculty Hospital, analyzing data from 345 women aged 40 and over and 366 women under 40 who delivered between January 2015 and December 2024. Maternal and perinatal outcomes—including mode of delivery, gestational age, birth weight, and complications such as gestational diabetes, preeclampsia, and postpartum hemorrhage—were compared between the two groups. Results: Women aged 40 and over had significantly higher rates of cesarean section (73% vs. 36.1%, p < 0.0001), preterm delivery (27.8% vs. 18%, p = 0.002), and gestational diabetes (14.8% vs. 7.7%, p = 0.002). Additionally, these women had a higher incidence of preeclampsia (13% vs. 5.7%, p = 0.001) and postpartum hemorrhage (18% vs. 10.5%, p = 0.003). Despite these increased risks, the 5 min APGAR score was significantly higher in the ≥40 age group (median 8 vs. 7, p < 0.0001). The incidence of chromosomal abnormalities was significantly higher in patients≥ 40 years, with 5 cases (1.4%) reported, compared to no cases (0%) in the <40 age group (p = 0.025). Conclusions: This study shows that pregnancies in women aged 40 and above carry higher maternal and fetal risks compared to younger women. Complications such as preterm labor, cesarean delivery, gestational diabetes, and preeclampsia occur more frequently in this group. However, with careful prenatal care, positive neonatal outcomes are often achievable, highlighting the need for age-specific management and early risk detection.

OBJECTIVE: This study aimed to investigate the predictive value of the Delta Neutrophil Index (DNI) in detecting placenta accreta spectrum (PAS) in patients with placenta previa (PP). STUDY DESIGN: A retrospective study was conducted on 735 patients diagnosed with PP. Demographic characteristics, laboratory results, and maternal and fetal outcomes were obtained from electronic medical records. DNI levels were assessed with other inflammatory markers, and logistic regression analysis was performed to identify predictors of the PAS. Receiver operating characteristic (ROC) analysis was used to determine the diagnostic accuracy of DNI in distinguishing PAS cases from non-PAS cases. RESULTS: Logistic regression analysis revealed that the number of previous cesarean sections and DNI levels were significant predictors of the development of PAS (p=0.07). Elevated DNI levels were independently associated with an increased risk of PAS (p<0.05). The optimal cut-off value of DNI for diagnosing PAS was determined as 0.07 with a sensitivity of 67.5% and a specificity of 56.26%. The area under the ROC curve (AUC) for DNI was calculated as 0.639, indicating moderate diagnostic accuracy. CONCLUSION: This study demonstrates that DNI is a potential predictor of PAS development in cases of PP. Integrating DNI assessment into routine prenatal care protocols in PP patients may facilitate early risk identification and inform clinical management strategies. Further research is needed to confirm these findings and explore the broader applicability of DNI in obstetric practice.

This study examined the impact of blood glucose‐regulated gestational diabetes (GDM) on fetal pulmonary artery Doppler parameters. This prospective case–control study was performed at a tertiary university hospital. The study cohort comprised GDM patients with controlled blood glucose levels and a healthy control group. Acceleration time/ejection time (At/Et) of the main pulmonary artery, right pulmonary artery, and left pulmonary artery Doppler parameters were assessed and contrasted between the two groups. The study comprised 90 patients, with 30 in the gestational diabetes mellitus group focused on blood sugar regulation and 60 in the healthy control group. No statistically significant difference was observed between the two groups regarding the common main pulmonary artery At/Et ( p = 0.465), right pulmonary artery At/Et ( p = 0.237), and left pulmonary artery At/Et ( p = 0.283). No statistically significant difference was noted between the two groups regarding APGAR scores and blood gas parameters of the newborns ( p < 0.05). No statistically significant difference was observed in fetal pulmonary artery Doppler parameters ( p < 0.05) when gestational diabetes mellitus cases were classified based on the utilization of diet and insulin for blood sugar regulation. The pulmonary artery Doppler parameters in fetuses of pregnant women with gestational diabetes mellitus and controlled blood sugar levels are comparable to those of healthy controls. Moreover, dietary habits and insulin administration for glycemic control did not alter pulmonary artery Doppler metrics. The findings suggest that well‐managed gestational diabetes mellitus, irrespective of the treatment modality, do not substantially influence the fetal pulmonary artery dynamics.

Objective: The aim was to compare neonatal outcomes according to cell phone specific absorption rate (SAR) levels and daily time spent on cell phones by pregnant women. Material and Methods: Women who gave birth at Konya City Hospital between September 2020 and February 2021 were included in this retrospective study. Gestational ages, birth weight, birth length, head circumference, sex, 5 -minute APGAR scores, neonate postpartum resuscitation requirement, delivery type, the model of phone used by the pregnant women, and the average time spent on the phone during a day were recorded. To determine the relation between the SAR values of the phones used and delivering a small for gestational age (SGA) baby, receiver operating characteristic curve analysis was performed. Results: In total 1495 pregnant women were included. The rate of delivering a SGA fetus was significantly higher in women who used phones with higher SAR values (p=0.001). The cut-off value for the SAR level was 1.23 W/kg with 69.3% sensitivity and 73.0% specificity (area under the curve: 0.685; 95% confidence interval: 0.643-0.726). No correlation was found between time spent on the phone and SGA birth rate. Although both phone SAR values and time spent on the phone were higher in the symmetrical SGA group compared to the asymmetrical SGA group, the difference was not significant (p>0.05). Although the women who had preterm delivery had higher phone SAR values and had spent more time on the phone compared to those who had term deliveries, the difference was again not significant (p>0.05). Conclusion: As the SAR values of cell phones used during pregnancy increased, there was a trend towards delivering a SGA baby.

Aim: This study aimed to evaluate the effects of diabetes mellitus and cervical dilatation on cesarean sec- tion scar healing. Material and methods: This prospective study included pregnant women diagnosed with diabetes mellitus and healthy control pregnant women. The study group was divided into active labor and pre-active labor based on cervical dilatation, and the diabetic group was categorized into gestational diabetes and preexisting diabetes mellitus. Vaginal ultrasound was performed in the entire study group at six months postpartum, and the location of the cesarean scar was evaluated. Results: There were 170 participants in the study; 85 were diabetic, and the remaining 85 were healthy controls. Niche frequency in diabetes mellitus cases was not different from that in healthy controls (p = 0.420). The mean residual myo- metrial thickness, proximal residual myometrial thickness, and distal residual myometrial thickness were lower in the diabetic group (p = 0.001). Residual myometrial thickness and niche presence in the diabetic group with active labor was not statistically different from the diabetic group without active labor (p >0.05). Additionally, residual myometrial thickness was thinner in the gestational diabetes mellitus group than in the preexisting diabetes mellitus group (3.61 ± 1.78 mm vs. 4.76 ± 2.82 mm, p = 0.032). Conclusions: There was no significant difference in niche frequency between diabetic cases and healthy controls. When com- paring the gestational diabetes mellitus group and the preexisting diabetes mellitus groups, there was no difference in the presence of niches. Niche presence was more common in diet-regulated diabetic patients compared with the insulin-regulated group. Cervical dilatation at the time of cesarean section did not affect niche presence in diabetic cases.