Objective: To determine the impact of the presence and severity of nause and vomiting in pregnancy (NVP) on health-related quality of life in pregnant adolescents.Methods: Two hundred and fifty adolescent pregnant women were included in this study. The Rhodes test was performed to determine the severity of nausea and vomiting, and the self-reported 36-Item Short Form Survey (SF-36) Scale was administered. The study was divided into four groups according to nausea severity (no, mild, moderate, severe) groups and SF-36 scores were compared among the groups.Results: Of the 250 pregnant women included in the study, 74.5% of women reported NVP. Low scores on the SF-36 were found for all items with increasing severity of NVP, with the lowest scores in the severe NVP group and the highest scores in the group with no NVP (p = 0.001). Multivariable analyses showed that severity of NVP was the most important factor for both the physical (PCS) and mental component summary (MCS) scales. The number of living children was significantly associated with lower PCS scores and being unable to share problems with spouse/relatives was correlated with lower MCS scores. Conclusion: The negative impact of nausea and vomiting on health-related quality of life, emphasises the importance of psychological support and optimal management of NVP in pregnant adolescents.

Women’s prior knowledge about childbirth shapes their ideas about childbirth. The view that childbirth is a physiological process reflects the belief that it is a normal and safe event. Medical process believe that childbirth is dangerous and risky, that it should take place under the careful care of a trained obstetrician because it depends on anatomical conditions. The aim of this study is to identify women’s underlying prenatal and postnatal beliefs about childbirth and to examine the impact of childbirth preparation classes on their beliefs and the impact on the mode of delivery. Demographic and obstetric parameters were compared between August 2023 and August 2024, with the intervention group consisting of 75 patients who attended pregnancy school after the 14th week of pregnancy and the control group, which did not attend pregnancy school, consisting of 150 patients. The pregnant women in the intervention group were surveyed before and after the pregnancy school using the “Birth Belief Scale” questionnaire. It was investigated how the pregnancy school, in which the topics of antenatal care, childbirth, postpartum and newborn care were covered, affected the birth beliefs and what differences there were between the participants and those who did not take part. In this study, which had a twofold aim, firstly, the method of birth and birth characteristics were examined between those who attended pregnancy school and those who did not. Secondly, it investigated the impact of antenatal education on patients’ perceptions of childbirth and their decision as to whether childbirth was a medical process (which should take place under medical supervision) or a natural process. A total of 225 patients were included in the study. The primary outcome of the study was that the rate of patients requesting cesarean section during labor because they could not deliver vaginally or could not tolerate the pain during labor was higher in the control group (47.2% versus 73.4%; p = 0.009). There was a statistically significant difference in the indication for cesarean section in both groups and the rate of labor arrest was higher in the control group (8.3% versus 26.6%; p = 0.043). A secondary result of the study was a statistically significant change in the patients’ birth expectations after the training (p < 0.001). Through pregnancy education, the idea that childbirth is a medical intervention was replaced by the idea that it is a natural process. This study shows that antenatal education has a positive impact on birth beliefs and birth preferences. It is recommended that educational programs such as childbirth preparation classes be expanded to influence pregnant women’s beliefs about birth and empower them to make informed decisions.

This study aimed to investigate the impact of having a companion during vaginal birth on postpartum depression and birth satisfaction. This prospective cohort study included 220 postpartum women aged 18-45 who delivered vaginally at Ankara Etlik City Hospital between August 2023 and February 2024. During labor, each woman had the option to be accompanied by a companion person (such as a mother, partner or spouse, sibling or friend) of her choice; those who opted not to have a relative present received the standard support provided by the hospital's routine birth protocol. Participants were divided into three groups based on the type of support received during childbirth: spousal support, support from others, and no support. Data were collected within six weeks postpartum using the Edinburgh Postnatal Depression Scale (EPDS) and the Birth Satisfaction Scale-Revised (BSS-R). Women supported by their spouses during childbirth had significantly higher BSS-QC (Quality of care provision), BSS-SL (Stress experienced during labor), and BSS-R total scores compared to those without support. BSS-SL scores were particularly higher for those with spousal support versus support from others or no support. Non-spousal support also resulted in higher BSS-QC scores than no support at all. BSS-WA (Women's personal attributes) scores and EPDS scores were similar between the groups. Additionally, no significant differences in BSS-QC, BSS-SL, BSS-WA, and BSS-R total scores were observed between women with high (≥13) and low (<13) EPDS scores, but a negative correlation between EPDS and BSS-R total scores was noted (r=-0.203, p = 0.003). Women receiving spousal support during childbirth reported significantly higher birth satisfaction, particularly in care quality (BSS-QC) and stress management (BSS-SL). The presence of a companion, whether spousal or non-spousal, positively influenced birth satisfaction, though it did not significantly affect postpartum EPDS scores.

And timed intercourse following CC-induced ovulation in ovulatory infertile patients. Methods: Hundred patients who had IUI or timed intercourse following ovulation induction (OI) via CC between 2012 and 2014 are prospectively scanned. Both groups were consisted of 50 patients. Both in groups 1 and 2 patients, the treatment with clomiphene citrate was started on the 3rd day of the menstrual cycle with a dose of 50 mg/day and was continued for 5 consecutive days. On the 13th day of the cycle, the patients were called for examination and folliculometry tests were performed via transvaginal ultrasonography. Human chorionic gonadotropin (HCG, a prepared syringe containing 250 μg/0.5 ml [6,500 IU equivalent] choriogonadotropin alpha) was given to all patients with a sufficient size follicle (18–20 mm). Group 1 patients were recommended to have coitus regularly for a week after the HCG treatment. In group 2, IUI was performed 36 h after the HCG treatment. Results: Clinical pregnancy was provided in 28 patients in 100 patients. In group 1, the pregnancy rate per person was 6%, the pregnancy rate per cycle was 2.3%, and live birth rate was 6%. In group 2, the pregnancy rate per person was 22%, the pregnancy rate per cycle was 8.3%, and live birth rate was 23%. A statistically significant difference was observed between groups 1 and 2 in terms of pregnancy per person rate, pregnancy per cycle rate, and live birth rate. Conclusion: In the patients who had OI via CC, the pregnancy rates obtained with IUI were statistically significantly higher than timed intercourse....

Background/Aim: Not only because of the deterioration of the general condition of pregnant women, but also considering the extra burden of long hospitalizations, in patients with hyperemesis alternative treatments become even more important. The aim of this study was to determine whether medical hypnosis is an effective and tolerated treatment for nausea and vomiting of pregnancy thus can be a good alternative to medical therapy for pregnant women with severe hyperemesis that would require hospitalization. Methods: A cross sectional study was conducted with 40 pregnant women who were hospitalized for hyperemesis gravidarum between 6-20 weeks of pregnancy. The PUQE test was performed in a face-to-face interview to determine nausea and vomiting severity. All patients were given the same medical treatment and hypnosis was performed with alternate patients after stabilization, by the same trained hypnotist. After the day of hypnosis all patients were again given the PUQE test. The groups were compared according to PUQE test results, the length of hospital stay and the time of first enteral feeding. Results: The groups were similar in terms of socio-demographic characteristics. The median PUQE scores were lower and the median hospitalization time was significantly shorter in the hypnosis group (P<0.001; P=0.010). The hypnosis group switched to oral nutrition earlier than the control group and this was statistically significant (P=0.034). Conclusion: Hypnotherapy should be regarded as the treatment of choice in hyperemesis gravidarum, not only by increasing women’s emotional well-being during pregnancy but also reducing unnecessary and prolonged hospitalizations. '+st+' Einarson TR, Piwko C, Koren G. Prevalence of nausea and vomiting of pregnancy in the USA: a meta-analysis. J Popul Ther Clin Pharmacol. 2013;20:163-70. Yilmaz E, Yilmaz Z, Cakmak B, et al. Nausea and Vomiting in Early Pregnancy of Adolescents: Relationship with Depressive Symptoms. J Pediatr Adolesc Gynecol. 2016;29(1):65-8. McCarthy FP, Lutomski JE, Greene RA. Hyperemesis gravidarum: current perspectives. Int J Women Health 2014;6:719-25. McParlin C, O’Donnell A, Robson SC, et al. Treatments for Hyperemesis Gravidarum and Nausea and Vomiting in Pregnancy: a Systematic Review. JAMA. 2016;316(13):1392-401. Emami-Sahebi A, Elyasi F, Yazdani-Charati J, Shahhosseini Z. Psychological interventions for nausea and vomiting of pregnancy: A systematic review. Taiwan J Obstet Gynecol. 2018;57(5):644-9. Williamson A. What is hypnosis and how might it work? Palliat Care. 2019;12:1178224219826581. Koren G, Boskovic R, Hard M, Maltepe C, Navioz Y, Einarson A. Motherisk-PUQE scoring system for nausea and vomiting of pregnancy. Am J Obstet Gynecol. 2002;186(5 Suppl Understanding):S228-31. Simon E, Schwartz MD. Medical Hypnosis for Hyperemesis Gravidarum. BIRTH. 1999;26:4:248-54. Häuser W, Hagl M, Schmierer A, Hansen E. The efficacy, safety and applications of medical hypnosis—a systematic review of meta-analyses. Dtsch Arztebl Int. 2016;113:289–96. Slater E. Hypnosis. Br Med J. 1949;2(4633):914. doi: 10.1136/bmj.2.4633.914-a. Madrid A, Giovannoli R, Wolfe M. Treating persistent nausea of pregnancy with hypnosis: four cases. Am J Clin Hypn. 2011;54(2):107-15. Newman V, Fullerton JT, Anderson PO. Clinical advances in the management of severe nausea and vomiting during pregnancy. J Obstet Gynecol Neonatal Nurs. 1993;22(6):483-90. Bacak SJ, Callaghan WM, Dietz PM, Crouse C. Pregnancy-associated hospitalizations in the United States, 1999-2000. American journal of obstetrics and gynecology. 2005;192:592-7. Piwko C, Koren G, Babashov V, Vicente C, Einarson TR. Economic burden of nausea and vomiting of pregnancy in the USA. Journal of population therapeutics and clinical pharmacology. 2013;20:e149-60. Torem MS. Hypnotherapeutic techniques in the treatment of hyperemesis gravidarum. Am J Clin Hypn. 1994;37(1):1-11. Fuchs K, Paldi E, Abramovici H, Peretzi BA. Treatment of hyperemesis gravidarum by hypnosis. The International Journal of Clinical and Experimental Hypnosis. 1980;XXVIII(4):313-23. Copyright (c) 2022 Çağanay Soysal, Elif Yilmaz This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.