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    Clinical characteristics of newborns with long bone fractures: A single center experience
    (2019) Yenigul, Nefise Nazli; Yenigul, Ali Erkan
    Aim: The aim of this study was to determine the newborns in our hospital with fractures of the femur or humerus and their clinical characteristics.Material and Methods: This study was conducted as a retrospective trial and using the patient information system, the following clinical data were reviewed: maternal age, parity, gestational age at delivery (week),fetal weight, pregnancy complications (preeclampsia, gestational diabetes mellitus [GDM]), the type of delivery (cesarean [CS] or vaginal delivery [ VD]), the fetal presentation, labor induction, meconium-stained amniotic fluid, neonatal birthweight and gender, history of shoulder dystocia and intracranial hemorrhage, type of fracture, presence of clavicle fracture or brachial plexus injury, and if has fetal diagnosis and length of hospital stay (day).Results: After the screening, 59622 live births were detected in our hospital in the last 2 years. Long bone fractures were detected in eight of the newborns who were consulted for fractures in the orthopedics department.Femoral fractures were found in 3 patients , humeral fractures in 3patients and both femur and humerus fractures in 2 patients,extra clavicle fracture and brachialplexus injury were detected in two patients.The mean age of the mothers was 29 years ,two patients were diagnosed with gestational diabetes and one patient with severe preeclampsia.Conclusion: The results we found in this study show that long bone fractures are congenital trauma and congenital conditions that require early diagnosis and correct intervention. Especially in the presence of malpresentations and prematurity, the family should be informed about the bone fractures that may develop before cesarean. In addition, careful examination of newborns and avoiding long bone fractures is very important. In our city, these complications are seen with a similar frequency with the literature.
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    The comparison of transvaginal ultrasonography and hysteroscopy in women with abnormal uterine bleeding: A single center experience
    (2019) Yenigul, Nefise Nazli; Yazici Yilmaz, Fatma; Bahat, Neslihan; Kirim Yilmaz, Serpil
    Aim: The aim of this study is to compare the diagnostic accuracy of transvaginal ultrasonography and hysteroscopy in the detection of intracavitary abnormalities that presented with abnormal uterine bleeding. Material and Methods: 216 women with uterine bleeding involve in this study. In this retrospective study, the diagnostic accuracy of transvaginal ultrasonography and hysteroscopy were compared to their corresponding pathology results in both prepostmenopausal (n:145) and postmenopausal (n:71) women. To compare these three methods more reliably, we used Kappa analyses. Results: In postmenopausal group with endometrial polyp and myomas; sensitivity of transvaginal ultrasonography is 68.2% to 40% dilatation & curettage, specificity is 33.3% to 97% and Kappa value is 0.016 to 0.407. Sensitivity of hysteroscopy is 97.7% to 40% dilatation & curettage, specificity is 74.1% to 100% and Kappa values is 0.75 to 0.553. Specificity of transvaginal ultrasonography is 98.3% to hysteroscopy, specificity of transvaginal ultrasonography is 98.1% to dilatation & curettage, sensitivity of hysteroscopy is 47.1% and specificity is 90.7% to dilatation & curettage and Kappa value is 0.411 with normal patients in the same group. Conclusion: In postmenopausal patients transvaginal ultrasonography has a high chance of detecting when there is an endometrial pathology. Transvaginal ultrasonography is not sensitive enough to use solely in order to exclude polyps and fibroids in abnormal uterin bleeding. Therefore, hysteroscopy can be applied even if transvaginal ultrasonography is normal in these patients.
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    Perinatal outcomes of adolescent pregnancy: A single-center experience
    (2019) Yenigul, Nefise Nazli; Asicioglu, Osman; Ayhan, Isil
    Aim: To compare the delivery methods and maternal and fetal outcomes of adolescent and adult pregnancies. Material and Methods: This study enrolled 420 pregnant adolescents aged between 14 and 19 years and 940 pregnant women aged between 20 and 40 years who gave birth in our maternity clinic between January 2010 and December 2014. Their demographic and clinical data were reviewed. Results: There were no significant differences between the two groups in terms of their birth patterns. The risks for preeclampsia, intrauterine growth retardation (IUGR), and placental abruption increased with decreasing maternal age. The adjusted analyses suggested that adolescent pregnant women were at a significantly increased risk for very preterm birth (adjusted OR = 4.40, [95% CI: 1.90-10.30]) but not late preterm birth (adjusted OR = 0.90, [95% CI: 0.50-1.40]) Conclusions: Adolescent pregnancy is a risk factor for early preterm birth, placental abruption, IUGR, and preeclampsia, with significant potential clinical implications.