Objective The mental, physical and sexual health of women as well as maternal and fetal health should be considered during the prenatal and postnatal periods. Investigating the effect of clinical Pilates exercises and prenatal education (CPE & PE) on obstetric and neonatal outcomes as well as the mental, physical, and sexual health of women was intended. Methods In the second trimester, mothers with singleton pregnancies who attended (n=79, study group) or did not attend (n=80, control group) CPE & PR were recruited to this prospective cohort study, and were evaluated in the prenatal and postnatal periods. Depression was assessed with Beck Depression Inventory (BDI), sexual functions with Female Sexual Function Index (FSFI), muscle strength with Gross Muscle Scales (GMS), and labor pain with Visual Analogue Scale (VAS). In addition, the presence of low back pain (LBP) was questioned. Results No significant association of CPE & PE with obstetric outcomes such as cesarean rates, preterm birth, and neonatal outcomes such as birth weight and Apgar scores were identified. Changes in VAS scores, the incidence of perineal trauma, and episiotomy were not associated with CPE & PE. However, CPE & PE was associated with lower BDI scores, a gradual increase in the total scores of FSFI, increased GMS, and reduced LBP. Conclusion CPE & PE had no adverse effects on obstetric and neonatal outcomes and was associated with improved mental, physical, sexual health scores during pregnancy and postpartum.

Objective To investigate the associated anomalies and outcomes of fetuses diagnosed as having a single umbilical artery (SUA) which were reported inconsistently in previous studies. Methods The data of 82 pregnancies with fetal SUA, 35 of which were complex, and 47 isolated SUA (iSUA) and 100 pregnancies with fetal double umbilical arteries (DUA) between June 2018 and July 2020 were retrieved. We compared the maternal characteristics, and pregnancy and fetal outcomes of the three groups (iSUA, SUA, and DUA). Results Of 82 fetuses with SUA, 35 had 64 major structural abnormalities. 20 of these 35 fetuses (57.1%) had cardiovascular malformations, 12 (34.2%) had central nervous, 10 (28.5%) had genitourinary, and eight (22.8%) had gastrointestinal system malformations. Isolated SUA was present in SUA. Compared with the 100 DUA fetuses, SUA was a risk for intrauterine growth restriction (IUGR), preterm delivery, Apgar scores of <7, and admission to the neonatal intensive care unit. Having fetal chromosomal or structural abnormalities, was a risk for amnion fluid abnormality, pregnancy termination, intrauterine fetal death, early neonatal death, and a low live birth ratio in SUA cases. Conclusion SUA has an increased rate of fetal structural and chromosomal abnormalities. Among them, the most detected one is cardiac and the second most common one is central nervous system malformations. Pregnancies with fetal SUA have increased risk for IUGR, preterm delivery, low Apgar scores, and admission to the neonatal intensive care unit. The presence of additional structural or chromosomal malformations increases the rate of these adverse pregnancy risks. Thus, these cases warrant dedicated fetal ultrasonographic organ screening and close prenatal follow-up.

Objective: The study aimed to investigate whether a history of preoperative SARS-CoV-2 infection differs in terms of peroperative complications and prognosis in patients who had undergone gynecological surgery in the last one year compared to patients who did not. Materials and Methods: This retrospective case-control study included 632 patients who underwent laparotomic, laparoscopic, urogynecological and oncological surgeries for various indications between July 2020 and July 2021. The patients were divided into two groups according to positive and negative SARS-CoV-2 RT-PCR (Real-time Polymerase Chain Reaction) test results performed preoperatively. The two groups were compared in terms of demographic characteristics, the operation performed, the type of anesthesia applied during the operations, the status of blood transfusion, operation and hospitalization times, and intraoperative and postoperative complications. Results: While 5.5% (n=35) of the patients had positive SARS-CoV-2 RT-PCR test results in the preoperative period (group 1), 94.5% (n=597) had negative SARS-CoV-2 RT-PCR test results preoperatively. The following parameters, including age, body mass index (BMI), gravida, parity, number of smokers, and number of patients with the comorbid disease, were similar between the two groups. Moreover, no difference was detected in terms of mean hospitalization time, mean operative time, and the number of patients with intraoperative-postoperative complications between the two groups. However, there was a significant difference between the groups in terms of blood product transfusion requirement [0 patients (0%) vs. 55 patients (9.2%) (p=0.05)]. Conclusion: History of SARS-CoV-2 infection in gynecological surgery does not affect intraoperative and postoperative complications except blood product transfusion requirement.

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