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The aim of this study is to determine the frequency of pregnant women having ultrasonography and to evaluate their knowledge and expectations about ultrasonography. Our study included 230 patients who applied to obstetrics and gynecology clinic in a university hospital, who had a pregnancy of 32 weeks or more and agreed to participate in the study. After obtaining the approval of the ethics committee and getting their written consent, a questionnaire consisting of 34 questions was filled by face to face interview method. Pregnant women who were considered to have risky pregnancies in terms of their pregnancies or pre-pregnancy conditions and who need frequent follow-up were not included in the study. The questionnaires were evaluated using the SPSS version 22.0 program. According to the findings obtained from the study, 39.1% of the pregnant women participating in the study think that there is radiation on the ultrasound, just like on a direct radiograph (x-ray). These pregnant women also stated that they know that radiation is harmful for them and their babies. 90% of these pregnant women had ultrasound at each control, and 24.4% had an extra ultrasound to learn the baby's gender. If their doctor is told that it will be enough to do ultrasound four times during pregnancy, 65.6% of the pregnant women reported that they would change their doctor. An ultrasound examination was performed at each control to 90.1% of the pregnant women who stated that the ultrasound was harmful. 27.1% of pregnant women who went to the doctor for extra control for gender think that ultrasound is harmful. 37.3% of pregnant women who had three-dimensional (3D) ultrasound had this done without a doctor's recommendation. Ultrasound should be used in ethically appropriate indications during pregnancy follow-up.

Objective: The purpose of this study was to determine the adverse outcomes and problems of adolescent pregnancy.Materials and Methods: Obstetric records of 171 pregnant adolescents between 14-19 years old, who had given birth in our obstetric service between 2009 and 2016 were retrospectively evaluated. The patients were divided into two groups as early adolescents aged between 14 and 15 years old and as late adolescents aged more than 15 up to 19 years old. Babies with birth weight under 2500 gr were evaluated as low-birth-weight. The variables of gestational week at delivery, ratios of preterm birth, stillbirth, preterm premature rupture of membranes (PPROM), preeclampsia, and mode of delivery of early and late adolescents were compared.Results: The age of early and late adolescents were determined as 14.6 ± 0.5 and 17.7 ± 0.5 years, respectively. Preterm birth was present in 3 (37.5 %) of early adolescent pregnancies and 66 (40.5%) of late adolescent pregnancies, respectively. While in early adolescent pregnancies, there was no case with stillbirth, PPROM or preeclampsia, in late adolescent pregnancies, stillbirth was observed in 5 cases (2.9%), PPROM in 6 cases (3.7%) and preeclampsia in 4 cases (2.5%). There was no significant difference between early and late adolescents in regards to the gestational age at delivery, obstetrical history, birthweight and ratio of preterm delivery.Conclusion: The result of this study suggests that adolescent pregnancy is an important cause of perinatal mortality and morbidity, and there is a need to increase the attention of health professionals to appropriate management of adolescent pregnancies in order to reduce the health burden and to improve perinatal care of adolescents.

Objective: We aimed to compare the efficacies of laminaria, vaginal misoprostol, and mechanical dilator applications before surgical intervention with regard to the optimal cervical dilation and severity of pain in first-trimester pregnant women with missed abortion. Materials and Methods:The prospective study included a total of 103 patients with a diagnosis of missed abortion in the sixth-tenth gestational week randomly divided into 3 groups of 400 µg vaginal misoprostol, luminaria, or mechanical dilator applications for the dilation of the cervix before surgical intervention. The effects of laminaria and vaginal misoprostol on the cervical ripening for surgical intervention were evaluated using the Hegar test. Visual analog scale (VAS) values were evaluated during the first application, throughout the period of their applications, and after the surgical intervention.Results: The cervical dilation was found to be similar in the laminaria and vaginal application groups (p=0.64). During the first application, laminaria caused more pain than misoprostol but the difference was not statistically significant (p=0.28). Throughout the period of application and after the surgical intervention, although there was less pain with respect to VAS values after laminaria application, this was not statistically significant (p=0.11). The VAS values after the surgical intervention was determined to be statistically higher after mechanical dilatation compared to other procedures (p=0.001). Conclusion:Laminaria provides cervical preparedness similar to intracervical misoprostol without increasing the side effects in the management of first-trimester pregnant women with missed abortion.