Congenital high airway obstruction syndrome (CHAOS) is an extremely rare life-threatening condition. Laryngeal atresia appears to be the most frequent cause. Generally the diagnosis is made with severely enlarged and highly echogenic lungs and additional ultrasound findings. The prognosis of the affected infants is often poor. Five cases are reported here that were diagnosed in a tertiary center between 2008 and 2014.

Amaç: Obstetrik jel uygulamas›n›n nullipar gebelerde, travay›n birinci ve ikinci evresi üzerine etkisi, perine üzerine koruyucu etkisinin varl›¤› ve bu yönteme ba¤l› fetal ve maternal sonuçlar›n› arafl-t›rmak amaçlanm›flt›r. Yöntem: Hastanemize 37-41 gebelik haftalar›nda baflvuran nullipar gebeler randomize edilerek jel uygulanan ve uygulanmayanlar olmak üzere gruplar oluflturuldu. Gebelere travaylar› boyunca do-¤um indüksiyonu veya augmentasyonu verilmedi, rutin amniyotomi uyguland›, do¤um s›ras›nda rutin epizyotomi uygulanmad›. Her iki grup perineal laserasyon, epizyotomi gereksinimi, do¤um evrelerinin süreleri, laboratuvar verileri ve yenido¤an verileri aç›-s›ndan karfl›laflt›r›ld›. Bulgular: Çal›flma kriterlerine uygun 200 nullipar gebe (Grup I: n=102, spontan izlem; Grup II: n=98, jel uygulanan) de¤erlendirildi. Maternal demografik verileri, laboratuvar verileri ile yenido¤an sonuçlar›nda herhangi bir fark saptanmad›. Jel uygulanan hastalarda do¤umun birinci ve ikinci evre süreleri istatistiksel aç›dan anlaml› olarak k›sa saptand›. Epizyotomi uygulamas› / gereksinimi aç›s›ndan gruplar aras›nda herhangi bir fark saptanmad›. Laserasyonun olufl-mad›¤› durumlar ile hafif perineal laserasyonlar (1. ve 2. derece) aç›-s›ndan jel uygulanan gebelerde sonuçlar göreceli olarak daha iyi olarak de¤erlendirilirken, ileri derece perineal laserasyonlarda (3. ve 4. derece) istatistiksel fark saptanmad›. Sonuç: Nulliparlarda travayda obstetrik jel kullan›m›, do¤um evrelerinde anlaml› bir k›salma sa¤larken, daha az laserasyonlar görülmektedir.

In recent years with the increase in cesarean section rates, the frequency of placenta accreta cases rises. It causes 33–50% of all emergency peripartum hysterectomies. We present a 42-year-old case who was caught with early postpartum hemorrhage due to retained placental products. The ultrasonography showed a 65 × 84 mm mass in the uterine cavity after the delivery. Due to presence of early postpartum hemorrhage which needs transfusion, an intervention decision was made. The patient underwent curettage but the mass could not be removed so that placental retention was ruled out. Submucous leiomyoma was made as first-prediagnosis. Hysterectomy operation was performed as a curative treatment. Placenta increta diagnosis was made as a final diagnosis with pathological examination. As a result, placental attachment disorders may be overlooked if it is not a placenta previa case.

Purpose: The objective of this study was to evaluate fetal and perinatal outcomes of pregnancies of adolescents and compare them with adult pregnancies. Materials and Methods: This retrospective case-control study was carried out at Bakirkoy Maternity and Children's Diseases Education and Research Hospital in Istanbul, Turkey. It enrolled 2,491 pregnancies who delivered between 2005-2010, of which 998 were adolescent pregnancies and 1,493 were adults as controls. Results: The mean age of the adolescent group was 17.10 years and in the control group the mean age was found to be 26.73 years. Intermarriage, vaginal delivery, preterm rupture of membranes, preterm birth, and preeclampsia were significantly higher in adolescent pregnancies than the control group. Gestational diabetes was more common with increasing age. There was no statistically meaningful difference between the groups in terms of intrauterine growth restriction (IUGR), low birth weight, anemia, 5-minute APGAR score, and intrauterine fetal demise. Conclusions: Young maternal age is a risk factor for preterm birth, preterm rupture of membranes, and preeclampsia. According to this study, adolescent pregnancies are more risky and more likely to have adverse fetal outcomes.

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