No abstract

Objective. The main goal of our study was to assess relationships between first trimester 25-hydroxyvitamin D3 levels and infant birthweight and length at birth. Materials and Methods. We conducted a study over our medical records of 154 live-term births at Acibadem Atakent Hospital, Istanbul, Turkey. Subjects were classified into five independent groups. Results. We retrospectively reviewed a total of 154 live birth records. They took vitamin D3 supplement 1000 U/day. We classified the serum vitamin D levels into 5 groups by concentration. Group 1 comprised serum vitamin D levels <10 ng/ml (n = 41); group 2 comprised serum Vitamin D levels between >10–16 ng/ml (n = 33); group 3 comprised serum vitamin D levels >16–20 ng/ml (n = 26); group 4 vitamin D level between >20–30 ng/ml (n = 33) and group 5 comprised vitamin D levels >30 ng/ml. The femurs of infants were found to be longer between the groups, although the differences were not significant (p=0.054). There was also a statistically significant difference in the neonatal birth weight (p=0.048). Conclusion. We observed associations between low and high maternal 25-hydroxyvitamin D3 levels and fetal growth at birth weight but no difference in birth length. We conclude that we always need to conduct further research to be able to predict the effects of vitamin D deficiency.

Amaç: Erken trimester ektopik skar gebeliklerini, tedavisini, takibini ve koruyucu fertilitesini yönetmek. Olgu: Befl olguya daha önce tan›mlanm›fl sonografi kriterlerine göre ultrason ile sezaryen skar gebeli¤i tan›s› konuldu. Gecikmifl adet, vajinal kanama ve pelvik a¤r›, baflvuru an›ndaki majör semptomlar-d›. Tüm olgularda, OPU i¤ne ile aspirasyon, intrasak metotreksat ile intrakardiyak potasyum klorür ve sistemik metotreksat (50 mg/kg) dahil yerel tedaviler uygulad›k. Ekstra cerrahi müdahaleye ve kan transfüzyonuna ihtiyaç duymad›k. Sonuç: Sezaryen do¤um geçmifli olan tüm kad›nlar, gecikmifl adet ve pozitif gebelik testini takiben sezaryen gebelik nedeniyle dikkatli bir flekilde kontrol edilmelidir. Birçok sezaryen gebelik tedavisi yöntemi bildirilmifltir, ancak bu konuda en uygun yaklafl›m halen tart›fl-mal›d›r. Sezaryen skar gebeli¤inin lokal tedavisi, dikkatli bir flekilde seçilmifl olgularda yerel tekniklerin kombinasyonuyla baflar›l› flekilde gerçeklefltirilebilir.