Subchorionic haemorrhage in the 1st trimester of pregnancy can be seen in some patients and the significance of it is controversial. In this study, subchorionic haemorrhage was found to be significantly associated with increased risk of miscarriage and IUGR. On the other hand, we did not see a significant relation between pre-term labour and subchorionic haemorrhage. We hope these findings will help clinicians in their practice about pregnancy follow-up.

The objective of this paper is to investigate whether Helicobacter pylori is an etiologic factor in hyperemesis gravidarum. Thirty one patients with hyperemesis gravidarum and twenty nine pregnant controls without hyperemesis gravidarum were included in this prospective study. All pregnant women were examined both for Helicobacter pylori serum immunoglobulin G antibodies (HpIgG Ab), showing chronic infection, and Helicobacter pylori stool antigens (HpSA), showing active gastrointestinal colonization. Chi-square and Student t tests were used accordingly for statistical analysis. Helicobacter pylori seropositivity was 67.7% in the patients with hyperemesis gravidarum and 79.3% in the control group (χ2 = 1.02, P = .31). HpSA was detected in 22.6% of patients with hyperemesis gravidarum, whereas 6.9% of patients in the control group. The difference was not statistically significant (χ2 = 2.89, P = .08). In this study, no relation was found between Helicobacter pylori and hyperemesis gravidarum. The low social status of women in both groups could be one of the reasons for the high prevalence of Hp infection.

BackgroundMature cystic teratomas, often referred to as dermoid cysts, are the most common germ cell tumors of the ovary. In the recent years, transvaginal sonographic diagnosis of ovarian dermoid cysts together with laparoscopic approach have greatly improved the treatment of this benign lesion. We retrospectively reviewed the outcome of laparoscopic surgery for suspected ovarian dermoid cysts.Patients and MethodsThe preoperative findings, operative techniques and post-operative complications were retrospectively reviewed in women who underwent laparoscopic surgery for dermoid cysts, between January 2000 and May 2003.ResultsIn 47 women aged 21 to 53 years (median, 38.8 years), 93.6% had a unilateral cyst with a diameter of 17 to 108 mm (median, 51 mm). Clinical presentations were pain (62%), abnormal vaginal bleeding (21%) and ovarian torsion (2%), whilst 17% were diagnosed incidentally during routine examination. Surgery included cystectomy (57%), total (36%) or partial oophorectomy (6.4%) and laparoscopy-assisted vaginal hysterectomy with bilateral salpingo-oophorectomy (2%). During the cyst extraction, minimal spillage occurred in 42.5% of the cases and none developed chemical peritonitis. In 2 patients, conversion to laparotomy (4.3%) was required, one for sigmoid colon injury and one for malignant ovarian tumor detected via frozen section. The median operating time was 80 minutes (range, 35–180 minutes).ConclusionUsing strict adherence to guidelines for preoperative clinical assessment and intra-operative management, laparoscopic treatment of dermoid cysts appears to be a safe procedure.

Less than 22% reduction in human chorionic gonadotropin levels from day 1 to 4 can be used as a predictive factor for the requirement of an additional dose of methotrexate in single-dose regimen. This cutoff value can be used for patients to inform about the probable longer resolution time and refer to alternative treatment modalities such as two-dose, multiple-dose regimens or surgery.

Anahtar Sözcükler: Ekonomik durum, doğum, postpartum depresyon Aim:The aim of this study was to evaluate the incidence of postpartum depression (PPD) and associated factors in patients who have given birth in our clinic. Methods:This was a prospective controlled study including 482 cases. All the subjects were evaluated using the Beck depression inventory during antenatal period and those with a Beck depression inventory score of higher than 17 were excluded. Hence, we included 431 subjects. Age, duration and number of marriage, education level, economic status, personal factors as well as the factors associated with labor and newborn were investigated. These factors were compared between women with and without PPD by using Pearson's chi-square test. The factors which increased PPD were also investigated by using multivariate analysis. A p value of less than 0.05 was considered statistically significant.Results: PPD was observed in 34.8% of subjects (n=150). Previous marriage, continuous drug use and newborn taken to intensive care unit increased the incidence of PPD three times (p=0.003), 2.5 times (p=0.018), and 4.3 times (p=0.005), respectively. Conclusion:Economic, personal and labor-associated factors can increase PPD. These factors should be taken into consideration after birth and psychiatric consultation should be requested if necessary. Keywords: Economic status, birth, postpartum depression Abs tractYa z›fl maAd re si/Ad dressforCor res pon den ce:Mehmet Baki Şentürk Zeynep Kamil Eğitim ve Araştırma Hastanesi, Jinekoloji ve Obstetrik Kliniği, İstanbul, Türkiye