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    Does three-dimensional prenatal ultrasound necerrasy: pregnant women's point of view
    (Via Medica, 2014) Koken, Gulengul; Gungor, Ayse Nur Cakir; Celik, Fatih; Batmaz, Gonca; Unlu, Serdar; Arioz, Dagistan; Yilmazer, Mehmet
    Objectives: The role and applicability of three-dimensional ultrasound (3D-US) in perinatology has been repeatedly discussed in the literature. Regardless, our knowledge about patient expectations remains limited. We aimed at determining the expectations, perception and knowledge of pregnant women about 3D-US. Material and Methods: Upon admission to the labor unit, the women filled out a questionnaire, with the help of a doctor, investigating sociodemographic data, pregnancy and delivery history previous experiences and expectations for US imaging. Results: A total of 644 pregnant women were included in the study Respondents declared that approximately 70% of all kinds of structural abnormalities could be detected by 3D-US and estimated its reliabilityat nearly 70%. While 60% of the participants underwent 3D-US, 70% of them believed that every pregnant woman should undergo such test. Also, 457 (70.9%) of the participants were of the opinion that every pregnant woman must undergo 3D-US imaging, whereas 173 (26.8%) did not think 3D-US imaging was necessary Conclusions: To the best of our knowledge, this has been the first study on patient opinions regarding the need for 3D-US imaging during pregnancy Although the participants were not certain about the harmful effects of 3D-US, the majority believed that it was necessary for every pregnant woman to undergo such testing. Obviously patients must be instructed on the limitations of US imaging before the examination to clarify any misunderstandings about the possibilities such a technique may offer.
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    Maternal and fetal leptin and ghrelin levels: relationship with fetal growth
    (Springer Heidelberg, 2011) Saylan, Filiz; Koken, Gulengul; Cosar, Emine; Koken, Tulay; Saylan, Arif; Arioz, Dagistan Tolga; Sahin, Figen
    In our study, we investigated the influence of plasma levels ghrelin, leptin and other metabolic hormones (ILGF-1 and ILGF-2) in pregnants in regulating fetal body weight and mode of delivery. A total of 36 appropriately healthy pregnants 19-36-year-old were involved in the study. Demographic chracteristics, serum ghrelin, leptin, IGF-1 and IGF-2 levels of the pregnants were studied. Plasma ghrelin and leptin levels did not differ significantly among trimesters and delivery, in contrast to IGF-I and IGF-II concentrations were significantly higher in the first half of the pregnancy (P < 0.05). Serum leptin was significantly associated with mode of delivery (r = 0.231; P = 0.008), BMI (r = 0.462; P = 0.004). Metabolic factors are associated with fetal growth, but in AGA babies, there were no differences between any parameter and clinical factor.
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    Nausea and vomiting in early pregnancy: Relationship with temperament, character
    (Universitatsverlag Ulm Gmbh, 2011) Koken, Gulengul; Cosar, Emine; Sahin, Figen Kir; Emul, H. Murat; Guler, Ozkan; Yesildager, Evren; Gecici, Omer
    Objective: In this study, we aimed to investigate the temperament and character dimensions of women with nausea and vomiting in early pregnancy. Methods: A hundred consecutive women with or without nausea and vomiting of pregnancy (NVP) enrolled in the study. They were examined by using the temperament and character inventory and prospectively scored NVP of them using the Rhodes' system. These scores and demographic data were compared and P < 0.05 was considered significant. Results: Women with NVP were scored lower in HA4 (less fatigability and asthenia; P = 0.029), C2 (less emphatic; P = 0.001) compared to women without NVP. Among 74 pregnant women with NVP 29 of them had mild, 41 had moderate and four of them had severe NVP according to the Rhodes' score. NS2 (impulsiveness), NS3 (extravagance) and total NS scores showed negative correlation with Rhodes scores (r = -0.246, P = 0.014; r = -0.216, P = 0.031 and r = -0.219, P = 0.029, respectively). C3 (helpfulness) scores were positively correlated with Rhodes' scores (r = 0.234, P = 0.019). Conclusion: These results suggest that NVP in early pregnancy has distinctive temperament and character dimensions compared to non-NVP women in early pregnancy. (C) 2011 Elsevier GmbH. All rights reserved.