ABSTRACT
Objective: We aimed to evaluate ductus venosus Doppler waveforms before and after amniocentesis in order to investigate any effect of amniocentesis on fetal myocardial hemodynamics
We also evaluated the umbilical artery, uterine artery and fetal mid-cerebral artery Doppler waveforms in order to investigate any relationship with ductus venosus Doppler changes
Methods: The study population consisted of 56 singleton pregnancies having genetic amniocentesis
Twenty seven of them had transplacental needle insertion; whereas 29 of them had non-transplacental amniocentesis. Uterine artery, umbilical artery, mid-cerebral artery and ductus venosus pulsatiliy index and resistance index were measured just before and after amniocentesis
Results: Amniocentesis does not cause any significant changes in fetal ductus venosus Doppler waveforms
There is also no significant changes in uterine artery, umbilical artery, mid-cerebral artery pulsatility and resistance index
Conclusion: Amniocentesis-whether transplacental or not- does not cause any significant effect on fetal myocardial hemodynamics
ABSTRACT
Placental invasion anomalies are rare obstetrical complications. They cause severe third trimester hemorrhage, severe postpartum bleeding, and maternal morbidity and mortality unless they are diagnosed antenatally. We present a rare case with placenta percreta leading to spontaneous uterine rupture during the second trimester with an acute abdomen and hypovolemia
ABSTRACT
The aim of the present study was to determine whether different anesthetic techniques applied for vaginal delivery and cesarean section affect neonatal bilirubin levels in the first 24 hours of life. A total of 511 neonates delivered by vaginal route or cesarean section were included in the study. The neonates were classified according to method of delivery and anesthetic agents as group A [cesarean section / general anesthesia with sevoflurane], group B [cesarean section / spinal anesthesia with bupivacaine hydrochloride], group C [vaginal delivery with episiotomy / local anesthesia with prilocaine hydrochloride] and group D [vaginal delivery/ no anesthesia]. The levels of neonatal serum bilirubin in the groups were compared. There was no difference between group A and group B when compared in terms of neonatal bilirubin levels [p = 0.98]. Depending on the use of prilocaine hydrochloride as local anesthetic agent in the vaginal delivery, there was no significant difference between the groups C and D, who had vaginal delivery, in terms of the neonatal bilirubin levels [p = 0.99]. The serum levels of bilirubin in cesarean section groups were significantly higher than those of the vaginal delivery groups [p < 0.001]. Prilocaine hydrochloride used for episiotomy is not effective on neonatal hyperbilirubinemia. However, sevoflurane and bupivacaine hydrochloride used in cesarean section seem to be increasing bilirubin levels