RESUMEN
Objective: To evaluate the relationship between striae gravidarum [SG] score and abdominal scar characteristics together with intraperitoneal adhesion [IPA] grades of patients who were hospitalized for second cesarean delivery
Methods: A total of 145 consecutive women undergoing scheduled cesarean section [CS] in a tertiary level maternity hospital between November 2013 and January 2014 were included in the study. All women had transverse suprapubic skin incision due to the previous CS and none of them had a history of vaginal delivery. Patients were classified according to the SG status, as women with no SG: Group-1[n=53], mild SG: Group-2[n=27] and severe SG: Group 3[n=65]. Groups were compared between themselves with regard to various sociodemographic properties, cesarean scar characteristics and IPA scores
Results: No significant difference in the length, width and color of the scar was detected among groups. While flat scar was the most prominent form of scar, the elevated scar was significantly more frequent in Group-1 compared to other groups [p=0.009]. IPA grades were 0 or 1 in 77.3% of Group-1, 81.3% of Group-2 and 76% of Group-3. There was no significant difference in IPA scores between groups [p=0.884]. After combining CS scar characteristics [flat, depressed and elevated] and SG status [SG [+] or SG [-]], we found no significant difference between the groups in terms of IPA severity
Conclusion: Striae gravidarum [SG] was found to be associated with scar characteristics, but not associated with the severity of intraperitoneal adhesion [IPA]
RESUMEN
Background: Recent studies have shown that vitamin D has an essential role in the reproductive system. In this study, we aimed to investigate the effect of vitamin D levels in patients undergoing ovulation induction [OI], and subsequent intrauterine insemination [IUI] procedure
Materials and Methods: One hundred and four infertile and one hundred and three fertile women were recruited in this cross-sectional study which was conducted in a tertiary level maternity hospital. Infertile patients were divided into pregnant and non-pregnant subgroups after treatment. Individual characteristics and 25-hydroxyvitamin D3[25 [OH] D3] levels were compared between the groups
Results: The vast majority of our study population consisted of women who had vitamin D deficiency [96.6%]. There was no statistically significant difference between infertile and fertile groups in terms of serum 25 [OH] D3 levels [P=0.512]. Similarly, no significant difference was observed between the pregnant and non-pregnant subgroups of infertile patients regarding 25 [OH] D3levels [P=0.267]
Conclusion: There is no association between female infertility and serum vitamin D levels. Vitamin D does not predict pregnancy in infertile women undergoing OI with IUI. Further research which will provide a comparison between much more women who have deficient and sufficient 25 [OH] D3levels is warranted