Cigdem Can Bayrak

Aim: This study aimed to explore pregnant women’s experiences of obstetric abdominal ultrasound and examine the emotional, cognitive, and relational dimensions of these experiences. Methods: A qualitative descriptive study was conducted with 20 pregnant women attending routine obstetric ultrasound examinations in Türkiye. Data were collected through semi-structured interviews and analyzed using Braun and Clarke’s reflexive thematic analysis. Results: Five themes were identified, reflecting the emotional, cognitive, relational, and embodied dimensions of women’s ultrasound experiences. Women’s experiences of obstetric ultrasound were characterized by emotional ambivalence, the transformation of pregnancy into a tangible and relational reality through fetal visualization, participants’ evolving sense of maternal identity, reassurance associated with supportive communication, and perceptions of preparedness for childbirth and motherhood. Conclusions: The findings highlight the importance of integrating woman-centered communication and emotional support into routine obstetric ultrasound to address women’s informational, emotional, and relational needs during antenatal care.

Background: Polycystic ovary syndrome (PCOS) is a prevalent proinflammatory condition. Docosahexaenoic acid (DHA), an omega-3 fatty acid obtained through the diet, is known for its anti-inflammatory properties. This study aimed to compare DHA concentrations in serum and cervical mucus between women with PCOS and healthy controls. Methods: This prospective cross-sectional study included 42 women with PCOS and 42 healthy controls aged 18–40 years. Anthropometric measurements, fasting metabolic and hormonal profiles were obtained, and paired serum and cervical mucus samples collected on midluteal phase of the menstrual cycle were analyzed for DHA concentrations using ELISA. Results: Serum DHA levels were significantly higher in the PCOS group compared with controls (304.50 [167.75–593.00] vs. 168.50 [105.25–312.75] ng/L; median difference of 136.0 ng/L [95% CI: 18.46–284.50]; p = 0.015). Cervical mucus DHA levels tended to be lower in the PCOS group (189.50 [168.75–240.25] vs. 220.00 [189.50–241.75] ng/L; median difference of −30.50 ng/L [95% CI: −63.01 to −12.00]; p = 0.098). The serum-to-cervical mucus DHA ratio was significantly higher in the PCOS group (1.65 [0.85–2.83] vs. 0.80 [0.52–1.93]; median difference of 0.85 [95% CI: 0.10–1.60]; p = 0.002). Conclusions: Women with PCOS exhibited significantly elevated serum DHA levels and serum to cervical mucus DHA ratios compared to healthy controls, while cervical mucus DHA levels were similar between groups. The higher serum DHA and comparatively lower cervical mucus DHA in PCOS patients may indicate impaired DHA metabolism, slower metabolic processing, or reduced utilization of its active mediators. To our knowledge, this is the first study to examine DHA levels in both serum and cervical mucus in PCOS, highlighting the need for further large-scale studies.

Objectives: The aim of this epidemiological study is to present the distribution of histopathological results of endometrial biopsies performed for indications in women and their relationship with symptoms. Methods: A retrospective analysis was conducted on patients with abnormal uterine bleeding (AUB) assessed by endometrial biopsy between January 2020 and July 2022. Analyzing the distribution and association of patients' demographic traits, biopsy motivations, and histopathologic findings was the main goal of the study. Results: A total of 1216 patients were included in the study, and their average age was 48.48 ± 8.79 years. AUB was found to be the most common reason for biopsy ( n = 616; 50.7%). The most common diagnosis among the histologic findings (320; 26.3%) was endometrial polyp. The most common symptoms among individuals with premalignant and malignant diseases were AUB, endometrial thickening, and postmenopausal hemorrhage. Additionally, it was determined that 21 (6.3%) postmenopausal patients had inadequate material. Conclusions: The most common histologic diagnosis from the procedure was endometrial polyp. It is important to make sure that the sample taken includes the entire uterine cavity because postmenopausal women may have insufficient biopsy samples. This is especially true if a hysteroscopy with biopsy cannot be performed (for a variety of reasons). In fact, suspect endometrial cancers should be thoroughly evaluated by hysteroscopy in patients with postmenopausal bleeding, endometrial thickness, and atypical uterine bleeding.

This study was planned to determine maternal attitudes and knowledge about newborn screening. The universe of the descriptive study consisted of postpartum mothers living in the centers of three provinces in the north and east of Turkey. The sample included mothers who were older than 18 years of age, who could read and write Turkish, whose babies were in the 24th and 72nd hour after birth, and who volunteered to take part in the study. The study was completed with 407 mothers. The data were collected with the face-to-face interview method by the researchers using the “Descriptive Information Form” and the “Maternal Attitudes and Knowledge Survey about Newborn Screening.” The results showed that 40.3% of the mothers were between the ages of 25 and 30 years, 52.8% received information about newborn screening, 61.1% received this information during pregnancy (27.3% in the first trimester and 33.8% in the last trimester), and most of the information was provided by a healthcare professional (77.8%). Mothers with only one child (p = .001) and those with nuclear families (p = .024) were found to have lower maternal attitudes and knowledge about newborn screening. The study showed that the level of knowledge of Turkish mothers about newborn screening is inadequate in general. In particular, the knowledge and attitudes of mothers with nuclear families, those with one child, and those not having regular check-ups during pregnancy are inadequate. Improving mothers’ understanding of screening tests will lead to more successful screening program implementation and earlier detection and care of newborns with a disease.