Obstetrics and Gynecology

• Threat of premature birth (watering before 34 weeks, shortening of the cervix)
• Perinatal infections (infections during pregnancy)
• Follow-up of babies with congenital anomalies in the womb and planning the delivery method and time
• Follow-up of pregnant women with systemic diseases (endocrine, cardiopulmonary, hematological diseases)
• Amniocentesis and other advanced screening tests

The perinatology doctor also monitors the mother in case of the mother having a chronic disease that requires close follow-up. In suitable cases with shortening of the cervix in the second trimester, abortion and premature birth can be prevented by suturing the cervix (cerclage). For the definitive diagnosis of pregnant women with high risk in double, triple or quadruple screening tests, taking water from the abdomen with a needle (amniocentesis, cordocentesis) is recommended. Babies who are found to have congenital anomalies in the screening tests are followed up by a council including pediatric urology, neurology and cardiology doctors in the womb, and an organization is made so that the birth is done in the most appropriate center for the baby. It is treated by intervening in diseases that can be intervened in the mother's womb. (Twin to twin transfusion syndrome, anemia)

• Infertility
• Ovulation tracking and problems
• Hysterosalpingography and hysteroscopy (uterine film, evaluation of the patency of the tubes and imaging of the inside of the uterus with a camera)

Infertility should be considered if the couple cannot have a child despite regular sexual intercourse for one year. Sperm analysis for men, ultrasonography, hormone analysis and HSG are done for women. Couples with indications for IVF treatment are as folloeing: women with both tubes blocked, men with sperm count less than 5 million and low sperm motility, women with reduced ovarian reserve, patients with ovulation disorder who do not respond to ovulation treatments, women with unexplained infertility who cannot get pregnant with 2 vaccinations, and women over the age 40.

• Ultrasound examination, colposcopy, leep
• Cervical (cervical) cancer and precancerous lesions (gin, hsil)
• Uterine cancer
• Ovarian cancer

Cervical, breast and ovarian cancers are among the leading cancer-related deaths in women worldwide. However, early diagnosis of gynecological cancer types is provided with a few tests that women will have during the year.

• Preconception counseling and prenatal care
• Screening for recurrent miscarriages and genetic diseases
• Monitoring maternal health
• Pregnancy screening tests (2, 3 and 4 tests)
• Periodic ultrasound and pregnancy follow-ups
• 2nd level ultrasonography (detailed examination of all systems and organs of the baby that can be examined by ultrasound)
• Fetal evaluation (biophysical profile, nst etc.)
• Birth (cesarean or normal birth)
• Postpartum care

Every pregnancy is unique and requires close follow-up. Routine monthly controls after the first two trimesters increase during the last trimester of pregnancy. Normal delivery is expected until the 41st week. Normal birth can be painless under epidural anesthesia. Elective cesarean section is recommended at 39 weeks for patients with a previous cesarean section or a history of fibroid surgery. Tube ligation can also be performed during cesarean section. Vaginal delivery can also be performed after cesarean section in eligible patients who have had at least 2 years of cesarean section. During cesarean section and normal delivery, the pediatrician is also present in the room and performs the first examination and intervention as soon as the baby is born. Hospital stay is 1-2 days, if there are no additional postpartum complications.