SUMMARY OBJECTIVE: There is an increase in the prevalence of pre-gestational diabetes in the past decades, mainly due to the increase in the prevalence of obesity in the general population and consequently type 2 diabetes among women of reproductive age. METHODS: This study purposed to describe the delivery characteristics, pregnancy complications, and outcomes among women in Serbia with the pre-gestational type 2 diabetes in the past decade, as well as their pregnancy complications, deliveries, and neonatal outcomes. The study included data from all the pregnant women with pre-gestational type 2 diabetes in Belgrade, Serbia during the period between 2010 and 2020. The final sample consisted of 138 patients. RESULTS: More than half, i.e., 70 (50.7%) had a vaginal delivery, while 48 (34.8%) had elective and 20 (14.5%) had emergency caesarean sections. Throughout the period, there was 1 patient with preeclampsia (0.7%), 5 with pregnancy-induced hypertension (3.6%), 7 had newborns with small for gestational age (5.1%), 28 with macrosomia (20.3%), 12 (8.7%) had preterm births, and one-fifth, i.e., 28 (20.3%) of the newborns had Apgar score under 8. CONCLUSION: The present study revealed that women with type 2 diabetes in pregnancy have a significant burden of pregnancy complications, related to pregnancy, delivery, and newborns. OBJECTIVE pregestational pre decades METHODS characteristics complications decade deliveries Belgrade 201 2020 13 patients RESULTS half ie i e i.e. 50.7% 507 50 (50.7% 4 34.8% 348 34 8 (34.8% 14.5% 145 14 (14.5% sections 0.7%, 07 0.7% , 0 (0.7%) pregnancyinduced induced 3.6%, 36 3.6% 3 6 (3.6%) 5.1%, 51 5.1% (5.1%) 20.3%, 203 20.3% 8.7% 87 (8.7% births onefifth, onefifth one fifth, fifth one-fifth (20.3% CONCLUSION 202 i.e 50.7 (50.7 34.8 (34.8 14.5 (14.5 0.7 (0.7% 3.6 (3.6% 5.1 (5.1% 20.3 8.7 (8.7 (20.3 50. (50. 34. (34. 14. (14. 0. (0.7 3. (3.6 5. (5.1 20. (8. (20. (50 (34 (14 (0. (3. (5. (8 (20 (5 (3 (1 (0 ( (2

SUMMARY OBJECTIVE: Our study purposed to examine the complex relationship between low-molecular-weight heparin therapy, multiple pregnancy determinants, and adverse pregnancy outcomes during the third trimester in women with inherited thrombophilia. METHODS: Patients were selected from a prospective cohort of 358 pregnant patients recruited between 2016 and 2018 at the Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, Belgrade. RESULTS: Gestational age at delivery (β=-0.081, p=0.014), resistance index of the umbilical artery (β=0.601, p=0.039), and D-dimer (β=0.245, p<0.001) between 36th and 38th weeks of gestation presented the direct predictors for adverse pregnancy outcomes. The model fit was examined using the root mean square error of approximation 0.00 (95%CI 0.00–0.18), the goodness-of-fit index was 0.998, and the adjusted goodness-of-fit index was 0.966. CONCLUSION: There is a need for the introduction of more precise protocols for the assessment of hereditary thrombophilias and the need for the introduction of low-molecular-weight heparin. OBJECTIVE lowmolecularweight low molecular weight therapy determinants thrombophilia METHODS 35 201 Gynecology Serbia Belgrade RESULTS β=0.081, β0081 β β= 0.081, 0 081 (β=-0.081 p=0.014, p0014 p p=0.014 , 014 p=0.014) β=0.601, β0601 601 (β=0.601 p=0.039, p0039 p=0.039 039 p=0.039) Ddimer D dimer β=0.245, β0245 245 (β=0.245 p<0.001 p0001 001 th 000 00 0.0 95%CI 95CI CI 95 0.00–0.18, 000018 0.00–0.18 18 0.00–0.18) goodnessoffit goodness 0998 998 0.998 0966 966 0.966 CONCLUSION 3 20 β=0.081 β008 0081 0.081 08 (β=-0.08 p001 p=0.01 01 β=0.601 β060 60 (β=0.60 p003 p=0.03 03 β=0.245 β024 24 (β=0.24 p<0.00 p000 0. 9 00001 0.00–0.1 1 099 99 0.99 096 96 0.96 2 β=0.08 β00 008 0.08 (β=-0.0 p00 p=0.0 β=0.60 β06 6 (β=0.6 β=0.24 β02 (β=0.2 p<0.0 0000 0.00–0. 09 0.9 β=0.0 β0 (β=-0. p0 p=0. β=0.6 (β=0. β=0.2 p<0. 0.00–0 β=0. (β=-0 p=0 (β=0 p<0 0.00– β=0 (β=- p= (β= p< (β

Abstract Objectives: Ad fontes, the status of the thyroid gland, and metabolic disturbance lead to the alteration of oxygenation. In pregnancy, it is particularly crucial to possess all predictive parameters. Methods: This cross-sectional study was conducted at the Clinic of Gynecology and Obstetrics, Clinical Center of Serbia, Belgrade, Serbia, between 2017 and 2021 which study included a total of 99 women who had been admitted for preterm delivery and had undergone thyroid analysis, detected Hashimoto thyroiditis, and Oral Glucose Tolerance Test (OGTT) 40 days after delivery and had pathological Homeostatic Model Assessment for Insulin Response (HOMA IR) indices. In the group of urgent patients with preterm delivery, we looked after not only routine Doppler of the umbilical artery, but we measured specific ratios such as the Cerebroplacental ratio (CP). Results: The mean maternal age was 32.23 ± 5.96 years and the mean gestational age was detected as 35.40 ± 2.39 weeks. The delivery was completed vaginally in 77 women (78%) and surgically in 22 (22%). The Mean APGAR score was 8.44 ± 1.18, the mean birth weight was 2666.87 ± 622.17g and the cases undergoing cesarean section had significantly higher values of pulsatility index (1.85 ± 0.27 vs. 1.34 ± 0.31) and CP (1.22 ± 0.26 vs. 0.47 ± 0.17). Conclusions: The introduction of Doppler sonography for blood flow assessment helps to form a complete clinical description of the patient, particularly in conditions where oxidative stress became provocative by the thyroid gland antibodies and gestational diabetes in Thyroidology. Objectives fontes oxygenation pregnancy parameters Methods crosssectional cross sectional Obstetrics Serbia Belgrade 201 202 9 analysis thyroiditis OGTT (OGTT 4 HOMA IR indices artery CP. . (CP) Results 3223 32 23 32.2 596 5 96 5.9 3540 35 35.4 239 2 39 2.3 weeks 7 78% 78 (78% 22%. 22% (22%) 844 8 44 8.4 118 1 18 1.18 266687 2666 87 2666.8 62217g g 622 17g 1.85 185 85 (1.8 027 0 27 0.2 vs 134 34 1.3 0.31 031 31 1.22 122 (1.2 026 26 047 47 0.4 0.17. 017 0.17 17 0.17) Conclusions patient Thyroidology 20 (CP 322 3 32. 59 5. 354 35. 2. (78 (22% 84 8. 11 1.1 26668 266 2666. 62 1.8 (1. 02 0. 13 1. 0.3 03 1.2 12 04 01 0.1 (7 (22 6 (1 ( (2