:We performed a randomized clinical trial in patients who were at 19-23 weeks gestation who were admitted for medical termination of pregnancy. All patients received 800 m gm of vaginal misoprostol and were assigned randomly to 400 m gm of oral misoprostol or 400 m gm of vaginal misoprostol every 8 hourly up to a maximum of 4 doses. Efficacy and side effects were compared. The mean induction abortion interval was compared in both groups.
我们对妊娠19-23周接受医学终止妊娠的患者进行了一项随机临床试验。所有患者均接受800 m gm阴道米索前列醇治疗，并随机分配至400 m gm口服米索前列醇或400 m gm阴道米索前列醇每8小时一次，最多4次剂量。比较两组的疗效和不良反应。比较两组平均引产时间。
{"title":"To Assess The Efficacy Of Two Regimens Of Misoprostol For Second Trimester Pregnancy Termination-A Randomized Comparison","authors":"Rabia Kurshid, Abida Ahmed, S. Mir, I. Shamas","doi":"10.5580/2007","DOIUrl":"https://doi.org/10.5580/2007","url":null,"abstract":":We performed a randomized clinical trial in patients who were at 19-23 weeks gestation who were admitted for medical termination of pregnancy. All patients received 800 m gm of vaginal misoprostol and were assigned randomly to 400 m gm of oral misoprostol or 400 m gm of vaginal misoprostol every 8 hourly up to a maximum of 4 doses. Efficacy and side effects were compared. The mean induction abortion interval was compared in both groups.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127607921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A 20 year old illiterate woman who had a spontaneous first trimester abortion followed by instrumental evacuation, presented 4 days later with sudden onset of pain and distension of abdomen along with difficulty in breathing. On examination, she was tachypnoeic, icteric with tachycardia. Abdominal examination revealed guarding and rigidity along with free fluid and vague mass in lower abdomen. Gynaecological examination showed purulent discharge through os with bogginess in all fornices. USG revealed echogenic fluid with bilateral large ovarian masses containing multiple small cysts. Laparotomy was performed with a provisional diagnosis of ruptured theca leutein cysts after 24 hrs of administration of broad spectrum antibiotics. There were bilateral theca leutein cysts of more than 10X15 cm, the left of which has ruptured and the right on the verge of rupture. Bilateral partial cystectomy was performed and histopathological examination confirmed theca lutein cysts with inflammatory infiltrate.
{"title":"Theca lutein cyst rupture - an unusual cause of acute abdomen : a case report","authors":"P. Dasari, K. Prabhu, T. Chitra","doi":"10.5580/17f8","DOIUrl":"https://doi.org/10.5580/17f8","url":null,"abstract":"A 20 year old illiterate woman who had a spontaneous first trimester abortion followed by instrumental evacuation, presented 4 days later with sudden onset of pain and distension of abdomen along with difficulty in breathing. On examination, she was tachypnoeic, icteric with tachycardia. Abdominal examination revealed guarding and rigidity along with free fluid and vague mass in lower abdomen. Gynaecological examination showed purulent discharge through os with bogginess in all fornices. USG revealed echogenic fluid with bilateral large ovarian masses containing multiple small cysts. Laparotomy was performed with a provisional diagnosis of ruptured theca leutein cysts after 24 hrs of administration of broad spectrum antibiotics. There were bilateral theca leutein cysts of more than 10X15 cm, the left of which has ruptured and the right on the verge of rupture. Bilateral partial cystectomy was performed and histopathological examination confirmed theca lutein cysts with inflammatory infiltrate.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116329358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fehmija Fetahovic, Zlatica Popivoda, D. Radonjić, D. Kljakić, G. Vukčević, S. Raičević
Introduction: Marital sterility is a special problem that the WHO declared as the disease and it is estimated that 15% of couples have been treated by this disease. The causes of marital infertility are 45-50%,of men, 45-50% of women and 5-10% couples of unknown causes. Total fertility rate in Montenegro has been reduced by about 10%. The aim of the study was to make the assessment of successfulness of intrauterine insemination, as one of the methods of treatment of marital infertility. Material and methods: We studied 27 infertile married couples, where 52 cycles were stimulated. In 42 (80.7%) of cycles the ovulation was confirmed and made intrauterine insemination (IUI) by husband's sperm, which was prepared by swim-up modified method. In 10 cycles there has been no adequate growth of follicles and the folliculigenesis stimulation was interrupted. The causes of infertility in the study group were: cause of male infertility (n = 11) mild and easy forms of endometriosis (n = 6) cervical factor (n = 4) and polycystic ovarian syndrome (n = 6). Results: The pregnancy occurred in 4 female patients. Percentage of pregnancy was 10.8%, compared to cycles in which ovulation was confirmed, after which intrauterine insemination was done. Percentage of pregnancy in married couples, according to the different causes of infertility was: infertility caused by cervical factor of 25%, the causes of male infertility 16.6%, with mild or easy endometriosis 18.2%, polycystic ovarian syndrome 16.6%. Discussion: Examination presents prospective study, which included 27 infertile couples, in which ovarian stimulation were performed with Clomifen citrate and made intrauterine insemination. In 18 pairs was about the secondary, and in 9 pairs, the primary infertility. We believe that our results are satisfactorily and consistent with published results in the reference literature. Conclusion: Intrauterine insemination is a cheap and minimally invasive method compared to other methods of assisted reproduction. Numerous reports indicate that the pregnancy rate is much higher if the IUI is combined with controlled ovarian stimulation.
{"title":"Efficiency of intrauterine insemination as a method of treating marital infertility","authors":"Fehmija Fetahovic, Zlatica Popivoda, D. Radonjić, D. Kljakić, G. Vukčević, S. Raičević","doi":"10.5580/2e8","DOIUrl":"https://doi.org/10.5580/2e8","url":null,"abstract":"Introduction: Marital sterility is a special problem that the WHO declared as the disease and it is estimated that 15% of couples have been treated by this disease. The causes of marital infertility are 45-50%,of men, 45-50% of women and 5-10% couples of unknown causes. Total fertility rate in Montenegro has been reduced by about 10%. The aim of the study was to make the assessment of successfulness of intrauterine insemination, as one of the methods of treatment of marital infertility. Material and methods: We studied 27 infertile married couples, where 52 cycles were stimulated. In 42 (80.7%) of cycles the ovulation was confirmed and made intrauterine insemination (IUI) by husband's sperm, which was prepared by swim-up modified method. In 10 cycles there has been no adequate growth of follicles and the folliculigenesis stimulation was interrupted. The causes of infertility in the study group were: cause of male infertility (n = 11) mild and easy forms of endometriosis (n = 6) cervical factor (n = 4) and polycystic ovarian syndrome (n = 6). Results: The pregnancy occurred in 4 female patients. Percentage of pregnancy was 10.8%, compared to cycles in which ovulation was confirmed, after which intrauterine insemination was done. Percentage of pregnancy in married couples, according to the different causes of infertility was: infertility caused by cervical factor of 25%, the causes of male infertility 16.6%, with mild or easy endometriosis 18.2%, polycystic ovarian syndrome 16.6%. Discussion: Examination presents prospective study, which included 27 infertile couples, in which ovarian stimulation were performed with Clomifen citrate and made intrauterine insemination. In 18 pairs was about the secondary, and in 9 pairs, the primary infertility. We believe that our results are satisfactorily and consistent with published results in the reference literature. Conclusion: Intrauterine insemination is a cheap and minimally invasive method compared to other methods of assisted reproduction. Numerous reports indicate that the pregnancy rate is much higher if the IUI is combined with controlled ovarian stimulation.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126225216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Masamitsu Nakamura, J. Hasegawa, Ryu Matsuaka, T. Mimura, K. Ichizuka, A. Sekizawa, T. Okai
Objectives: To investigate the possibility of the births of small for gestational age (SGA) infant in patients with risk factors.Methods: This study enrolled 3046 babies born between 2005 and 2007. The cases were divided into the small for gestational age (SGA) group (312 cases) and the control group (2734 cases). A multivariable analysis was conducted to retrospectively analyze the factors associated with low fetal birth weight, which include abnormalities of the neonate, placenta and umbilical cord, and maternal complications.Results: The odds ratios (99% confidence interval) of SGA were 5.3 (3.4-8.3) for multiple pregnancy, 2.4 (1.2-4.7) for fetal malformation, 4.6 (2.0-10.5) for velamentous cord insertion, 2.0 (1.0-3.8) for marginal cord insertion, 3.7(2.0-6.9) for hypercoiled cord, 5.3 (3.2-9.0) for pregnancy induced hypertension, and 1.8 (1.2-2.6) for low maternal body mass index (BMI<18.5). Conclusion: A multivariable analysis was conducted to determine the odds ratios for the birth of an SGA infant -for various risk factors of fetal growth restriction. These data might improve the prognosis of infants through the intensive perinatal management.
{"title":"Risk Analysis For The Birth Of A Small For Gestational Age (SGA) Infant","authors":"Masamitsu Nakamura, J. Hasegawa, Ryu Matsuaka, T. Mimura, K. Ichizuka, A. Sekizawa, T. Okai","doi":"10.5580/12fe","DOIUrl":"https://doi.org/10.5580/12fe","url":null,"abstract":"Objectives: To investigate the possibility of the births of small for gestational age (SGA) infant in patients with risk factors.Methods: This study enrolled 3046 babies born between 2005 and 2007. The cases were divided into the small for gestational age (SGA) group (312 cases) and the control group (2734 cases). A multivariable analysis was conducted to retrospectively analyze the factors associated with low fetal birth weight, which include abnormalities of the neonate, placenta and umbilical cord, and maternal complications.Results: The odds ratios (99% confidence interval) of SGA were 5.3 (3.4-8.3) for multiple pregnancy, 2.4 (1.2-4.7) for fetal malformation, 4.6 (2.0-10.5) for velamentous cord insertion, 2.0 (1.0-3.8) for marginal cord insertion, 3.7(2.0-6.9) for hypercoiled cord, 5.3 (3.2-9.0) for pregnancy induced hypertension, and 1.8 (1.2-2.6) for low maternal body mass index (BMI<18.5). Conclusion: A multivariable analysis was conducted to determine the odds ratios for the birth of an SGA infant -for various risk factors of fetal growth restriction. These data might improve the prognosis of infants through the intensive perinatal management.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"10 22","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132512798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Premature rupture of membrane (PROM) and preterm birth are the major public health problems accounting for mortality and morbidity both in infant and mother. Although, there are some reports available in world literature on PROM at week 20 and early preterm births prior to week 34, but most of these cases end in catastrophic outcome. In the present study a case report on PROM, associated with persistently marked oligohydramnios at week 19 is presented and discussed. The patient was managed expectantly and delivered at week 35 without any complication. Four years follow-up in pediatric clinics revealed a healthy normal child. Even though, the PROM was not anticipated – but its timely detection, prompt laboratory investigations, scrupulous patient care and meticulous management of infections, illness and hyperbilirubinemia lead to a favorable outcome. Subsequent care of the baby in the Neonatal Intensive Care Unit (NICU) and good oral feeding from day 1 appears to influence the normal progress of the baby.
{"title":"Premature Rupture Of Membranes At Week 19: Favorable Pregnancy Outcome And Four Years Follow-Up After Expectant Management","authors":"T. A. Halima","doi":"10.5580/1856","DOIUrl":"https://doi.org/10.5580/1856","url":null,"abstract":"Premature rupture of membrane (PROM) and preterm birth are the major public health problems accounting for mortality and morbidity both in infant and mother. Although, there are some reports available in world literature on PROM at week 20 and early preterm births prior to week 34, but most of these cases end in catastrophic outcome. In the present study a case report on PROM, associated with persistently marked oligohydramnios at week 19 is presented and discussed. The patient was managed expectantly and delivered at week 35 without any complication. Four years follow-up in pediatric clinics revealed a healthy normal child. Even though, the PROM was not anticipated – but its timely detection, prompt laboratory investigations, scrupulous patient care and meticulous management of infections, illness and hyperbilirubinemia lead to a favorable outcome. Subsequent care of the baby in the Neonatal Intensive Care Unit (NICU) and good oral feeding from day 1 appears to influence the normal progress of the baby.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130670927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We report a case of a 17 year old female with Hemoglobin SC (Hgb SC) disease and an early intrauterine pregnancy who sustained a significant hemoperitoneum secondary to a hemorrhagic corpus luteum cyst.A ruptured corpus luteum cyst presenting with significant hemoperitoneum is a rare but life threatening condition requiring immediate surgical intervention. It may occur both in the pregnant and non-pregnant state. If it occurs at an early gestational age the differential diagnosis between ectopic pregnancy and ruptured corpus luteum cyst of pregnancy can be extremely difficult.
{"title":"Massive hemoperitoneum secondary to ruptured corpus luteum cyst of pregnancy in 17-year old female with Hemoglobin SC disease","authors":"V. Andikyan, J. Ronald, Charles H. Bowers","doi":"10.5580/351","DOIUrl":"https://doi.org/10.5580/351","url":null,"abstract":"We report a case of a 17 year old female with Hemoglobin SC (Hgb SC) disease and an early intrauterine pregnancy who sustained a significant hemoperitoneum secondary to a hemorrhagic corpus luteum cyst.A ruptured corpus luteum cyst presenting with significant hemoperitoneum is a rare but life threatening condition requiring immediate surgical intervention. It may occur both in the pregnant and non-pregnant state. If it occurs at an early gestational age the differential diagnosis between ectopic pregnancy and ruptured corpus luteum cyst of pregnancy can be extremely difficult.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130911862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Obstetric fistula is a common problem in Tanzania, with an incidence of about 1200 cases per year. Case: A 25 year-old female, para 2 with no living children, presented with a history of total urinary incontinence following a difficult vaginal delivery. Prior to this delivery she had a previous history of an obstructed labour complicated by vesico-vaginal fistula (VVF), for which she had had a caesarean section and then a vesical vaginal fistula repair in 2006. A repeat fistula was repaired successfully. Conclusion: Improvement in a patient’s socio-economic status and improvement to infrastructure would contribute greatly to prevention of obstetric fistula.
{"title":"Reopening Of A Previously Repaired Fistula Following Obstructed Labour: A Case Commentary","authors":"A. Masinde, B. Gumodoka, H. B. Im","doi":"10.5580/206c","DOIUrl":"https://doi.org/10.5580/206c","url":null,"abstract":"Background: Obstetric fistula is a common problem in Tanzania, with an incidence of about 1200 cases per year. Case: A 25 year-old female, para 2 with no living children, presented with a history of total urinary incontinence following a difficult vaginal delivery. Prior to this delivery she had a previous history of an obstructed labour complicated by vesico-vaginal fistula (VVF), for which she had had a caesarean section and then a vesical vaginal fistula repair in 2006. A repeat fistula was repaired successfully. Conclusion: Improvement in a patient’s socio-economic status and improvement to infrastructure would contribute greatly to prevention of obstetric fistula.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123931338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. Usanga, L. Abia-Bassey, Pc Inyang-Etoh, F. Ani, E. Archibong
The prevalence of sexually transmitted diseases (STDs) in pregnant and non-pregnant women in Calabar was studied. Blood, high vaginal swabs (HVS) and Endocervical swab (ECS) samples were aseptically collected from five hundred and sixty two (562) antenatal pregnant women attending two tertiary hospitals in Calabar (the General Hospital and the University of Calabar Teaching Hospital ) and randomly from one hundred and eight (108) non-pregnant women in Calabar, and investigated for various etiologic agents of STDs including Neisseria gonorrhoeae, Candida albicans, Trichomonas vaginalis, Gardnerella vaginalis (Bacterial vaginosis), Treponema pallidum (Syphilis), Hepatitis B surface Antigen (HBsAg), Human immunodeficiency virus and Chlamydiae species, using standard microbiological methods. The HVS and the ECS swabs were analyzed using direct wet smear, Gram-stained smear and culture techniques while blood samples were examined serologically using standard proprietory reagents. Out of the 562 pregnant and 108 non-pregnant women examined, 250(44.5%) and 51(47.2%) were infected with various aetiologic agents respectively. In pregnant women, Candida albicans had the highest percentage of infections 121(21.5%) followed by HIV 38(6.8%) and Chlamydiae species 35(6.2%). Others were Hepatitis B surface antigen (HBsAg) 8(1.4%); Trichomonas vaginalis, 29(5.2%); Gardnerella vaginalis (Bacterial vaginosis), 12(2.1%) and Treponema pallidum (Syphilis) 7(1.2%). Neisseria gonorrhoeae was not isolated among the pregnant women. In non-pregnant women, Candida albicans also had the highest percentage of infections 23(21.3%) followed by Chlamydia species 11(10.2%) and HIV 9(8.3%). Others were Trichomonas vaginalis 4(3.7%); Hepatitis B surface antigen (HBsAg) 3(2.8) and Gardnerella vaginalis, 1(0.9). Neisseria gonorrhoeae and Treponema pallidum were not isolated. The prevalent rates of infections were inversely associated with increase in age and educational status. Increased pre/post conception screening for STDs is essential in preventing disease transmission and adverse pregnancy outcomes among these groups.
{"title":"Prevalence Of Sexually Transmitted Diseases In Pregnant And Non-Pregnant Women In Calabar, Cross River State, Nigeria.","authors":"V. Usanga, L. Abia-Bassey, Pc Inyang-Etoh, F. Ani, E. Archibong","doi":"10.5580/27f1","DOIUrl":"https://doi.org/10.5580/27f1","url":null,"abstract":"The prevalence of sexually transmitted diseases (STDs) in pregnant and non-pregnant women in Calabar was studied. Blood, high vaginal swabs (HVS) and Endocervical swab (ECS) samples were aseptically collected from five hundred and sixty two (562) antenatal pregnant women attending two tertiary hospitals in Calabar (the General Hospital and the University of Calabar Teaching Hospital ) and randomly from one hundred and eight (108) non-pregnant women in Calabar, and investigated for various etiologic agents of STDs including Neisseria gonorrhoeae, Candida albicans, Trichomonas vaginalis, Gardnerella vaginalis (Bacterial vaginosis), Treponema pallidum (Syphilis), Hepatitis B surface Antigen (HBsAg), Human immunodeficiency virus and Chlamydiae species, using standard microbiological methods. The HVS and the ECS swabs were analyzed using direct wet smear, Gram-stained smear and culture techniques while blood samples were examined serologically using standard proprietory reagents. Out of the 562 pregnant and 108 non-pregnant women examined, 250(44.5%) and 51(47.2%) were infected with various aetiologic agents respectively. In pregnant women, Candida albicans had the highest percentage of infections 121(21.5%) followed by HIV 38(6.8%) and Chlamydiae species 35(6.2%). Others were Hepatitis B surface antigen (HBsAg) 8(1.4%); Trichomonas vaginalis, 29(5.2%); Gardnerella vaginalis (Bacterial vaginosis), 12(2.1%) and Treponema pallidum (Syphilis) 7(1.2%). Neisseria gonorrhoeae was not isolated among the pregnant women. In non-pregnant women, Candida albicans also had the highest percentage of infections 23(21.3%) followed by Chlamydia species 11(10.2%) and HIV 9(8.3%). Others were Trichomonas vaginalis 4(3.7%); Hepatitis B surface antigen (HBsAg) 3(2.8) and Gardnerella vaginalis, 1(0.9). Neisseria gonorrhoeae and Treponema pallidum were not isolated. The prevalent rates of infections were inversely associated with increase in age and educational status. Increased pre/post conception screening for STDs is essential in preventing disease transmission and adverse pregnancy outcomes among these groups.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131819242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
There is very little information available on how best to manage patient with multiple pregnancy and sickle cell disease. A Gravida2 Para1, 30 year-old female known patient with sickle cell disease, complicated with multiple pregnancy, and previous history of caesarean section, presented with anemia for which she was transfused. In the course of treatment she ruptured membranes, in view of this; a repeat caesarean section was performed. Operation was complicated with uterine atony and bleeding hence hysterectomy was done. Post-operative was unremarkable. Anemia is one of the major complications in a patient with sickle cell complicated with multiple gestation, hence prophylactic blood transfusion is recommended.
{"title":"Sickle Cell Disease Complicated With Multiple Pregnancy: A Case Report","authors":"A. Masinde, B. Gumodoka, H. B. Im","doi":"10.5580/2c2","DOIUrl":"https://doi.org/10.5580/2c2","url":null,"abstract":"There is very little information available on how best to manage patient with multiple pregnancy and sickle cell disease. A Gravida2 Para1, 30 year-old female known patient with sickle cell disease, complicated with multiple pregnancy, and previous history of caesarean section, presented with anemia for which she was transfused. In the course of treatment she ruptured membranes, in view of this; a repeat caesarean section was performed. Operation was complicated with uterine atony and bleeding hence hysterectomy was done. Post-operative was unremarkable. Anemia is one of the major complications in a patient with sickle cell complicated with multiple gestation, hence prophylactic blood transfusion is recommended.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131863757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hysterectomy is the most commonly performed gynaecological surgery throughout the world. Few studies have been performed describing the pathologic findings in hysterectomy specimens and examining the relationship between the pre-operative clinical indication and pathologic diagnosis. This study was undertaken to identify the most common pathologies identified in hysterectomy specimens and to correlate the findings with the clinical indications. Five hundred hysterectomy cases, over a period from April 2008 to March 2010 formed the subject for the present study. Ninety six percent of the hysterectomies were done for benign indications. Surgical specimens were formalin fixed and paraffin embedded. The sections were stained with routine hematoxylin and eosin stain. The most common pathology identified was leiomyoma followed by adenomyosis. Hysterectomies done for uterovaginal prolapse showed atrophic endometrium on histopathological examination. Other less frequent pathologies identified included endometrial hyperplasia, chronic endometritis and endometrial polyp. The pathologic examination confirmed the clinical diagnosis in all cases of leiomyoma, adenomyosis and endometrial polyps. This study confirms that benign pathologies are more common in hysterectomy specimens than their malignant counterparts. Histopathology is mandatory for mandatory for ensuring diagnosis and thus management, in particular of malignant disease.
{"title":"Hysterectomy: A Clinico-Pathological Correlation Of 500 Cases","authors":"G. Gupta, D. Kotasthane, V. D. Kotasthane","doi":"10.5580/141b","DOIUrl":"https://doi.org/10.5580/141b","url":null,"abstract":"Hysterectomy is the most commonly performed gynaecological surgery throughout the world. Few studies have been performed describing the pathologic findings in hysterectomy specimens and examining the relationship between the pre-operative clinical indication and pathologic diagnosis. This study was undertaken to identify the most common pathologies identified in hysterectomy specimens and to correlate the findings with the clinical indications. Five hundred hysterectomy cases, over a period from April 2008 to March 2010 formed the subject for the present study. Ninety six percent of the hysterectomies were done for benign indications. Surgical specimens were formalin fixed and paraffin embedded. The sections were stained with routine hematoxylin and eosin stain. The most common pathology identified was leiomyoma followed by adenomyosis. Hysterectomies done for uterovaginal prolapse showed atrophic endometrium on histopathological examination. Other less frequent pathologies identified included endometrial hyperplasia, chronic endometritis and endometrial polyp. The pathologic examination confirmed the clinical diagnosis in all cases of leiomyoma, adenomyosis and endometrial polyps. This study confirms that benign pathologies are more common in hysterectomy specimens than their malignant counterparts. Histopathology is mandatory for mandatory for ensuring diagnosis and thus management, in particular of malignant disease.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130132994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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