Induction of labour in postdates pregnant women

To differentiate the effect of gestation on the mode of delivery by analysing the difference in the mode of induction, length of labour and the difference in parity or Bishop score and their effect on the mode of delivery of postdates women. A cross-sectional observational study. PAEC General Hospital, Islamabad, from July 2006 to July 2008. Patients were induced at 41 weeks [Group B] and > 40 weeks [Group A] of gestation. Tab misoprostol and PGE2 tablets were administered according to amniotic fluid index [AFI] and parity. Study variables included duration of gestation, mode of induction, length of labour, difference in parity and Bishop score assessed before induction in each group. The outcome was assessed by applying Chi-square test by comparing mode of delivery with the study variables in both groups. A total of 78 patients were inducted in the study. They were divided in group B [n = 39] induced 41 weeks and group A [n = 39] induced at 40 weeks. Eighty four percent [n = 35] patients in group B delivered vaginally as compared to 71% [n = 28] in the 40 weeks group [p < 0.0001]. The higher number of vaginal deliveries in 41 weeks group was independent of association between the induction agent, parity and mode of delivery. The mean length of gestation was the single most important factor among the studied variables in predicting a vaginal delivery

Hyperreactio luteinalis associated with pregnancy induced hypertension

This is a unique case of hyperreactio luteinalis associated with partial HELLP syndrome, chronic superimposed hypertension, and intrauterine growth restriction. The cysts were managed conservatively. A caesarean section was performed at 34 weeks due to the deterioration of liver function tests, and intrauterine growth restriction. Multiple tissue biopsies of the ovaries were taken which showed theca leutein cysts. Her postoperative recovery was uneventful. The size of the cysts subsequently regressed to normal in 3 months postpartum