ABSTRACT
Small cell carcinoma of the ovary, hypercalcemic type [SCCOHT] is a very rare and lethal tumor, mostly affecting young women, with aggressive clinical course. It has a worse prognosis in younger women and most of them died within two years of diagnosis. We are reporting a unique case of SCCOHT in a 35 years old, nulliparous lady with primary infertility in which symptomatic hypercalcemia was a presenting feature of her cancer. She was completely healthy before third cycle of IVF. Within two months of her third IVF cycle, she developed SCCOHT with a very rapid and aggressive course of disease and fatal outcome. Patient died within one month of her first symptom presentation [3 months after IVF cycle]
ABSTRACT
The efficacy and safety of oral versus vaginal misoprostol for elective induction of labor in post date multigravida with an unfavourable cervix was compared over a period of one year in the Bahawal Victoria Hospital, Bahawalpur, Pakistan. Eightyeight multigravida post date women were divided into two groups and given 50 mg misoprostol orally and 50 mg intravaginally, respectively. The induction to onset of significant uterine contractions and delivery intervals were lower in the first group (7.8 h vs. 8.9 h) when compared to (10.4 h vs. 12 h). The first group had a higher rate of Caesarean section (7% vs. 4%; p>0.05), uterine hyperstimulation (9% vs. 5%; p>0.05), uterine tachysystole (23% vs. 14%; p>0.05) and neonatal admissions to intensive care unit (12% vs. 4%; p>0.05) when compared to second group. Fifty mg oral misoprostol has the potential to induce labor as safely and effectively as the intravaginal route.
ABSTRACT
The objective of present study was to fund out the effectiveness of methods for the reduction of Caesarean section rate [CSR]. It was conducted in Obstetric and Gynaecology Unit II, Bahawal Victoria Hospital, Bahawalpur from January 2001 to December 2001. A total of 3753 patients were admitted during the year 2001 in Gynae Unit II, out of which 2170 were obstetric patients. The total number of vaginal deliveries were 1591 [73.3286] and the total number of caesarean sections were 579 [26.6896]. With external cephalic version [ECM, 87.5 96 success rate was observed in vaginal deliveries. In case of vaginal births after previous Caesarean section the success rate turned out to be 61.3146. Trial of scar, ECV and careful decision about primary Caesarean section significantly reduce the CSR