Diagnosis of intracavitary uterine diseases in postmenopausal women by hysteroscopy

To reveal the hysteroscopic findings among postmenopausal women who were subjected to diagnostic hysteroscopy method. This is a descriptive study which was conducted at King Hussein Medical Center within the period from January 2008 to January 2010, on a total of 215 postmenopausal women. Mean age of the study group was 58 years [range 46-70]. Hysteroscopy was carried out to detect intracavitary disease, either by hysteroscopic view or using histopathological biopsies for other diseases. Simple descriptive statistics [frequency, mean age and percentage] were used to describe the study variables. The histopathological and hysteroscopic findings were as follows: polyps in 122 [56.7%] patients, atrophic endometrium in 44 [20.5%] patients, synechia in 22 [10.2%] patients, fibroid in 13 [4.6%] patients, endometrial hyperplasia in seven [3.3%] patients, focal thickening seven [3.3%] patients. The most frequent findings at hysteroscopy for postmenopausal women with bleeding were benign lesions. Hysteroscopy using biopsy is a selective method for detecting intracavitary uterine disease

Does cord blood of thyroid stimulating hormone, T3 and T4 levels in infants differ in different modes of deliveries? A comparative study

To determine whether the levels of cord blood TSH, T3 and T4 are affected by different modes of delivery. This study was conducted out at Princess Haya Hospital over five months period [November 2004-March 2005]. Cord blood samples for TSH, T3 and T4 were taken immediately from neonates delivered by normal vaginal delivery and Caesarean Sections either as emergency or elective. One hundred and fifty cord blood samples were obtained from three groups [group 1-50 neonates delivered by normal vaginal delivery, group II- 50 neonates delivered by emergency Caesarean Section and group III- 50 neonates delivered by elective Caesarean Section]. All mothers of these neonates had no medical problems. Measurements of TSH, T3 and T4 levels were performed using IMX assay, which is a Micro particle Enzyme Immunoassay [MEIA] for TSH, T4 and T3. Simple descriptive statistics was used T-test was used to determine statistically difference between the study groups. The mean level of TSH in the cord blood samples taken from neonates delivered by normal vaginal delivery and emergency Caesarean Section was significantly lower than in elective Caesarean Section [p <0.005; 5.9 +/- 1.0 m I/ml, 5.8. +/- 1.3 m I/ml and 7.4 +/- 1.4m I/ml respectively]. Regarding T3 and T4, they were significantly higher in elective Caesarean Section than in normal vaginal delivery and in emergency Caesarean Section [p <0.05; T4 and T3 were 4.1 +/- 1.1 n g/dl, 6.9 +/- 1.5 pg/d L 2.1 +/- 1.3 n g/dl 5.5 +/- 15 pg/dl and 5.8 +/- 1.3 n g/dl and 5.9 +/- 2.5 pg/dl, respectively]. Our results showed that TSH, T3 and T4 are lower in normal vaginal delivery and emergency Caesarean Section than in elective Caesarean Section