Transabdominal and transvaginal ultrasonographic evaluation of cervical incompetence

In [15] healthy controls and [25] women with a history of habitual midpregnancy abortion [the study group], transabdominal [TAS] and transvaginal [TVS] ultrasonographic examinations were done for cervical parameters during the first trimester of pregnancy [8-12 week]. In the aborters [TVS] showed a more significant [P < 0.05] widening of the mean internal os [I.O.] [12.8 vs 9.7 mm] and also the cervical diameter [32.4 vs 28.9 mm] with shortening of the cervical length [28.4 vs 32.8 mm] with shortening of the cervical length [28.4 vs 32.8 mm] than that detected by TAS. But in the controls TVS compared to TAS gave only a significant shortening of the cervical length [47.6 vs 53 mm] without any significant variations in [I.O] and cervical diameter. In comparing the aborters with the controls examined by TAS, only [I.O] was a significant widening [9.7 vs 5.8 mm] while cervical diameter and length were of non significant changes, but TVS showed a significant variations in the three cervical parameters either widening of [I.O] [12.8 vs 7.1 mm] and cervical diameter [32.4 vs 29 mm] with shortening [28.4 vs 47.6 mm] in the habitually aborting women in contrast to the controls so TVS is the ideal approach for diagnosis of cervical incompetence

Parasitic infestations during pregnancy in Zagazig

In a study of parasitic infestations in [1041] pregnant women in Zagazig, more than half of the cases [553:53.3%] were infested while 182 women [17.48%] were infested with more than one parasite. The detected helminthes were Schistosoma mansoni [129:12.39%]. Schistosoma haematobium [38:3.56%], enterobius vermicularis [167:16.04%] Ascaris lumbricoides [108:10.37%], H. heterophyes [40:3.84%], Hymenolepis nana [14:1.34%], Strongyloides stercora lis [5:0.48%] and Trichuris trichura [1:0.096%]. Protozoa were entamaeba histolytica [103:9.89%]. Giardia lamblia [54:5.19%] while Toxoplasmosis was detected in 17 cases from 45 cascs of abortion. More incidence of bacteriuria [15.37% vs 6.96%], albuminuria [11.21% vs 3.48%] and anaemia [63.47% vs 15.37%] was found in the infested than in the non-infested cases. Also obstetric complications such as abortion [8.5% vs 3.69%], premature labour [3.8% vs 1.43], puerperal sepsis [3.26% vs 0.41] and postpartum haemorrhage [1.08% vs 0.41] were of more incidences in the infested than in the non-infested cases