[Uterine septum dimensions in patients with infertility and recurrent abortion and the outcomes of hystroscopic metroplasty]

It is believed that uterine septum, because of its effect on infertility and recurrent abortion is very important and pregnancy outcome is obviously improved by hysteroscopic metroplasty [HM]. In this study, the probable relationship of uterine septum dimensions [length and width] with infertility and recurrent abortion has been investigated. This clinical trial was carried out from Jan. 2004 to Feb. 2007 on all patients referred to Ahwaz educational hospitals for evaluation of infertility and recurrent abortion and underwent hysterosalpingography [HSG]. Patients with suspected uterine septum were referred to Imam Khomeyni Hospital and underwent simultaneous hysteroscopy and laparoscopy. After that hysteroscopic metroplasy was done. The participants were checked by new HSG after one month and were evaluated for pregnancy outcome after one year. In whole, 50 patients [28 cases with infertility and 22 cases with recurrent abortion] were studied. In 62.5% septum width was equal or less than 3cm and in 48% length of septum occupied two thirds of uterine cavity and there was no significant difference between the two groups in regard to septum's width and length. Rate of pregnancy occurrence was 71.4% in patients with infertility and 76.5% in patients with recurrent abortion and no significant difference was found between the two groups in this regard. According to the findings, it seems that septum dimensions [width and length] have no role in infertility and abortion. Therefore, resection of uterine septum regardless of its size is recommended. In patients with uterine septum who suffer from infertility and recurrent abortion, HM is an appropriate approach

Location, size and clinical symptoms of uterine polyps

In this study we tried to find relationship between location, size and clinical symptoms of uterine polyps. Our cross sectional study was performed during the year 2008 in Ahwaz Imam Khomayni Hospital. Patients who underwent office hysteroscopy were evaluated and those with hysteroscopic diagnosis of polyp were entered in the study. Hysteroscopic findings of location and size of polyps and clinical presentations of Abnormal Uterine Bleeding [AUB] dysmenorrhea, infertility, discharge, spotting plus discharge were evaluated. One hundred and twenty four patients were evaluated. The most common location of polyp and clinical presentation were cervical canal and AUB, respectively. Polyp sizes of equal or less than 1 cm are commonly seen in cervical canal and cornea and more than 1 cm polyps are commonly found in uterine cavity and near internal os. In this study we showed that location of polyp is important in clinical presentation. Patients presented with AUB had polyps more common in uterine cavity, patients with spotting plus discharge had polyps more in cervical canal

[Mean duration of pregnancy in spontaneous deliveries in Ahwaz university affiliated hospital in 2007]

Accurate knowledge about gestational age is very important in taking decision for pregnancy management and termination. According to Naegele's rule the length of pregnancy is 280 days after LMP and according to studies performed in Harvard University, duration of pregnancy in nullipare and multipare women has been respectively 288 and 283 days and according to a study performed in Oxford University it is influenced by factors such as age, parity, some illnesses and personal habits. In this retrospective study, all laboring women admitted in Ahwaz Medical University Hospitals in 2007 including 689 nulliparas and 774 multiparas with true labor pain and reliable LMP were studied for pregnancy duration. Data were analyzed by SPSS software. Mean duration of pregnancy was 273.17, 274.31 and 273.77 days in nulliparas, multiparas and overall respectively. Parity has no significant association with pregnancy duration. According to the sonography below 26 weeks duration of pregnancy is calculated 270.07 days which had no significant relationship with LMP. According to this study parity has no effect on pregnancy duration. Mean pregnancy duration was shorter comapared to Naegele's rule and Harvard University studies

Comparison between cephalothin and ampicillin + gentamicin in treatment of pyelonephritis in pregnancy

Urinary tract infection is a common problem in pregnancy and its complications affect both pregnant woman and her fetus. Different treatment strategies have been suggested and some of them are less safe. This study compared the effectiveness of cephalothin treatment with ampicillin + gentamycin protocol. Sixty pregnant patients with pylonephritis in Imam Khomeini and Razi hospitals in Ahwaz were randomized in two groups of 30 patients, one with cephalothin only treatment and the other with ampicillin+gentamycin. Both groups were compared in term of duration of fever, CVA tenderness, symptoms and length of stay in hospital. Cephalothin only group had less duration of fever, approximately eleven hours, which was statisticaly significant. Length of stay and symptoms' relief were also less in cephalothin only group but it had no statistical significance. Cephalothin is a safe and effective remedy in the treatment of pyelonephritis in pregnancy and may be used as the first choice treatment even in severely ill patients