Primary amenorrhea varied etiology

Investigation of primary amenorrhea is usually initiated by the age of 14 years if there is delayed puberty absent secondary sexual characteristics and absent menses, or no menstruation within 4 years of the onset of adrenarche and thelarche. We established diagnosis in our 3 cases on the basis of chromosomal analysis, hormonal analysis, diagnostic laparoscopy, and histopathological examination of the samples biopsied. We identified 3 varied etiologies

Twin intrauterine and cornual gestation in a case of triplet pregnancy

Ectopic implantation with in-vitro fertilization-embryo transfer may occur in the cornu or tubal stump, which is otherwise rare. Our patient with previous left salpingostomy and right salpingo-oophorectomy had 4 embryos transferred through in vitro fertilization out of which 3 were successfully implanted with twin intrauterine gestation and cornual pregnancy. The cornual pregnancy ruptured at 12 weeks of gestation and the twin intrauterine pregnancy had a successful outcome

Placenta previa in a referral hospital in Oman

To determine the incidence of placenta previa associated pregnancies, to find out the strength of association of identified risk factors with the major placenta previa associated pregnancies and to identify predictors for preterm outcome. Records of women with placenta previa, who delivered at Nizwa Hospital, Al-Dakhliya region, Sultanate of Oman between October 1998 and September 2002, were analyzed retrospectively utilizing a case control approach. An incidence of 0.6% for placenta previa was noted in our study. Nearly two thirds [64.8%] of the pregnancies resulted in antepartum bleeding. Pregnancies with major placenta previa constituted 72% of all the subjects. Higher parity [>/= 5], maternal age [>/= 30] and history of previous abortion had high odds of association with major placenta previa of 2.1, 2.4 and 2.5. Antepartum hemorrhage was not significantly associated with pregnancies presenting with major placenta previa [odds ratio [OR] 1.3; p>0.05]. The proportion of preterm deliveries was 55.5% in the study. There was a significant association between preterm outcome and presence of antepartum hemorrhage [OR 10.8; p<0.001]. In spite of higher maternal age, parity and previous abortions having high odds of presenting in pregnancies with major placenta previa, no significant statistical association could be proven. Also, no significant difference among pregnancies presenting with major or minor placenta previa as regards the preterm outcome, could be established. Antepartum hemorrhage, irrespective of severity, was a strong predictor of preterm outcome