Re-evalution of the obsteric of the older primipara

To evaluate the obstetric performance of older [>/= 35 years] primiparous women. The obstetric data of 77 consecutive older primigravid women who were registered for pregnancy care, were analyzed for their obstetric performances, and compared with 50 randomly chosen older [35 years] multiparas and 50 young [<35 years] primiparas. The study was conducted in King Khalid University Hospital [KKUH] over a five year period from January 01, 1991 to December 31, 1995. Significant differences observed were a higher incidence of hypertension and pre-eclampsia and fibroids and infertility in the older primiparas. The frequencies of operative deliveries [vacuum, and cesarean section] were significantly greater in the older primiparas. No significant difference was noted in the post natal course of the three groups, nor was there any significant difference in perinatal morbidity. Although older primiparous woman have higher rates of complications of pregnancy [pre-eclampsia] and delivery [vacuum and cesarean section], their risk of poor neonatal outcome is not appreciably increased

Subchorionic hematoma in threatend abortion: sonographic evaluation and significance

In a study of 92 women with subchorionic hematoma evaluated with sonographic scan in King Khalid University Hospital, it was found that the mean ages and live births of patients who carried their pregnancies to viability -were higher when compared with the patients who aborted. There was a statistically significant association between the gestational age at diagnosis of subchorionic hematoma and the size of the hematoma. There was, however, no statistically significant association found between the gestational age at diagnosis, size and site of the hematoma and the outcome of pregnancy. It was concluded that subchorionic hematoma which appear either in the second trimester, or are larger, or located in the lower uterine segment, may be associated with higher rates of abortion or preterm deliveries. Nevertheless, there is no statistically significant impact of these on the outcome of pregnancy

Fertility following ectopic pregnancy

In addition to the acute adverse consequences of ectopic pregnancy, the subsequent reproductive potential of the affected women has continued to attract the attention of medical scientists in recent times. In a study to evaluate the fertility potentials in 138 patients treated for ectopic pregnancy in the King Khalid University Hospital [KKUH] Riyadh, 105 [76.1%] of the patients had follow-up management for periods varying from 12 to 60 months. Since all these patients desired pregnancies, they were classified as "at risk" for evaluation of their reproductive potentials. Of these, 51 [48.6%] eventually became pregnant and produced 63 viable pregnancies, 18 abortions and one repeat ectopic pregnancy. Many of those who failed to become pregnant over the follow-up period probably had tubal damage due to the antecedent pelvic inflammatory disease [PID], perhaps compounded by the effects of the ectopic pregnancy and the management, among other factors