[Evaluating correlation between NRBC count and fetal distress]

Nucleated red blood cells [NRBC] are occasionally observed in blood of newborns and some recent studies have reported of a relationship between NRBC count and fetal distress and hypoxia. To investigate the correlation between NRBC count and fetal distress. This was a case-control study conducted at Kosar medical centre in Qazvin, Iran. During a 6-month period in 2005, fifty women of unifetal pregnancy at third trimester of their gestation were chosen and the NRBC counts of their newborns who suffered fetal distress [case group] were evaluated. The control group composed of 100 women at their third trimester of pregnancy whose fetuses showed no sign of any distress. Data were analyzed using X2 and t test. The mean NRBC count in fetal distress group was 2406.6 +/- 2470.7 and in control group 673.43 +/- 709.9. Statistically, increased NRBC count in fetal distress group was found to be significant [p=0.000]. NRBC count in fetal distress group was significantly increased hence it could be used as a marker to evaluate the fetal distress and hypoxia in infants

[Rudimentary hemiuterus rupture in a 14-weeks pregnancy]

In some cases, pregnancy is complicated by anomalies of the reproductive tract. Uterine dysfunction and uterine rupture are serious hazards in these abnormalities. This case was a 22 years old lady with acute abdomen signs in her first pregnancy with a gestational age of 14 weeks. In our evaluation, she had a unicornuate uterus with a right rudimentary horn. The pregnancy occurred at this rudimentary horn causing uterine rupture and internal hemorrhage

intra-uterine missed abortion with a simultaneous tubal ectopic pregnancy

A case of heterotopic pregnancy is reported. This case was a 25 years old woman with a chief complain of vaginal bleeding which was spotting in following pregnancy after using clomiphene. An ultra-sonography report showed a missed abortion about 8 weeks of gestation. After a few days, she returned with an acute abdomen. A tubal pregnancy with a missed abortion was suggested as a differential diagnosis. Laparatomy and D and C were performed. Pathologic report also confirmed simultaneous intra-uterine and extra-uterine pregnancy within recent years. The use of reproductive technology and ovulation stimulation has increased the prevalence of this type of rare pregnancy. Thus, heterotopic pregnancy should be considered in the presence of ectopic pregnancy signs and symptoms even if a normal intra-uterine pregnancy was confirmed