[Indicators for successful vaginal delivery after cesarean section: a proposal of a predictive score]

The purpose of this study is to determine predictive factors of successful vaginal delivery after cesarean section, and to estimate the risks of this trial of labor [TOL]. A retrospective study about 352 women undergoing a TOL after cesarean section was carried out. Different variables stratified by the termination of the TOL were analysed with statistic tests. TOL success rate was 76.1%. Parity >/= 3, prior vaginal delivery following cesarean section, body mass index < 30, fundal height < 34 cm, and low fetal head level at the beginning of labor increased significantly the probability of success. Uterine rupture rate is 1.1%. Failure of TOL was associated with a higher risk of uterine scar dehiscence and rupture, and higher fetal morbidity. A predictive score of successful vaginal delivery after cesarean section is proposed

[Tubo-ovarian actinomycosis. A report of two cases and literature review]

Actinomycosis is an infection due to an anaerobic Gram-positive bacillus bacteria: Actinomyces. Tubo-ovarian locallisation is rare. It more often appears clinically as a pseudo-tumoral and feverish syndrome, evoking wrongly a malignant tumoral pathology, and often leads to a mutilating surgical treatment. Intra-uterine device appears as the principal favorable factor of this pathology. Basing on two cases reported by the authors, and after literature review, physiopathology, clinical and paraclinical expression, and treatment of this affection are discussed. A set up is made

[Pemphigoid gestationis: a pregnancy- related pathology underestimated by obstetricians]

Pemphigoid gestations [herpes gestationis] is an autoimmune bullous dermotosis occurring during pregnancy or in the post-partum period. The interaction of this rare pathology with pregnancy is underestimated by obstetricians. Authors report one case of pemphigoid gestations diagnosed in a pregnant woman at term. After a literature review clinical aspects of this dermatosis and especially its interactions, with pregnancy are assessed