RESUMEN
It is normal to find a gravid uterus rotated by the third trimester; however, rotation beyond 45 degrees is rarely seen and is considered pathological. A thirty-six-year-old, gravida 8, para 5, abortion 2, with a singleton pregnancy, at 36 weeks of gestation, was admitted to the antenatal ward with uterine cramping and absent fetal movements. The patient had four uncomplicated term vaginal deliveries and one C-section. The lie of the fetus was oblique, and the patient had a spontaneous vaginal leak. An emergency Cesarean section was performed. At the time of C-section, the diagnosis of uterine torsion was made, and uterus was detorted. A macerated fetus was delivered. The patient had peritonitis most probably because of spontaneous rupture of membranes. She recovered with treatment and was discharged home on the tenth postoperative day. Uterine torsion is a rare, potentially dangerous complication that mainly occurs in the third trimester of pregnancy, putting the mother and fetus at a serious risk
RESUMEN
To evaluate the determinants of neonatal mortality. DESIGN: Prospective hospital based study. SETTING: Department of Obstetrics and Gynaecology Allied Hospital [P.M.C], Faisalabad. PERIOD: Jan 1994 to April 1995. MATERIAL AND METHODS: Total number of births during Jan 1994 to April 1995 were included in the study which was 4230. A perinatal mortality rate of4l.80/100 birth was noted, with a still birth rate of 22.22/1000 births. Perinatal mortality rate was much higher in children born to uneducated parents. Patients having antenatal care had lesser number of perinatal deaths as compared to the ones who had no antenatal care. Education of parent good nutrition for the mother and antenatal care can reduce perinatal mortality remarkably