[Maternal death due to postpartum rupture of cerebral aneurysm]

The latest reported incidence of subarachnoid hemorrhage due to aneurysms and arterio-venous malformations [AVMs] is around 15 per 100,000 pregnancies. It is also the third leading cause of maternal death from non obstetric causes accounting for 12% of total mortality. A pregnant woman with 42 years old G5P4Lch4 had vaginal delivery in 12 Aug 2009. One week after delivery she was visited by General Physician due to headache. She was admitted with signs of dizinous, vomiting projectile and painful stimuli, hospital consciousness level 5 and coma. CT scan was demonstrated a massive bleeding inside the brain. Massive hemorrhage into the ventricle was detected following neurosurgery. She was dead due to cardiac arrest after 10 days. Based on this case report, woman with headache following delivery should be recommended for cerebral aneurysm

[Related factors of acute Leukemia in children and the role of breast feeding]

In this study we aimed to determine factors related to the etiology of cancer in children. We investigated this issue in a case control study of 300 patients, aged 2 +/- 14 years, with acute leukemia, and 300 controls, individually matched to cases for age and sex, and place of residence. Children were enrolled after selection by a continuous sampling method. Information regarding breast-feeding was obtained through face to face interviews with mothers. Breastfeeding for durations less than one month increased the risk for childhood acute leukemia. Also, results showed that children 18-13 months and 24-19 months were breast fed, respectively, 2.45 and 3.54 times less than had been breastfed children under 1 year were diagnosed with acute leukemia. [P<0.05]. Higher number of children [OR=1.42, CI 1.03-1.96] and low family income [OR=0.6, CI 0.38-1.01] increased the risk for childhood acute leukemia [p<0.05]. Results of this study indicate that childhood acute leukemia may be associated with breast-feeding, economic status, and number of children. Further cohort studies on factors causing acute Leukemia in children are recommended

[Relationship between breast-feeding duration and childhood acute leukemia]

The role of breast-feeding in protection against childhood acute leukemia is uncertain. In this study, we tested the hypothesis that breast-feeding decreases the risk of 300 patients we investigated childhood acute leukemia. In a case control study, we inrestigated 300 patients, aged 2 +/- 13 years, with acute leukemia, as well as 300 controls, individually matched for age and sex. Information regarding breast-feeding was obtained through face to face interviews with mothers. Findings showed that there was a significant relationship between duration of breast-feeding and childhood acute leukemia [P<0. 001]. Breastfeeding of less than 1-months durations, when compared with feeding of longer durations 19-24 months was associated with increased risk of childhood acute leukemia [OR=3. 54]. In this study, breast-feeding was associated with a reduced risk of childhood acute leukemia. Our findings suggest that future epidemiologic and experimental efforts should be directed at investigating the relationship between breast-feeding duration and all malignancies among children