RESUMEN
The objective is to determine the frequency of intrauterine death in post term pregnancy at Pakistan Railway Teaching Hospital - Rawalpindi. It is an observational prospective study The study included four year data of all the deliveries conducted during 10th January 2005 -9th Jan 2011 at Pakistan Railways Teaching Hospital. Total 6540 deliveries were conducted during this time 104 Pregnant women with gestational age of 294 days or more, who were sure of their LMP were included. Detailed history was taken along with physical and ultrasound examination. All women with associated medical problems were excluded. Data collected about study variables was included in sample. All relevant data was collected using perform, that was developed in the light of objectives and variables. Data was analyzed on computer using SPSS Version 10. Frequency of intrauterine deaths in post term pregnancy was calculated and 95% confidence interval was calculated for it. The overall prevalence of post term pregnancy was 3.13% which is much less than those in different studies. Maternal and neonatal complications were compared with normal term pregnancy. This comparative study revealed increased risk to mother and fetus as pregnancy advances beyond term
RESUMEN
A lady of 44 years presented with progressively growing non-tender mass in the right labia majora over a period of one year. Ultrasound showed large perineal mass with predominantly echogenic low resistance type of arterial blood flow at different places on ultrasound. CT scan showed well-defined margins with attenuation less than that of muscle. MRI showed high signal intensity related to loose myxoid matrix and high water content of angiomyxoma
RESUMEN
Peripartum Cardiomyopathy [PPCM] is a rare life threatening disease and affects young women. Relevant literature has been searched. Symptoms of PPCM vary greatly and may be obscured by common physiological aspects of pregnancy. Therefore incidence rate might be higher. Echocardiography and MRI can confirm or rule out PPCM. Unfortunately there is no specific risk factor profile available. We have collected data of three such cases in which we followed the outcome of pregnancy in patients who had PPCM in previous pregnancies. Increasing awareness for PPCM among general practitioners, obstetricians and cardiologists may help in early diagnosis in order to start adequate treatment. We are presenting the outcome of pregnancy of three patients with history of PPCM in previous pregnancies.