Ultrasound screening for fetal abnormalities

The aim of the study was to review the recent trends in the incidence, risk factors, pattern, diagnosis and management of various congenital anomalies in our population. This cross-sectional, observational study included sixty pregnant women aged 20-35 years. Mode of delivery was decided after considering all these aspects. Total eight [13.3%] fetuses had congenital malformations. The follow-up of these ladies revealed that 26 [43.3%] were lost on follow-up, so the incidence of congenital malformations at birth was found to be 5.8%

Shoulder dystocia: Incidence, risk factors and complications in Saudi Population

This study was performed at a district hospital in Saudi Arabia on all neonates born during the 4 years of study period Le. 15.12.1993 to 14.12.1997. The objective was to find out frequency of shoulder dystocia in that population, risk factors associated with it and the resultant complications of shoulder dystocia. The incidence of shoulder dystocia was 3.98% of total vaginal births and 4.26% of vaginal live births. During the study period there were 203 cases of shoulder dystocia among 5102 total vaginal birth and 5042 vaginal live births. The commonest risk factors associated with shoulder dystocia were fetal macrosomia [118 cases], male sex [107 cases], maternal grand multiparity [107 cases] and diabetes mellitus [26 cases]. Of 203 shoulder dystocia cases 21.7% [44 cases] had birth trauma the commonest being fracture clavicle [34 cases] followed by Erb's palsy [8 cases] and fracture humerus [2 cases]