Résumé
Background: intrapartum head circumference is an integral part of sonographic models and important for the purpose of fetal weight estimation as well as in cases which abnormal fetal head growth is suspected, it is considered the interface between maternal pelvis and fetus
Aim: this study aims to assess the accuracy of fetal head circumference compared to expected fetal weight as a predictor of spontaneous vaginal delivery
Methods: a prospective observational study was conducted on 996 women in active stage of labor admitted to Labor ward of Ain Shams University Maternity Hospital and Labor ward in Manshiet El Bakry general hospital
Results large head circumference [odds ratio, 2.8; 95% CI, 1.37-5.73; p-value; .005 was independent predictors for cesarean delivery, and no significant difference on mode of delivery between different expected fetal weight
Conclusion: a large head circumference is more strongly associated with unplanned caesarian section than high expected fetal weight
Résumé
Combined trabeculotomy-trabeculectomy was used in 40 eyes of 32 patients with primary congenital glaucoma [20 patients were females and 12 were males, their ages ranged between 7 months and 3 years with a mean of 1.42 years]. Primary combined trabeculotomy-trabeculectomy was the chosen intervention. No previous surgical intervention was done to any patient. All patients underwent thorough history taking and ophthalmic examination. The average follow up period was 8.9 months [6-12 months]. The main outcome measures were postoperative intraocular pressure [IOP], corneal clarity and diameter, bleb characteristics, time of surgical failure and complications. The success criteria included intraocular pressure inferior to 16 mm Hg under general anesthesia. The mean preoperative IOP was improved from 28.9 mm Hg to 14.1 mm Hg at 12 months postoperatively. A progressive improvement of the outcome parameters was observed in 37 out of 40 eyes. None of the patients had any sight-threatening intra or postoperative complications