Double burden: A rare case of Turner's syndrome with concomitant Mayer-Rokitanski-Kuster-Hauser syndrome / Philippine Journal of Obstetrics and Gynecology

Amenorrhea is one of the most taxing cases in the field of gynecologic endocrinology. Turner's and Mayer-Rokitansky-Kuster-Hauser Syndromes are the two most common separate causes of primary amenorrhea worldwide. Presented here is a rare case of an 18-year old female with Turner's Syndrome and concomitant Mayer-Rokitansky-Kuster-Hauser Syndrome. The worldwide incidence of both syndromes occurring simultaneously in an individual is 1 in 15,000,000 livebirths. The index patient presents with primary amenorrhea and chromosomal analysis revealed 45,X. Transrectal ultrasound noted absence of both the uterus and the ovaries. Early detection of this rare case is important for the initiation of hormone replacement therapy. Adoption is the only option to have a child since Assisted Reproductive Technique (ART) by means of in-vitro fertilization is not applicable for patients with both of these syndromes. Parents and children must be educated regarding the limitations of current knowledge about the management of both Turner's and Mayer-Rokitansky-Kuster-Hauser Syndromes and must be given realistic expectations with respect to sexual functionand social acceptance.

Prevalence of postpartum depression among mothers who delivered in a tertiary hospital / Philippine Journal of Obstetrics and Gynecology

GENERAL OBJECTIVE: To determine the prevalence of postpartum depression among mothers who delivered in a tertiary hospital.METHODS: A total of 115 postpartum patients were included in the study. The Edinburgh Postnatal Depression Scale (EPDS) which was developed in 1987 for screening postpartum women was used in this study. It was translated in Filipino language and has been validated. A score of at least 10 points indicates possible postpartum depression. A score of at least 1 point in question it 10 indicates suicidal ideation.RESULTS: Out of 115 patients, 89 had an EPDS score below 10 points corresponding to 77.39% of the total population studied, while 26 participants had a score of at least 10 points corresponding to 22.61%. There were 9 respondents who scored at least 1 point in ques­tion #10 pertaining to 7.83% of the population.CONCLUSION: Postpartum depression is a universal dilemma. In this study, the prevalence of postpartum depression among mothers who delivered in a tertiary hospital in Dasmariñas, Cavite from April to May 2013 is 22.61%. Since postpartum depression is a common condition with serious consequences, screening must be done with a multidisciplinary approach from both the obstetricians and psychiatrists.