RESUMO
[a]: To describe the age and parity characteristic of women with complete hydatidiform Mole [CHM] in Mosul. [b]: To estimate the relative frequency of CHM in relation to pregnancy. [C]: To estimate the rate of recurrence and malignant changes in CHM. Design: Case-series study. Data from hospital patients with CHM are utilized. Setting: Al-Batool Maternity Hospital, during the period from 1979 to 1983. Participants: 130 women with CHM The total admission for deliveries and abortions during the same period in the same hospital was 62682 [abortion 18960 and deliveries 43722]. Intervention: Diagnosis of CHM was based on clinical criteria, HCG pregnancy test and ultrasound. Main Outcome Measures: Age, parity, mode of presentaion, laboratory investigations and treatment given The relative frequency [incidence] and rates of recurrence and malignant changes were calculated The relative occurring frequency was 1/482 with the highest rate of CHM occured in 30-35 year aged group and among patients whose parity ranged between zero to three. The recurrence rate within the same patient was 1.7% and fifteen patients [11.5%] developed choriocarcinoma. The relative frequency of CHM in Mosul was high and comparable to reported frequency in other countries in the Middle East Malignant changes in those patients were also high and proper follow up is recommended
Assuntos
Humanos , Feminino , Mola Hidatiforme/diagnóstico , Mola Hidatiforme/terapia , Neoplasias Uterinas , CoriocarcinomaRESUMO
Fifty cases of ruptured gravid uterus dealt with in the Mosul Maternity Hospital from January 1979 to December 1983 were studied retrospectively. The overall incidence was 1.1 per 1000 live births. The common etiologic factors were cephalic malposition, grand multiparty, obstetric interference and lack of antenatal care. Maternal and foetal mortality were 26% and 96% respectively. Twenty nine patients [58%] underwent abdominal hysterectomy, and 18 patients [36%] had repair of the uterus, of whom 6 [12%] had tubal ligation
Assuntos
Humanos , Feminino , Ruptura Uterina/etiologia , Complicações na Gravidez , Ruptura Uterina/cirurgia , Histerectomia , Mortalidade Materna , Morte Fetal , Ruptura Uterina/diagnóstico , Estudos RetrospectivosRESUMO
Two cases of placenta percreta are reported. Case No. 1 was presented as silent hemorrhage during the first stage of labour with dead foetus and case No. 2 was presented as acute abdomen at 36 weeks of gestation. The etiology was not known. The treatment of choice is hysterectomy, which was done for both of them