Residential environmental risks for reproductive age women in high pollution area

Published research suggests there is an association between maternal inhalation of common ambient air pollutants and adverse birth outcomes, including an increased risk for preterm delivery, intrauterine growth retardation, small head circumference, low birth weight and increased rate of malformations. The air pollutants produced by indoor and outdoor combustion of biomass fuels, used by 50% of households worldwide, have been linked to acute lower respiratory infections, the single most important cause of mortality in children under the age of 5. This study describes a hypothesis-generating study in Shoubra El Khema Kaliobia, Egypt, conducted to assess maternal inhalation as well as air pollution in outcome of pregnancy including congenital abnormality, IUGR, IUFD, and neonatal death

Reproductive outcomes in women with uterine anomalies

To determine the effect of uterine anomalies' in the pregnant outcome in assistant reproductive treatment. Retrospective study in Mohamed Fares centre and Mohamed Abdou centre between December 2005 and January 2008 to calculate the incidence of pregnancy rate in patients who have uterine abnormalities. Twenty three patients had different uterine abnormality undergone 31ICSI cycle and incidence of clinical pregnancy, incidence of implantation rate and Miscarriage rate and home-taking baby rate. This study looked at 23 subjects who underwent 31 IVF cycles [1]. Using their own historical data, we found [hat overall clinical pregnancy [37.3% in uterine malformations Vs. 38.8% in controls] and implantation rates [17.5% in uterine malformations Vs. 13.0%' in controls] were similar. Uterine anomalies have an effect in pregnant outcome in ART whoever it is small study. In general, the role of IVF needs to be better evaluated, with studies including a larger number of subjects. IVF pregnancy rates appear to be decreased not because of decreased number or quality of eggs obtained but rather because of the uterine anomaly itself

Thermal balloon ablation versus endometrial resection for the treatment of abnormal uterine bleeding

This study compares the clinical efficacy and safety of a thermal uterine balloon system with hysteroscopic endometrial resection in the treatment of dysfunctional uterine bleeding. In nil, 47 women were treated by two experienced gynaecological surgeons: One performed 73 thermal balloon ablations and the other 74 endometrial resections between November 1998 and December 1999. The inclusion criteria were similar in both groups. The operative time was reduced significantly with the uterine balloon technique. There were no intra-operative complications in either group and postoperative morbidities were minimal and not statistically different. Mtiltivariate analysis noted two prognostic factors associated with failures: Retroverted uterus with thermal balloon ablation and age under 43 years with endometrial resection. The overall success rate did not differ significantly between the two groups 83.0 +/- 5% for balloon ablation and 76.3 +/- 6% for endometrial resection. Uterine balloon ablation appears to be as efficacious as endometrial resection. The former is much easier to perform, making the technique readily reproducible, especially by those with limited expertise in hysteroscopic surgery and thus more widely applicable and safer

Uterovaginal packing with rolled gauze in postpartum hemorrhage

Management options for postpartum hemorrhage [PPH] include oxytocics, prostaglandins, genital tract exploration, ligation or angiographic embolization of uterine/internal iliac arteries and hysterectomy. After excluding uterine rupture, genital tract lacerations and retained placental tissue, efforts are directed toward contracting the uterus by bimanual compression and oxytocics. If these are not successful, one must resort to surgical techniques. At this stage, an alternative option to remember is uterovaginal packing. Easy and quick to perform, it may be used to control bleeding by tamponade effect and stabilize the patient until a surgical procedure is arranged. Uterovaginal packing may sometimes obviate the need for surgery altogether. Two cases, a primary and a secondary PPH, managed recently with uterovaginal packing are reported. Despite concerns about concealed hemorrhage or the development of infection with this intervention, none of these problems were encountered and uterine packing was successful even in the case of secondary PPH with documented infection