Subject(s)
Disseminated Intravascular Coagulation/complications , Embolization, Therapeutic , Fatty Liver/complications , Obstetric Labor, Premature/etiology , Postpartum Hemorrhage/therapy , Pregnancy Complications, Hematologic , Adult , Angiography , Female , Humans , Iliac Artery/diagnostic imaging , Postpartum Hemorrhage/diagnostic imaging , PregnancyABSTRACT
Caesarean section rates have risen in recent years and this has led to concern. Significantly different Caesarean section rates have been reported between different teaching hospitals. This study compares the Caesarean section rates between 2 Sydney teaching hospitals draining populations from different areas of Sydney. Raw figures showed significantly different Caesarean section rates (22.5% at Royal North Shore Hospital compared with 18.3% at Westmead Hospital). Each hospital has a significantly different case mix when maternal ages are compared. When Caesarean section rates were corrected for maternal age and parity, there was no significant difference. As maternal age is an important factor influencing Caesarean section rates, future reports on obstetric services should consider this factor in making comparisons.
Subject(s)
Cesarean Section/statistics & numerical data , Maternal Age , Adult , Chi-Square Distribution , Female , Hospitals, Teaching , Humans , New South Wales/epidemiology , Parity , PregnancyABSTRACT
A case of cervical incompetence as a result of caesarean section is presented. The role of caesarean section as an aetiological factor in cervical incompetence is discussed.
Subject(s)
Cesarean Section/adverse effects , Uterine Cervical Incompetence/etiology , Adult , Female , Humans , Pregnancy , Pregnancy Complications/etiologyABSTRACT
Fifty patients who had undergone 2 or more failed in vitro fertilization (IVF) embryo transfer (ET) cycles or failed GIFT cycles where fertilization had been demonstrated, underwent hysteroscopy; 28% were found to have intrauterine abnormalities which may have been responsible for the failure of the IVF-ET or GIFT. Patients with an abnormality found at hysteroscopy had undergone a significantly higher mean number of transfer cycles. These results suggest that intrauterine abnormalities may be a cause for failure of IVF-ET or GIFT and therefore hysteroscopy should be part of the infertility work-up of all patients prior to undergoing IVF treatment.
Subject(s)
Embryo Transfer , Fertilization in Vitro , Gamete Intrafallopian Transfer , Hysteroscopy , Uterine Diseases/diagnosis , Abortion, Spontaneous/etiology , Adult , Age Factors , Female , Humans , Infertility, Female/etiology , Infertility, Female/therapy , Pregnancy , Time Factors , Uterine Diseases/complicationsABSTRACT
The sera of 30 patients with premature ovarian failure (POF) and a control group of 19 menopausal women were screened for anti-ovarian and other tissue antibodies. Anti-ovarian antibodies were detected by indirect immunofluorescence using monkey ovary substrates from two different commercial sources. Serum anti-ovarian antibodies were detected in only one of the patients with POF. This test does not appear to be reliable for the detection of serum anti-ovarian antibodies, and the clinical usefulness of screening patients with POF for anti-ovarian antibodies is questionable.
