ABSTRACT
OBJECTIVE: To evaluate the foeto-maternal outcome in instrumental delivery. METHODS: This retrospective record review was conducted at Aga Khan Maternal and Child Care Centre, Hyderabad, Pakistan, and comprised medical records from January 2014 to January 2016. Data related to all women with singleton pregnancy at term gestation and having undergone vacuum or forceps delivery was included. Data of women who had multiple pregnancies, caesarean section, and presentation other than cephalic, placenta previa were excluded. SPSS 19 was used for data analysis. RESULTS: Of the 400 participants, 255(63.75%) were aged between 22-28 years and 145(36.25%) between 29-35 years. Moreover, 268(67%) women were primigravida. Of them, 225(56.25%) presented at more than 40 weeks of the gestation. The foetal complication such as cephalohaematoma was observed in 3(0.75%) cases. CONCLUSIONS: Instrumental vaginal delivery was found to be safe and is the best substitute of the caesarean sections.
Subject(s)
Cesarean Section/statistics & numerical data , Extraction, Obstetrical/statistics & numerical data , Pregnancy Outcome/epidemiology , Adult , Apgar Score , Cesarean Section/adverse effects , Craniocerebral Trauma , Extraction, Obstetrical/adverse effects , Female , Hematoma , Humans , Infant, Newborn , Pakistan/epidemiology , Perineum/injuries , Pregnancy , Retrospective Studies , Young AdultSubject(s)
Breast Neoplasms/diagnosis , Cicatrix/pathology , Mastectomy/adverse effects , Neoplasm Recurrence, Local/diagnosis , Biopsy , Breast Neoplasms/pathology , Combined Modality Therapy , Female , Humans , Middle Aged , Neoplasm Recurrence, Local/pathology , Neoplasm Recurrence, Local/therapyABSTRACT
True knot of umbilical cord (TKUC) is a rare abnormality. When it becomes tight, it may lead to the obstruction of the foetal circulation and intrauterine death (IUD). We present two cases of TKUC managed at The Aga Khan University Hospital with two extreme outcomes. A 22 years old primigravida was diagnosed with unexplained intrauterine foetal demise at 28th week gestation. She delivered vaginally after induction and tight TKUC was identified as a cause of IUD. The second patient delivered an alive healthy male baby vaginally who was found to have a lose TKUC.
Subject(s)
Fetal Death , Pregnancy Complications , Umbilical Cord/abnormalities , Female , Humans , Male , Pregnancy , Young AdultABSTRACT
Tubal sterilization is one of the most commonly employed permanent method of contraception, although it is considered very safe, rarely a cyst may develop in the fallopian tube after sterilization which may undergo torsion resulting in patient presenting with acute abdomen. We are presenting a case of a middle aged women presenting to emergency room with severe lower abdominal pain, she had past history of tubal ligation done 12 years back. Pelvic ultrasound showed right sided ovarian cyst, emergency laparotomy was performed for suspected torsion of ovarian cyst, which revealed normal ovary, however a right sided fallopian tube cyst was present which had undergone torsion, right sided salpingectomy was performed and the patient was sent home in stable condition on the fourth postoperative day.
