backgroundpregnancy and delivery are among the most stressful events in women’s life . breech presentation is defined as a fetus in a longitudinal lie with the buttocks or feet closest to the cervix. this occurs in 3-4% of all deliveries.the risk for perinatal mortality was 1 in 300 for planned breech deliveries.some conventional non-surgical therapies for breech presentation are available. acu...

We report a three-year-old male child who presented with congenital valvular defects, right ventricular malformation, and initial developmental delay. Genome sequencing showed rare deleterious biallelic missense variants in PLD1. In his parents’ second pregnancy, echocardiogram at 13 weeks gestation revealed right-sided cardiac malformations resembling the clinical presentation of family...

Background: The prevalence of preeclampsia is around 5% - 15% all pregnant women. It can cause severe complications and even death in the mother fetus if not adequately managed.
 Case presentation: A 36-year-old housewife was admitted to emergency department with a chief complaint shortness breath before hospital arrival. patient also complained headaches. From physical examination, consci...

Abstract Background Abruptio placentae is a complication of pregnancy that can lead to uterine rupture, increasing maternal and fetal mortality, especially when there lack medical outreach in remote areas. Case presentation We present two deaths due rupture term consequent abruptio placentae. In one case, the uterus ruptured at previous lower segment Caesarean section (LSCS) scar site another o...

OBJECTIVES To characterize the indications for primary cesarean delivery in a large national cohort and to identify opportunities to lower the U.S. primary cesarean delivery rate. METHODS A retrospective cohort study of the 38,484 primary cesarean deliveries among the 228,562 deliveries at sites participating in the Consortium on Safe Labor from 2002 to 2008. RESULTS The primary cesarean de...

Objective To report a case of severe hypercalcemia secondary to primary hyperparathyroidism in a late-preterm pregnant patient and review medical and surgical treatments as well as obstetric and neonatal outcomes. Background Diagnosis of parathyroid disease during pregnancy can be difficult due to nonspecific presentation. Management decisions are complex and require multidisciplinary collabo...

The aim of this study is to characterize the in utero presentation of the subtype of double-inlet left ventricle (DILV), a rare congenital heart disease, and assess the postnatal outcome. We retrospectively studied fetuses diagnosed prenatally with DILV between 2007 and 2011. We reviewed the prenatal and postnatal echocardiograms, clinical presentations, karyotypes, and the postnatal outcomes. ...

Background:Prenatal ultrasound plays an important role in the early and accurate evaluation of the congenital skeletal and non-skeletal abnormalities of the fetus and is effective in predicting pregnancy outcomes. Congenital femoral deficiency (CFD) is a rare complicated and non-hereditary anomaly that includes the hypoplasia of a portion of the femoral bone with shortening the lower limb. Cas...

Introduction: Steroid cell tumors (SCTs) constitute less than 0.1% of all ovarian tumors. They are divided into 3 categories according to cell of origin: Stromal Luteoma arising from stromal cells of the ovary, Leydig cell tumor arising from Leydig cells, and SCT not otherwise specified (NOS) when the origin of the tumor is not defined. Case Presentation:...