BACKGROUND Rising caesarean section (CS) rates have been observed worldwide in recent decades. This study sought to analyse trends in CS rates and outcomes among a variety of obstetric groups at a university hospital in a low-income country. METHODS We conducted a hospital-based panel study at Muhimbili National Hospital, Dar es Salaam, Tanzania. All deliveries between 2000 and 2011 with gest...

BACKGROUND Cardiovascular adaptions, such as cardiac and uterine spiral arterial remodeling, and aortic arterial stiffening during pregnancy have been extensively investigated, while the interactions between the elastic artery and the left ventricle are poorly understood. This study was to evaluate the cardiac-arterial coupling in both normal pregnancy and preeclampsia using ultrasound techniqu...

PURPOSE The "inappropriately heavy placenta" has been considered to be associated with various pregnancy disorders; however, data is scarce what factors affect it. To determine whether the following three affect it; (1) infant gender and mother's parity, (2) growth restriction, and (3) preeclampsia. METHODS We employed fetal/placental weight ratio (F/P). Subjects consisted of 53,650 infants a...

BACKGROUND Changes in the state of energy balance owing to changes in physical activity may affect the reproductive system. We evaluated the association between physical activity (PA) and fertility and parity in healthy women. METHODS A population-based health survey (HUNT 1) was conducted during 1984-1986 in Nord-Trøndelag county, Norway, with follow-up from 1995 to 1997 (HUNT 2). The study ...

OBJECTIVE To audit the outcome of pregnancies booked for confinement in a general practitioner maternity unit in a district general hospital. DESIGN Retrospective review of case records. SETTING General practitioner maternity unit in a district general hospital. PATIENTS 685 Women referred to a general practitioner unit in 1987. RESULTS 315 Nulliparous women and 330 multiparous women we...

OBJECTIVE To study the association between microalbuminuria and development of preeclampsia and preterm delivery in pregnant women with type 1 diabetes. RESEARCH DESIGN AND METHODS This was a population-based prospective study in 846 normoalbuminuric or microalbuminuric women with type 1 diabetes without antihypertensive treatment in early pregnancy. Data were collected prospectively by one t...

Primary fallopian tube carcinoma is rare and accounts for 0.14-1.8% of all malignancies of the female genital tract. It has been found to be associated with nulliparity and subfertility, as well as with pelvic inflammatory disease. High parity has been reported to be protective but not in our 3 cases. History of pregnancy and the use of oral contraceptives decrease the PFTC risk significantly i...

through the anal canal. Precisely how a complete rectal prolapse develops is not thoroughly understood. Possible etiologies include a defect of the pelvic floor, redundant rectosigmoid colon, deep Douglas pouch, gender (female), psychiatric problems and nulliparity. Pathogenesis may involve a sliding hernia or a circumferential intussusception. Treatment of rectal prolapse can involve a variety...

Reported are the results of a study to assess the prevalence and risk factors for perinatal death among pregnant women in Malawi over the period 1987-90. There were 264 perinatal deaths among the 3866 women with singleton pregnancies (perinatal mortality rate, 68.3 per 1000 births). Among the risk factors for perinatal mortality were the following: reactive syphilis serology, nulliparity, a lat...

Burden of suffering Breast cancer is the most frequently diagnosed cancer and is the second leading cause of cancer death among women in the United States. Projected for 1996 are 184,300 new cases of breast cancer and 44,300 breast cancer deaths. The five-year survival rate is 84% for Caucasian, non-Hispanic women and 69% for African-American women.(1) Risk factors for breast cancer include age...