Perspectives Obstetric fistula – an abnormal connection between the vagina, rectum and/or bladder – may develop after prolonged and obstructed labour and lead to continuous urinary or faecal incontinence. Most fistulas occur in countries in sub-Saharan Africa or south Asia with poorly-resourced health systems. Women with obstetric fistula are indicators of the failure of health systems to deliv...

Introduction. Hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome is a relatively uncommon but traumatic condition occurring in the later stage of pregnancy as a complication of severe preeclampsia or eclampsia. Prompt brain computed tomography (CT) or magnetic resonance imaging (MRI) and a multidisciplinary management approach are required to improve perinatal outcome. Case. ...

OBJECTIVE To examine trends in the rates of severe obstetric complications and the potential contribution of changes in delivery mode and maternal characteristics to these trends. METHODS We performed a cross-sectional study of severe obstetric complications identified from the 1998-2005 Nationwide Inpatient Sample of the Healthcare Cost and Utilization Project. Logistic regression was used t...

Puerperal hematoma is a serious obstetric complication. We report case of large puerperal with an uncommon feeding vessel originating from inferior mesenteric artery. A 28-year-old primiparous woman was transferred to our hospital in the left vaginal wall following normal delivery. Contrast-enhanced CT revealed actively bleeding vulvovaginal 9 cm diameter, and transcatheter arterial embolizatio...

In this issue of the Journal, Dr. Orser describes the experience with obstetricaL epidural anaesthesia in a smalL (40 beds), remote Canadian Hospital staffed by family practitioners. ~ Over a ten year period, seven per cent of obstetric patients received an epidural anaesthetic administered by one of nine different anaesthetists who had six months or less of formal anaesthesia training. Dr. Ors...

Expert review panel The Obstetric Brachial Plexus Palsy team at the Royal Children's Hospital is committed to increasing the quality of care provided to these children and is striving to produce OBPP research of international standing. As such, the OBPP team supports this application, which is evidenced by all OBPP team members being on the expert review panel. Hospital and has established an O...

A facial palsy developing at birth may be developmental or acquired. The developmental facial palsies are rare but are associated with Mobius's syndrome, hemifacial microsomia, microtia, and weakness of the depressor anguli oris. The acquired palsies mostly result from birth trauma. In a large series in the United States congenital VIIth nerve palsy had the incidence of 2 1 per 1000.1 Obstetric...

OBJECTIVES It's known that heritable thrombophilias are a risk factor for the development of obstetrics complications associated to inadequate uterine-placental circulation, as pre-eclampsia/eclampsia, HELLP syndrome, placental abruption and intrauterine growth restriction (IUGR), however it was never investigated the role that they could have in the renal failure associated to such conditions....