OBJECTIVE To identify risk factors for preterm delivery in women with placenta praevia and antepartum haemorrhage. DESIGN Retrospective study. SETTING Regional obstetric unit, Hong Kong. SUBJECTS AND METHODS Women delivered at Princess Margaret Hospital between 1 January 1990 and 31 December 1997. Possible risk factors for preterm delivery among women with placenta praevia and antepartum ...

BACKGROUND Traditional practice after vaginal hysterectomy was to keep the vaginal pack and urinary catheter for 24 hours post operatively. But there were studies that prolonged cathterisation was associated with urinary infection. So this study was conducted to compare the post operative outcome when the urinary catheter and vaginal pack were removed after 3 hours and after 24 hours after surg...

A 45-year-old woman with a prior history of hysterectomy due to adenomyosis and leiomyomas was presented at our outpatient gynecology clinic 13 months later with sudden lower pelvic discomfort and vaginal bleeding symptoms. The patient underwent vaginal vault biopsy however diagnosis was still uncertain. Additional evaluation was required due to massive rebleeding incidents. After an emergent e...

We report two cases of postpartum intractable bleeding with coagulopathy. Case 1: A 34-year-old low-risk woman at 39 weeks of gestation was admitted to our hospital. After an uneventful vaginal delivery, placenta separation failed. Ultrasonography revealed absence of placental lacunae suggesting a retained placenta with a lower possibility of placenta accreta. Manual separation was then attempt...

The objective of this prospective randomized placebo-controlled study was to determine the effectiveness of 400 mug oral and 400 mug vaginal misoprostol administration for cervical priming 3 h prior to manual vacuum aspiration (MVA) under local anesthesia for voluntary termination of pregnancy before 10 weeks of gestation in comparison with placebo oral or placebo vaginal administration (n=40 i...

BACKGROUND Human leech infestation is a disease of the poor who live in rural areas and use water contaminated with leeches. Like any other body orifices, vagina can also be infested by leech when females use contaminated water for bathing and/or douching. Although this condition is very rare in postmenopausal women, it causes morbidities and mortalities. CASE DETAILS A 70 year old Para X (al...

background: the purpose of this study was to evaluate the effect of needle type on pain and bleeding during oocyte pick-up (opu). methods: from may through november 2013, patients undergoing opu from a single follicle without any analgesic treatment were including this study. eligible patients (n=75) were randomized 1:1 to undergo the procedure with either a reduced needle (17 gauge body, 20 ga...

Oral contraceptive pills have several side effects especially on the gastrointestinal tract and liver. Absorption of low dose (LD) pills by the vaginal route avoids the first pass of the steroids through these tracts and probably has fewer side effects. This study was a cohort study for evaluation of side effects and acceptability of LD pills administered by the vaginal route. In a clinical...

INTRODUCTION Vaginal cuff dehiscence after hysterectomy is a rare complication and occurs in less than 1% of patients. It can present with serious complications, such as bowel evisceration and peritonitis. PRESENTATION OF CASE A 51-year-old multigravida Korean woman underwent total laparoscopic hysterectomy for leiomyoma. Six months later, she reported lower abdominal pain and vaginal bleedin...