The incidence of placental attachment disorders continues to increase with rising caesarean section rates. Antenatal diagnosis helps in the planning of location, timing and staffing of delivery. In at-risk women grey-scale ultrasound is quite sensitive, although colour ultrasound is the most predictive. Magnetic resonance imaging can add information in some limited instances. Patients who have ...

Placental transfusion has been cornpared in premature and full-term infants. Blood volume measurements showed that the 5-minute transfusion was similar in full-term and premature infants (47% and 50% increase in blood volume from birth) . A larger proportion of the 5-minute transfusion occurred by 1 minute in full-term ( 76%) than in premature infants (56%). Placental transfusion, by increasing...

In this article, I describe several benefits of using the World Wide Web (Web) for instructional purposes, and Ioffer 8 general tips on how to create and maintain an educational Web site. Most of these tips are easy to implement ifreaders have a basic grasp ofhypertext markup language (HTML, the language most Web pages are writ­ ten in). For readers who do not yet have experience with HTML, I p...

BACKGROUND AND PURPOSE The ubiquitous use of the Internet by the public in an attempt to better understand their health care requires the on-line resources written at an appropriate level to maximize comprehension for the average user. The National Institutes of Health and the American Medical Association recommend on-line patient education resources written at a third-to-seventh grade level. W...

Gestational trophoblastic diseases (GTD) are a group of pregnancy-related disorders representing rare human tumours. They encompass premalignant disorders including complete (CHM), partial hydatidiform mole (PHM), exaggerated placental site (EPS), and placental-site nodule (PSN) as well as malignant disorders (also known as “gestational trophoblastic neoplasia [GTN]”) including invasive mole, c...

We read the presented case of retained invasive placenta mimicked gestational choriocarcinoma (GCC)with an enthusiasm [1]. We thought if this is a case of GCC, which sign should be the leading sign. The clinical diagnosis ofGCC is challenging inmost of the cases. The predominant symptom is abnormal vaginal bleeding. Serum human chorionic gonadotropin beta (β-hCG) measurement and doppler ultraso...

BACKGROUND AND OBJECTIVES While content, navigability, and usability are essential qualities of effective Web sites, the health care literature contains limited discussion of these issues. This article describes how knowledge gained through focus groups, Web site searches, and individual interviews were used to develop and improve a health-related Web site. METHODS We conducted 10 focus group...