PURPOSE The aim of the study was the assessment of the influence of ethics or the lack of medical ethics on everyday gynaecological practice, particularly the usefulness and purpose of detecting genetic irregularities in the first and second trimester and abortions. MATERIAL AND METHODS A sample of 164 gynaecological doctors was encompassed by the study. A questionnaire survey was applied as ...

The role of the human immunodeficiency virus (HIV) and other sexually transmitted diseases (STDs) as risk factor for spontaneous abortion was investigated in a case-control study in Nairobi, Kenya. Cases (n = 195) were women admitted with clinical signs and symptoms of spontaneous abortion, before 20 weeks of gestation. Patients with induced or clinically septic abortion were excluded. Controls...

introduction since abdominal pregnancies are mostly complicated, they are usually managed by laparotomy, but laparoscopy is an alternative method which some surgeons perform instead of laparotomy; especially in advanced pregnancy. case presentation we reported a 31 year old woman with last menstrual period of 18 weeks who had supra pubic pain and vaginal bleeding. after sonographic evaluations,...

Serial studies on coagulation factors were performed on 12 patients having termination of mid-trimester pregnancy by extra-amniotic prostaglandin F(2)alpha and 11 patients terminated by vacuum aspiration during the first trimester. A significant change in the activity of factors V, VII and X, VIII, and X, and a decrease of the prothrombin time and platelet count were found with prostaglandin te...

Hyperparathyroidism during pregnancy is rare and very few cases have undergone parathyroidectomy during the course of gestation. In reviewing the literature it is apparent that surgery during the second trimester should be the treatment of choice. The complication rate of untreated cases may reach 80% and include spontaneous abortion, fetal death and neonatal tetany. The paper is illustrated wi...

OBJECTIVES To compare the effectiveness, side effects, and patient satisfaction of buccal versus vaginal misoprostol administration in first and second trimester induced abortions. METHODS In first trimester, women received oral mifepristone followed by misoprostol either by buccal or vaginal route. In second trimester, women received oral mifepristone followed by repeated doses of misoprosto...

Parvovirus B19 is a small single-stranded DNA virus and a potent inhibitor of erythropoiesis due to its cytotoxicity to erythroid progenitor cells. Although adult disease is generally mild, fetal parvovirus B19 infection can cause spontaneous abortion in early pregnancy and aplastic anemia, nonimmune hydrops fetalis and in utero fetal demise. The prevalence of parvovirus B19 maternal infection ...

In Malawi, physicians analyzed retrospective data on 600 consecutive abortion cases who were admitted to the gynecology ward at Kamuzu Central Hospital in Lilongwe during January-May 1990. These cases comprised 45% of all admissions to this ward during the study period. 71% of the patients had first-trimester abortions and 29% had second-trimester abortions. 85% of cases were admitted with i...

In this issue of NEJM Evidence, Dr. Goulding and colleagues present the case a patient with second-trimester rupture membranes managed expectantly despite patient’s request for termination her nonviable pregnancy.1 This occurred in Texas, one states that immediately passed even more restrictive laws when Supreme Court’s decision Dobbs v. Jackson Women’s Health Organization ended person’s consti...