Background Refeeding syndrome is characterized by metabolic disturbance including hypophosphatemia and hypokalemia upon reinstitution of nutrition in severely malnourished patients. Objective The present study sought to identify the risk factors for the development of refeeding syndrome-like metabolic disturbance in very low birth weight infants. Methods The correlations of severe hypophosp...

Background: True knot of the umbilical cord is an uncommon finding, which is difficult to diagnose antenatally. The appropriate management of patients with a sonographically identified true knot is yet to be determined. Case: We present a twin pregnancy, in which antenatal diagnosis of a true knot of the umbilical cord was made at 33 weeks’ gestation. Fetal Doppler examination showed an absence...

Background: Oligohydramnios is a relatively common complication of pregnancy and such case often encountered in clinical practice. to describe pregnancies with AFI <5 borderline/ low normal amniotic fluid volume 5 8 (4) Alternatively, some clinicians prefer the single vertical pocket (SVP) severe oligohydramnios defined as SVP less than 1 mild 2 Aim this current study sought determine relation ...

Results First case of TRAP sequence was diagnosed at 8 weeks of gestation and controlled at 10 weeks using transvaginal 3D/4D ultrasound. 3D/4D ultrasound imaging showed a monovhorionic-monoamniotic twin pregnancy with nornal morpology and growth of the first twin and growth restriction of the second twin, with abnormal cephalic pole (acrania), no presence of cardiac activity and presence of re...

To determine the incidence of silent renal anomalies in infants with isolated single umbilical artery (SUA), all infants with SUA and without other obvious congenital anomalies, identified over a six year period, were screened using renal ultrasonography. Over 35,000 placentas were examined. An isolated single umbilical artery was identified in 112 (0.32%). Nineteen infants had abnormal renal i...

Perineal reconstruction is an essential component of the overall treatment plan of perineal electric burn, but it is a very difficult and complex job. The modified thoraco-umbilical flap may be a perfect way of repairing perineal area. It is based on the deep inferior epigastric artery and vein and the superior epigastric artery and vein, which look like the “reverse TRAM flap”. The large flap ...

OBJECTIVE To detect the serum levels of folate and B12 in both preclamptic and normotensive pregnant women and to determine whether there is any relation between these levels with the uterine and umbilical artery Doppler indices as well as the pregnancy outcome. MATERIAL AND METHODS This case controlled study comprised 79 pregnant patients with preeclampsia and 113 healthy, normotensive pregn...

Introduction: The incidence of intrauterine growth restriction is approximately 10%. The management depends upon diagnosis, follow up and timely delivery of the fetus. Material & Methods: Prospective cohort study was conducted at a zonal hospital from Oct 2014 to Aug 2016 on 60 women with clinical suspicion of FGR. After confirming FGR with ultrasound, these patients were followed with umbilica...