OBJECTIVE To evaluate pregnancy complications occurring after age 50. METHODS We compared the pregnancy outcomes of women aged 50-64 years with those aged 45-49 years and with the general population. RESULTS During 5 years from January 1, 1999, to June 30, 2004, 123 women aged 45 years and older gave birth. Fifty-five percent were nulliparous, 24 of 123 were aged 50-64 years, and 99 of 123 ...

The objective of the study was to review the literature concerning delayed deliveries in multiple pregnancies and to highlight the existing guidelines for a better management of asynchronous births. A literature-search was done using Medline and ScienceDirect. All articles reporting at least 4 cases of delayed delivery were included, if they provided full information on gestational age and outc...

Multifetal gestations are high-risk pregnancies involving higher perinatal morbidity and mortality, and are subject to unique complications including twin oligohydramnios-polyhydramnios sequence, twin-to-twin transfusion syndrome, acardiac twins, conjoined twins, co-twin demise, and heterotopic pregnancies. The purpose of this study is to describe the prenatal ultrasonographic and pathologic fi...

Abstract Background Previous studies have associated pregnancy complications with a higher risk of cardiovascular disease. However, previous not sufficiently evaluated the impact broad range or common conditions individually. Furthermore, most relied on data from hospital admission records only, which may adequately accounted for that result in an inpatient admission, such as atrial fibrillatio...

Results 21 MCDA twins, 1 MCMA twin, 2 MCTA, and 9 DCTA triplets cases chose to receive reduction of one of the monochorionic twins. The MCDA group include 6 TTTS patients (4 cases of stage III and 2 cases of stage IV), 2 cases of TRAP, 10 fetal malformation and 4 cases of sIUGR. The median gestational age at procedure was 27+1(14+3 to 27+2). All surgery succeeded with one puncture. Four cases a...

Multiple pregnancy has received increasing attention over the last decade, with National Institute for Health and Care Excellence (NICE) guideline on multiple already in its second edition.1 The first review article about Obstetrician Gynaecologist (TOG) was published 2000 by Taylor Fisk (TOG 2000;2:4–10). Looking again at this seeing photograph of a young Myles (as all TOG articles featured au...

Peripartum cardiomyopathy (PPCM) is a rare but potentially lethal complication of pregnancy occurring in approximately 1in 3000 live births in the United States although some series report a much higher incidence. African-American women are particularly at risk. Diagnosis requires symptoms of heart failure in the last month of pregnancy or within five months of delivery in the absence of recogn...

In 2009, the Global Alliance to Prevent Prematurity and Stillbirth Conference charged the authors to propose a new comprehensive, consistent, and uniform classification system for preterm birth. This first article reviews issues related to measurement of gestational age, clinical vs etiologic phenotypes, inclusion vs exclusion of multifetal and stillborn infants, and separation vs combination o...