Caecal bascule is an unusual type of volvulus that presents a challenging diagnosis for clinicians. We present a case of a forty-two year old female who developed a perforated caecal bascule five days post emergency caesarean section. The diagnosis of caecal bascule was made intraoperatively during a hemicolectomy. Greater awareness of this phenomenon and its clinical and radiological findings ...

OBJECTIVES Is out-of-hospital vaginal birth at a birth center safe for women with a previous cesarean section? Do their maternal or neonatal outcomes vary significantly from those of a "non-cesarean" control group? STUDY DESIGN Retrospective evaluation of prospectively collected data on documented singleton births (cephalic presentation, >34/0 weeks of gestation), all of which were second bir...

BACKGROUND Immigrants have higher risks for some adverse obstetric outcomes. Furthermore, refugees are reported to be the most vulnerable group. This study compared obstetric outcomes between immigrant women originating from conflict-zone countries and ethnic Norwegians who gave birth in a low-risk setting. METHODS This was a population-based study linking the Medical Birth Registry of Norway...

BACKGROUND Within the UK there is considerable variation in the perinatal mortality rate. The objective of this study was to assess the factors associated with stillbirths and early neonatal deaths (ENND) and the suitability of the available databases in a health authority with one of the highest rates in the country. METHODS Two case-control studies were carried out in three hospital trusts ...

Umbilical hernias large enough to contain a gravid uterus are rare. We report a case of a woman with prolapse of a gravid uterus through a previously repaired umbilical hernia. Our plans for elective surgery with caesarean section and hernia repair were foiled by poor compliance. The hernia was repaired during an emergency caesarean section. We provide details of her management and briefly revi...

OBJECTIVE To determine the limits of delaying caesarean section in a busy obstetric unit in a developing country setting that is not associated with neonatal survival. METHODS Retrospective cohort study of emergency cesarean sections. Indications were sub-divided into imminent threat and no imminent threat to fetal wellbeing. The primary outcomes was a composite measure of adverse perinatal o...

OBJECTIVE To estimate prevalence, risk factors, and etiology of post-Pfannenstiel pain syndromes. METHODS All women (n=866) with a Pfannenstiel incision for cesarean delivery or abdominal hysterectomy performed between January 2003 and December 2004 received a questionnaire evaluating pain located in the Pfannenstiel region. A multivariate logistic regression analysis was done to determine pr...

PURPOSE To compare umbilical arterial gas parameters in the second twin of twin pregnancies according to the mode of delivery. METHODS We retrospectively analyzed the medical records of twin deliveries after 34 weeks of gestation for 3 years. Excluding the cases which underwent emergency cesarean delivery during trial of labor, a total of 79 twin gestations had umbilical arterial blood gas va...

BACKGROUND AND METHODS Caesarean section (C-section) is a major obstetric intervention for saving lives of women and their newborns from pregnancy and childbirth related complications. Un-necessary C-sections may have adverse impact upon maternal and neonatal outcomes. In Bangladesh there is paucity of data on clinical indication of C-section at population level. We conducted a retrospective st...

objectives we aimed to evaluate the association between obstetric conjugate diameter (ocd) measured by ultrasonography and the type of delivery, vaginally (v) or by cesarean (c) section. conclusion the us measurement of ocd might be an accurate method that almost always remains constant during late pregnancy; it is easy to measure and might be confidentially employed for predicting c-section, b...