Objectives: Grand multiparity (GMP) is a term used for women who have delivered previously five or more times. Despite availability of modern obstetrical care it still remains an obstetrical risk and obstetricians consider it as a high risk pregnancy. Occurrence of GMP in developed countries has been decreasing, with the exception in some communities like Saudi Arabia. We tried to explore the r...

The objectives of this retrospective cohort study were to estimate the incidence of obstetric complications during labor and delivery and their demographic predictors. A total of 2706 pregnant women were consecutively admitted to a midwife obstetric unit with labor pain between January and December 2007 constituted the sample. Among them 16% were diagnosed with obstetrical and foetal complicati...

BACKGROUND The mechanistic basis of the proposed relationship between maternal cardiac output and neonatal complications in pregnant women with heart disease has not been well elucidated. METHODS AND RESULTS Pregnant women with cardiac disease and healthy pregnant women (controls) were prospectively followed with maternal echocardiography and obstetrical ultrasound scans at baseline, third tr...

Objectives : To evaluate the prevalence of primary rubella infection in women with pregnancy wastage. Methods : The study included 150 pregnant women with obstetrical losses (Group 1) and 150 pregnant women without any obstetrical losses (group II). Serological evaluation for IgM antibodies was carried out by IgM ELISA method. Results : Seropositivity for rubella was 8.67% in group I and 2% in ...

Objective: We aim to report observations from patients who developed acute kidney injury after complicated obstetrics and referred to our institution. Patients and Methods: Observational cohort of patients identified as having acute kidney injury (AKI) in obstetrical situation, at a tertiary center in Pakistan, from January 1990-December 2014. AKI was defined according to RIFLE criteria and pat...

BACKGROUND For most of the population in Africa, district hospitals represent the first level of access for emergency and essential surgical services. The present study documents the number and availability of surgical and obstetrical care providers as well as the types of surgical and obstetrical procedures being performed at 10 first-referral district hospitals in Ghana. MATERIALS AND METHO...

Tetralogy of Fallot (ToF) is the most common congenital heart defect which associated with systemic cyanosis. Pregnancy and delivery cause dramatic alterations in cardiovascular physiology pregnancy women unrepaired TOF may have a worsening right to left shunt an increase This possesses elevated risk maternal foetal morbidity even mortality. We report discuss case 24 years old Primigravida unco...