BACKGROUND Dramatic growth of meningiomas is occasionally encountered during pregnancy. While cell proliferation is often assumed, hemodynamic changes have also been touted as a cause. OBJECTIVE We identified 17 meningiomas resected during pregnancy or within 3 weeks post-partum and characterized them to determine the cause of occasional rapid growth in pregnancy. METHODS Seventeen tumors w...

OBJECTIVE To examine the effect of supplemental prenatal folic acid, folic acid-iron, folic acid-iron-zinc, and multiple micronutrients on maternal morbidity in rural Nepal. METHODS A cluster-randomized double-masked controlled trial of pregnant women who received daily supplements from early pregnancy through 3 months post partum as per the treatment allocation. Women were interviewed at bir...

OBJECTIVE To describe the use of levosimendan, a novel inotropic agent, for the treatment of post-partum cardiomyopathy (PPCMO). METHODS The authors present the second recorded use of levosimendan for a woman with PPCMO. RESULTS Levosimendan improved cardiac performance which was associated with symptomatic relief and echocardiographic improvement in ventricular function. The patient recove...

The subject of post-partum haemorrhage has often been discussed here and elsewhere, and it would not be easy to import much of novelty into the handling of it; still it is one of such grave importance that the reiteration of truths and facts can scarcely be valueless or profitless. The appalling suddenness of its advent when all seems going fair, the speed with which it kills in some cases, eve...

1. Mothers were followed from 1 month post-partum up to 12 months post-partum to measure changes in their body-weight and triceps skinfold thickness. 2. Overall there was a significant weight loss in the first few months but this levelled off by 7 months. 3. The triceps skinfold increased significantly up to 5 months post-partum and then decreased. 4. These changes in body-weight and skinfold w...