Cardiac disease is an uncommon but potentially serious medical complication of pregnancy. It is an important cause of preventable maternal and perinatal mortality and morbidity. A multidisciplinary approach involving close liaison and collaboration between the obstetrician, cardiologist, anaesthetist, neonatologist, paediatric cardiologist and, if appropriate, the cardiothoracic surgeon, is ess...

BACKGROUND This study investigates the safety and feasibility of transumbilical single-port laparoscopic salpingectomy (SPLS) using conventional laparoscopic instruments compared to conventional multi-port laparoscopic salpingectomy (MPLS) for surgical treatment of tubal pregnancy. MATERIAL AND METHODS We conducted a retrospective analysis of 63 patients with tubal pregnancy who underwent SPL...

rarest freaks, and practitioners of the old school say now, "How is it that we never met with such a case ? " I am constantly assailed with some such remark as this, as though it were really possible to make a mistake in the diagnosis. Since March, 1883, when Lawson Tait performed his first successful operation on a case of ruptured tubal pregnancy, examples of this condition have been noticed ...

BACKGROUND Stillbirth is a major contributor to perinatal mortality and it is particularly common in low- and middle-income countries, where annually about three million stillbirths occur in the third trimester. This study aims to develop a prediction model for early detection of pregnancies at high risk of stillbirth. METHODS This retrospective cohort study examined 6,573 pregnant women who ...

Background & aim: Takayasu’s arteritis is a rare, chronic vasculitis, affecting women of reproductive age. With disease progression, evidence of vascular involvement and insufficiency becomes clinically apparent due to the narrowing or occlusion of the proximal or distal branches of the aorta. Therefore, pregnancy-related complications, such as superimposed preeclampsia, renal failure, and cong...

BACKGROUND The high iatrogenic multiple pregnancy rate associated with intrauterine insemination (IUI) in hyperstimulated cycles is becoming less acceptable. Therefore we investigated data from an earlier prospective trial with regard to the specific question of whether the application of mild hyperstimulation in IUI cycles could be an alternative strategy for obtaining acceptable pregnancy rat...

A 21-year old woman, G1P0, was admitted to our University Hospital at 33 weeks and 2 days of gestational age with a 1 week history of nausea and vomiting and doubled transaminases. Two years before she underwent laparoscopic adjusted gastric banding (LAGB). The estimated fetal weight was 1960 grams (corresponding with P25), doppler measurements were all normal. There was an anhydramnion. Becaus...

BACKGROUND Controversy surrounds the role of fetal cardiotocography (CTG) in the antenatal management of pregnancy complicated with gestational diabetes mellitus (GDM). AIM The aim was to investigate whether antenatal CTG aids management in pregnancy complicated by GDM. MATERIALS AND METHODS A prospective audit of 1404 consecutive antenatal CTG in women diagnosed with GDM. Outcomes for all ...