BACKGROUND Postpartum hemorrhage (PPH) is an important cause of maternal morbidity and mortality especially in the developing countries.,Compared to expectant management, active management decreases the incidence of PPH. OBJECTIVE To compare the effectiveness of rectal misoprostol with intramuscular oxytocin in the prevention of postpartum hemorrhage. METHODS This is a prospective, randomiz...

Reprint requests to: Dr. Li-Jen Wang Division of Emergency and Critical Care Radiology, Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital. No. 5, Fu Hsing Street, Gueishan, Taoyuan 333, Taiwan, R.O.C. Transcatheter arterial embolization (TAE) is an effective alternative treatment for intractable postpartum hemorrhage (PPH). However, when initial TAE failed, further tr...

OBJECTIVE: To describe pre- and post-methotrexate (MTX) therapy images from pelvic magnetic resonance imaging (MRI) with gadopentetate dimeglumine contrast following chemotherapy for post-partum hemorrhage secondary to placenta increta. MATERIAL AND METHOD: A 28-year-old Caucasian female presented 4 weeks post-partum complaining of intermittent vaginal bleeding. She underwent dilatation and cur...

BACKGROUND There is evidence that traumatic birth experiences are associated with psychological impairments. This study aimed to estimate the prevalence of childbirth-related post-traumatic stress symptoms and its obstetric and perinatal risk factors among a sample of Iranian women. METHODS This was a cross-sectional study carried out in Bushehr, Iran during a 3-months period from July to Sep...

BACKGROUND A 16 week pregnant woman presented with massive theca-lutein cysts requiring bilateral oophorectomy. Pregnancy progressed uneventfully and spontaneous lactation ensued after delivery. METHODS To study the role of the ovary on the hormonal profile at the end of gestation and in post-partum, we measured FSH, estradiol (E2), unconjugated estrone (E1), unconjugated estriol (E3), sex ho...

BACKGROUND Hypogastric artery ligation is a therapeutic option for severe post-partum haemorrhage. Little is known about the outcomes of subsequent fertility and pregnancy. We studied these parameters in women who required hypogastric artery ligation for severe post-partum haemorrhage in our institution over a 13-year period. METHODS All patients who required hypogastric artery ligation for s...

background hypovitaminosis d has been associated with the development of gestational diabetes mellitus (gdm) in many observational studies. objectives we report the first study of the impact of prenatal vitamin d supplementation on postpartum dysglycemia in gdm patients in a randomized clinical trial. patients and methods women with gdm at 12 - 32 weeks of gestation were assigned randomly to ei...

OBJECTIVE To study the putative shift of a Th1 to a Th2 immune response in pregnancy and its reversal post partum in healthy women and patients with rheumatoid arthritis (RA). METHODS Peripheral blood mononuclear cells (PBMC) were examined by FACS analysis for the expression of activation markers CD25 and HLA-DR and chemokine receptors CXCR3 and CCR4 on CD4+ and CD8+ T cells in four healthy w...

BACKGROUND Corpus luteum (CL) regression is known to occur as two parts; functional regression when steroidogenesis declines and structural regression when apoptosis is induced. Previous studies suggest this process occurs by the production of luteolytic factors, such as tumour necrosis factor-alpha (TNF-alpha). METHODS We examined TNF-alpha, TNF-alpha receptors (TNFR1 and 2) and steroidogeni...

A 28 year old Moroccan woman Para 1 Gravida 1 with no medical or surgical history was admitted to our Obstetric Department of Maternité de Souissi, Rabat, Morocco. She delivered vaginally of a healthy girl of 3600 grams after vacuum extraction and episiotomy. Two hours later, she developed signs of shock. She had a pulse of 120 beat per minute and a blood pressure of 80/60 mmHg. On physical exa...