Aim: To examine the obstetrical outcomes among primiparous and multiparous Pakistani advanced maternal age women. Methods: A retrospective cohort study conducted at teaching hospitals of KVSS Site Hospital Karachi. From the hospital records, obstetrical characteristics of 585 consecutive women aged 40 or above who delivered from January 2009 to December 2013 were compared with those of 1816 you...

CONTEXT Despite nearly 4 million deliveries in the United States each year, minimal information exists on unintended health consequences following childbirth, particularly in relation to delivery method. OBJECTIVE To assess the risk for maternal rehospitalization associated with cesarean or assisted vaginal delivery compared with spontaneous vaginal delivery. DESIGN Retrospective cohort stu...

INTRODUCTION Women older than 40 years have been termed "advanced maternal age" and considered to be at risk of adverse pregnancy outcome. This study aimed to examine the obstetrical outcomes among primiparous and multiparous African advanced maternal age women. METHODS We conducted a retrospective cohort study study at two teaching hospitals at Yaounde, Cameroon. From the hospital records, o...

Background: The roles of inflammatory cytokines and local placental thrombosis in patients with unexplained recurrent spontaneous abortion (URSA) have been shown. Since low molecular weight heparin (LMWH) and acetyl salicylic acid (ASA) have both anti-inflammatory and anti-coagulant effect, we evaluated their efficacy in patients with URSA. Methods: One hundred patients with a history of URSA r...

Placental invasion anomalies are rare obstetrical complications. They cause severe third trimester hemorrhage, severe postpartum bleeding, and maternal morbidity and mortality unless they are diagnosed antenatally. We present a rare case with placenta percreta leading to spontaneous uterine rupture during the second trimester with an acute abdomen and hypovolemia. 

Material and Method: This retrospective review was undertaken in the Department of obstetrics and Gynecology Unit III of Civil Hospital Karachi from July 2002 to December 2007. Data regarding frequency of hysterectomy, maternal age, parity, causes of hemorrhage, type of hysterectomy and its complications, was retrieved from yearly maintained Registers / proformas of obstetrical hysterectomy and...