Complete heart block (CHB) is a potentially fatal condition occurring in approximately 1:10000 fetuses. Whilst it is well recognised that maternal anti-Ro and La antibodies are associated with fetal CHB, there are multiple other manifestations of fetal exposure to these autoantibodies which are not widely appreciated and rarely diagnosed. The importance of identifying affected fetuses lies in t...

BACKGROUND Although external cephalic version (ECV) can be effective for correcting the fetus in a cephalic presentation, it may be painful for the mother. This study aimed to evaluate the efficacy and safety of remifentanil for pain relief during ECV in China. METHODS In all, 152 Chinese parturients with singleton breech presentation were randomly divided into 2 groups, each with 76 patients...

INTRODUCTION Triploid pregnancies have an increased risk of early preeclampsia. Twin pregnancies consisting of one healthy fetus and one complete or partial molar, with or without a triploid fetus, are rare and management is complex. CASE PRESENTATION A 33-year-old Caucasian woman presented with a dichorionic diamniotic twin pregnancy. One fetus showed early growth restriction resulting in fe...

Leptospirosis is a leading zoonotic disease worldwide with more than 1 million cases in the general population per year. There significant mortality due to both delays diagnosis as well adequate clinical suspicion. also an overlap between signs, symptoms and biochemical disturbances associated leptospirosis pregnancy presentation of conditions, such pre-eclampsia (PET), acute fatty liver (AFLP)...

BACKGROUND The aim of this study was to assess the efficacy and safety of external cephalic version (ECV) when its use was introduced in the routine management of breech presentation and transverse lie after 36 weeks by obstetricians with limited prior experience with the procedure. The influence of various factors on the outcome of ECV was also studied. METHODS Retrospective study of 44 cons...

INTRODUCTION Fetus-in-fetu is an extremely rare condition in which a malformed fetus is found in the body of its twin. To our knowledge, fewer than 100 cases have been reported. Wide variations of presentation have been described, although its embryo-pathogenesis and differentiation from a teratoma have not been well established. CLINICAL PICTURE We describe a male neonate with a fetoid-like ...

Gestational trophoblastic disease includes hydatidiform mole (complete and partial) and gestational trophoblastic neoplasia (invasive mole, choriocarcinoma, placental site trophoblastic tumor, and epithelioid trophoblastic tumor). The epidemiology, pathology, clinical presentation, and diagnosis of each of these trophoblastic disease variants are discussed. Particular emphasis is given to manag...

Meconium peritonitis is defined as aseptic chemical inflammation caused by an intrauterine bowel perforation. Its incidence 1 in 35,000 live births. We present a case of meconium presented at second day postnatal life with isolated gross fetal ascites. Exploratory laprotomy was performed, suggestive ascites fecal contamination and perforation terminal ileum for which ileal resection double barr...