OBJECTIVE To evaluate the neonatal and maternal outcomes associated with successful operative vaginal births assisted by manual rotation. DESIGN Prospective and retrospective observational study. SETTING Delivery suite in a tertiary referral teaching hospital in England. POPULATION A cohort of 2,426 consecutive operative births, in the second stage of labour, complicated with malposition ...

INTRODUCTION Uterine atony is the most common cause of primary post partum haemorrhage. We report a case where this was complicated by two rare conditions, platelet storage pool disease and placenta diffusa. Platelet storage pool disease is a platelet aggregation disorder associated with mild to moderate bleeding diathesis. There are limited cases reported in pregnancy. Placenta diffusa is a ra...

sheehan’s syndrome (ss) refers to the occurrence of varying degree of hypopituitarism after parturition (1). it is a rare cause of hypopituitarism in developed countries owing to advances in obstetric care and its frequency is decreasing worldwide. however, it is still frequent in underdeveloped and developing countries. sheehan’s syndrome is often diagnosed late as it evolves slowly (2,3). rep...

OBJECTIVE To assess the accessibility, utilization and quality of emergency obstetric care in the five southernmost provinces of Thailand. METHODS A descriptive study was conducted in the five southernmost provinces of Thailand including fifty-six government hospitals and the admitted obstetric women. The accessibility of hospitals that provided emergency obstetric care was assessed over a 3-...

This study was undertaken to determine the risk factors for maternal deaths in unplanned or unbooked obstetric admissions to the intensive care unit of a tertiary health centre. Hospital records of unbooked obstetric admissions to the intensive care unit of the hospital from January 1997 to December 2006 were retrospectively reviewed. Data collected included patients' demographics, diagnosis, d...

now passed through the fourth edition. Its special feature is that a great number of new developments in obstetric practice has been elaborately dealt with. It is not possible to single out any special chapter for appreciation. Various subjects of great practical importance, for example the management of cases of haemorrhage in the various stages of pregnancy and labour, the technique of everyd...

Obstetric hemorrhage is a nightmare for pregnant woman and her family. It one of the “trias maternal death”, although it factor that can be avoided with proper timely treatment.