pregnancy, labor and delivery are known to be associated with higher rate of fetal and neonatal complications in old primigravidas. in a period of 5 rears (2531 - 36) there were 30000 deliveries at amin hospital, among them, there are records of 355 deliveries in primigravidas over 35 years of age who are included in this retrospective study. comparison with the same number of primigravidas und...

AIM To examine the factors associated with placenta praevia in primigravidas and also compare the pregnancy outcomes between primigravidas and nonprimigravidas. METHOD A retrospective cohort study was conducted in women who underwent caesarean section for major placenta praevia in a tertiary university hospital from January 2007 till December 2013. Medical records were reviewed. RESULT Amon...

BACKGROUND Induction of labour is the intentional initiation of cervical ripening and uterine contraction for the purpose of accomplishing delivery, prior to onset of spontaneous parturition. This study was conducted to compare maternal and neonatal outcome in women induced with Prostaglandin E2 gel, Prostaglandin E2 pessary and extra-amniotic saline infusion with oxytocin at Bishops score < 5....

AIMS The aim of the study was to elicit the safety and efficacy of breast stimulation as an intervention to prevent postdatism and as an aid in spontaneous onset of labour. METHODS Primigravidas with cephalic presentation, without any high-risk factor, were recruited between 36 to 38 weeks of gestation. 200 patients were recruited and randomized into two groups (n = 100). Breast stimulation w...

OBJECTIVE To ascertain whether primiparity is an intrapartum obstetric risk factor for maternal and perinatal outcome. METHODS The comparative case-controlled study was conducted at the Department of Obstetrics and Gynaecology of Sir Syed Hospital, a tertiary care facility in Karachi, from January 2008 to June 2009. A self-developed structured proforma was used to obtain relevant information ...

OBJECTIVE To compare the efficacy of sublingual with oral misoprostol for induction of labour in primigravida with prelabour rupture of membranes at term. STUDY DESIGN Randomized controlled trial. PLACE AND DURATION OF STUDY Department of Obstetrics and Gynaecology Unit-II, Sir Ganga Ram Hospital, Lahore, from June 2004 to January 2006. METHODOLOGY The study included 100 primigravidas wit...

Study background: The present study was done to compare oxytocin and misoprostol in active management of third stage of labor. Materials and methods: Total of 200 pregnant women were enrolled in the study were divided into two randomized groups. Group ‘A’ included 100 primigravidas with singleton pregnancy and normal vaginal delivery, who received 600μg misoprostol sublingually with delivery of...

Teenage pregnancy is recognized in many countries as a health risk associated with a higher rate of maternal and fetal complications, particularly in developing countries with limited obstetric facilities. This study compares the obstetric outcomes of teenagers (age -20 years) with those of 20–29year-old mothers. The data were collected from the records of pregnant women admitted for delivery a...

We report two rare cases of isolated spontaneous intraperitoneal bladder rupture following normal vaginal delivery without concomitant uterine rupture. Two primigravidas, aged 32 years and 34 years, presented following vaginal delivery with abdominal distension and acute renal failure. The initial diagnosis in both cases was severe urosepsis. Definitive diagnosis was achieved after 48 hours. Co...