A patient presented with chronic visceral ischemia caused by spontaneous dissection of the superior mesenteric artery; this was treated successfully by "intimectomy" and patch angioplasty. Operative rather than expectant management is recommended for this rare but surgically accessible lesion.

a 25-year-old woman (gravida 2, abortion 1) was admitted to ghaem hospital affiliated to mashhad university of medical sciences at 24 th week of gestation. her chief complaint was bloody show. she had a history of incompetent cervix, with premature labor at 22 nd week of gestation. she was hospitalized with 4 cm dilatation and 50% effacement of cervix at 24 th week of gestation. following bed r...

BACKGROUND This study tested the hypotheses that active management of the third stage of labour lowers the rates of primary postpartum haemorrhage (PPH) and longer-term consequences compared with expectant management, in a setting where both managements are commonly practised, and that this effect is not mediated by maternal posture. BACKGROUND 1512 women judged to be at low risk of PPH (bloo...

Background: Infertility is unexplained in about 22% - 28% of infertile couples. Spontaneous pregnancy may occur them. If did not happen, Expectant management will be via clomiphene citrate (CC) administration, intrauterine insemination (IUI), and IVF & ICSI. Aim: to assess the effectiveness with mild controlled ovarian stimulation compared expectant couples infertility more than one year. Metho...

OBJECTIVE To assess the efficacy, tolerance, and cost of external version under epidural anaesthesia and beta-mimetic tocolysis after the failure of an initial attempt with tocolysis alone. DESIGN Prospective open study. PARTICIPANTS Sixty-eight women with breech presentation at around 36 weeks of gestation and an attempted external cephalic version under salbutamol that failed, who consent...

Summary Context: Both medical and nonmedical interventions to hasten labour delivery are on the rise. Whether or not elective induction of improves outcomes merely leads additional complications healthcare expenditures is a contentious topic in scientific literature. Purpose: Choosing induce artificially vs waiting for baby come naturally focus this research. Data Sources: Internet, previous sy...