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...

Low birth weight (LBW) remains an important cause of newborn morbidity and mortality. A hospital based prospective and descriptive study was conducted at Paediatric wards, Nursery, Neonatal intensive unit (NICU) and Post natal ward during period of June to October 2010 to note the clinico-epidemiological profile of Low Birth Weight (LBW) newborns. Incidence of the LBW babies in our hospital was...

The retrospective study to explore the adverse effect of obesity on pregnancy and labour was conducted at Aga Khan University Hospital, Karachi, Pakistan, and comprised data of all patients booked between 12-14 weeks and required induction of labour from January 1 to December 31, 2012. Women were grouped into two body mass index categories: normal weight (<22.9 kg/ m2) as controls and exposed g...

Placental mesenchymal dysplasia (PMD) is a rare benign placental abnormality. It is characterized by hydropic degeneration of stem villi, placentomegaly, and increased maternal serum alpha-fetoprotein (AFP). It can be associated with different congenital abnormalities, karyotype abnormalities, and feto-maternal morbidities. It is difficult to differentiate PMDfrom partial mole, complete mole wi...

We report a primigravida woman with acute myocardial infarction caused by coronary artery spasm induced by intravenous administration of methyl ergometrine maleate just after delivery. Despite the frequent usage of ergot derivatives to promote uterine contractions, cardiac complications related to this drug are rare. Myocardial infarction may be overlooked in young women in the early postpartum...

Acute renal failure during pregnancy is a very rare and dangerous medical complication. Here, we report a primigravida at 31 weeks gestation who complained of oliguria, high fever, flank pain, nausea, and vomiting for 3 days. The patient’s history was unremarkable. Her laboratory findings and ultrasonography revealed acute renal failure. After delivery, the patient had no complications and norm...

OBJECTIVE A case of fetal neck lymphangioma is reported METHODS A 34-year-old primigravida presented with a fetus at 21+5 weeks' gestation with a neckl cystic mass. RESULTS Diagnosis of neck lymphangioma was made; the couple opted for termination of pregnancy a 22 weeks; they refused fetal autopsy. CONCLUSION Counseling in case of neck lynphangioma is still difficult. Prognosis in guarded...

PRES is a cliniconeuroradiologic entity in which the patient presents with headache, altered mentation, seizures, cortical blindness, and rarely focal neurologic signs. On imaging in majority of cases, characteristic changes suggestive of edema are noted in the posterior irrigation area of the brain. One of the differential diagnoses of PRES in pregnancy and postpartum period is cortical venous...

History of the case The patient was a Hindu Bengali, aged 30 years, a primigravida in her seventh month of pregnancy. The abdomen was tense and appeared like full term. Foetal parts could not be made out nor the fetal heart sounds heard. Excess of liquor amnii was diagnosed. The labour pains soon started and after a normal easy labour lasting about twelve hours the patient was delivered of twin...

A rare case of spontaneous rupture of a branch of the uterine vein in a primigravida is discussed. The patient with an uncomplicated pregnancy presented with signs and symptoms suggestive of abruptio placenta with foetal distress. Lower segment Caesarean section was performed. The cause of acute pain was identified to be intra-abdominal bleeding secondary to the rupture of a branch of the uteri...