Eighty-five percent of nulliparous women with rupture of membranes greater than 6 h and who are delivered by cesarean section for cephalopelvic disproportion develop febrile morbidity if not given perioperative antimicrobial agents (1-4). Several investigators have found that perioperative antimicrobial therapy appreciably reduces this complication of cesarean section in such high-risk women (1...

During the middle and later part of the last century thousands of infants in this country and on the continent died annually as a result of umbilical infection. Two types were recognized: (a) Moist spreading gangrene of the umbilicus (hospital gangrene) when children died of toxaemia, septicaemia, peritonitis and occasionally rupture of the abdominal wall. (b) Erysipelas of the umbilicus, also ...

BACKGROUND Increasingly, women in rural areas in Sudan reported to hospital with puerperal infections. AIMS This study was design to identify the common pathogens causing puerperal infections and their susceptibility to current antibiotics. SUBJECTS AND METHODS We prospectively studied 170 women from January, 2011 through January 2012 attended Hussein Mustafa Hospital for Obstetrics and Gyn...

BACKGROUND Acute mastitis commonly occurs in the postpartum period. It has been reported only rarely in the antepartum period. CASE A 14-year-old patient presented at 29 weeks gestation with her symptoms and examination consistent with bilateral mastitis that had worsened over 2 months. She had evidence of systemic infection. She was treated with parenteral antibiotics and local skin care. Sh...

we cannot go to press without directing the attention of the profession to this important and valuable contribution to obstetric literature. The object of the essay is to elucidate the "periodicities of the female sex," and the periodoscope is constructed with the view of enabling the practitioner to calculate, with almost unerring accuracy, these epochs in the female economy. The obstetric cal...

commend curetting in acute cases, an operation which is practically condemned by all modern writers. No mention is made of any other operative treatment such as pelvic drainage, hysterectomy, ligature of pelvic veins, removal of tubes or ovaries, etc., all of which may have to be considered under certain conditions, nor does he seem to be aware that the treatment of puerperal septicaemia by mea...

man suffering in this way might be changed from a sensible person to one nervous, irritable and suspicious, who, unless carefully treated,might become hopelessly insane. In cases of heart disease, when the circulation of the brain becomes interfered with, similar symptoms might develop, and in later stages of tuberculosis the mental condition of the patient was often difficult. Referring to the...

BACKGROUND Previous cross-sectional studies have highlighted a number of obstetric variables that may be associated with the development of broadly defined puerperal (post-partum) psychosis. These include: (a) primiparity, (b) pregnancy complications, (c) delivery complications, (d) Caesarean section, (e) female baby and (f) shorter gestation period. AIMS To examine these risk factors in wome...