BACKGROUND The timing of maternal weight change in pregnancy may be an important determinant of the newborn's size. OBJECTIVE The purpose was to identify effects of maternal weight change by trimester on newborn size, under the hypothesis that low weight gain early in pregnancy predicts proportionately smaller newborns. DESIGN Women planning to become pregnant were followed by clinic visits...

Objective Maternal ovarian torsion in pregnancy is a rare complication. Its diagnosis is often missed due to the nonspecific clinical features and uncommon objective findings. Ovarian torsion is seen most commonly at first trimester, but can happen second or third trimester. In late pregnancy, especially in the second and third trimesters, the diagnostic accuracy of ultrasound is limited becaus...

BACKGROUND Animal data suggest that maternal iron deficiency during pregnancy leads to lower birth weight and sustained blood pressure elevation in the offspring. In humans, iron deficiency during pregnancy is common and is associated with adverse birth outcomes such as low birth weight. Data are lacking, however, regarding the effects of maternal iron intake and iron status during pregnancy on...

BACKGROUND Placenta accreta is considered a life-threatening condition and the main cause of maternal mortality. Prenatal diagnosis of placenta accreta usually is made by clinical presentation, imaging studies like ultrasound and MRI in the second and third trimester. OBJECTIVE To determine accuracy of ultrasound findings for placenta accreta in the first trimester of pregnancy. MATERIALS A...

Supplementation with folic acid (FA) was proven to prevent neural tube defects (NTDs) and was recommended worldwide before and during early pregnancy. However, much less is known regarding the role of FA after the 12th gestational week (GW). This study aimed to investigate the related effects of continued FA supplementation after the first trimester of pregnancy on fetal growth. The study subje...

Abortion is an important problem in obstetrics throughout the world. The common and standard method for pregnancy termination at first trimester is surgery (curettage). Nowadays, an effective method of pregnancy termination at first trimester is medical treatments. The aim of this study is to compare misoprostol alone or in combination with methotrexate for pregnancy termination at first trimes...

BACKGROUND Symptoms of gastro-esophageal reflux disease (GERD) in pregnancy are reported with a prevalence of 30-80%. The aim of this study was to assess the prevalence and severity of GERD symptoms during the course of pregnancy. Furthermore current practice in medical care for GERD during pregnancy was assessed. METHODS We performed a prospective longitudinal cohort study on 510 pregnant wo...

This study aimed to determine sleep quality and its socio-demographic predictors regarding three trimesters of pregnancy. This cross-sectional study was conducted on 605 pregnant women referred to health centers in Tabriz, Iran, using a two-stage cluster sampling method. Data were collected using socio-demographic characteristics questionnaire and the Pittsburgh Sleep Quality Index. The mean±SD...

Spontaneous quadruplet is rarely seen. Quadruplet pregnancy is accompanied with severe complications such as abortion , premature labor , first trimester vaginal bleeding , anemia and …etc . Our patient was a 29- year old lady with history of first pregnancy twin that was aborted. In the second pregnancy at three months of gestation sonography showed quadruplet pregnancy so cerclage was perfo...

Interstitial ectopic pregnancy is a rare type of tubal pregnancy that poses diagnostic challenge. It is associated with the highest risk of massive, uncontrollable bleeding and can result in uterine rupture in the second trimester. This is a rare case of unruptured interstitial ectopic diagnosed in the first trimester by ultrasonography and managed medically with systemic methrotrexate and seri...