Background: During the past 20 years a lot of information is achieved about the first trimester of pregnancy through ultrasound and intrauterine fertilization. Many researchers tried to use the symptoms of ultrasound in early pregnancy like measuring the gestational sac and yolk sac of the pregnancy to predict the continuation of pregnancy. Aim of the recent study is to predict the risk of spon...

INTRODUCTION Cesarean section (Sectio Caesarea) is a surgical method for the completion of delivery. After various historical modifications of operative techniques, modern approach consists in the transverse dissection of the anterior wall of the uterus. The rate of vaginal birth after cesarean section was significantly reduced from year to year, and the rate of repeated cesarean section is inc...

OBJECTIVE We sought to validate a sequence of ultrasonographic mesh measurements to determine the relevant time points in the postoperative monitoring of mesh size. METHODS Mesh was measured preoperatively ex vivo, prior to insertion, in 25 patients scheduled to undergo vaginal repair of cystocele involving insertion of a Ugytex™ transobturating polypropylene mesh. A 2D/3D perineal ultrasound...

OBJECTIVE To identify potential cost savings in gynecologic oncology care without sacrificing quality. METHODS Members of the Clinical Practice Committee of the Society of Gynecologic Oncology were asked to review current practice patterns in gynecologic oncology and assess the potential for cost savings founded on evidence-based medicine and current guidelines. RESULTS Five clinical practi...

OBJECTIVE To assess the incidence, clinical presentation, risk factors and outcome of symptomatic pelvic hematomas following transvaginal pelvic reconstructive surgery. MATERIALS AND METHODS We reviewed the medical records of all women undergoing transvaginal reconstructive pelvic surgery in our institution between January 2006 and July 2009. RESULTS 462 patients underwent pelvic reconstruc...

Introduction: Some of the term gestations will need induction labor due to various reasons. The outcome these pregnancies is not known beforehand. Engagement fetal head assessed clinically by abdominal and vaginal examination, but clinical assessment a poor predictor for course Per examinations are done after induction/active progression bishop score calculation, this varies from examiner exami...

Vaginal agenesis with functional uterus and cervical atresia is a rare condition with potential threat to the fertility. These patients have amenorrhea and progressive cyclic abdominal pain. Treatment modalities are controversial because of failure in preserving the uterus. We present a successful term pregnancy using a new method in a patient with vaginal agenesis, cervical atresia, and functi...

Bilateral adrenal hemorrhages rarely occur during the neonatal period and are often associated with traumatic vaginal deliveries. However, the adrenal gland has highly regenerative capabilities and adrenal insufficiency typically resolves over time. We evaluated a newborn female after experiencing fetal macrosomia and a traumatic vaginal delivery. She developed acidosis and acute renal injury. ...