A full term male baby born to a 23-year-old primigravida did not develop spontaneous respiration after birth. His heart rate was <40/min and required bag and tube ventilation; and shifted to NICU for further management. Antenatal ultrasound at 36 weeks showed single live fetus with grossly distended bladder with dilated proximal urethra, bilateral hydroureters causing significant intra-abdomina...

Bicornuate Uterus is a type of lateral fusion disorder of the mullerian ducts. According to the American Fertility Society Classification of Mullerian Anomalies, bicornuate uterus is a class IV anomaly. Incidence of this anomaly varies. This may affect a woman's obstetric, as well as her gynecologic outcome. Here we present a 23 year primigravida at 38 weeks and 5 days gestation with footling b...

Valvular heart diseases have adverse effects on hemodynamic condition in the parturients during pregnancy. Cesarean section with an opioid based general anesthesia has been used to alleviate these deleterious effects. We hereby describe the effective application of remifentanil, for cesarean section under general anesthesia, in a 30 yr. old primigravida suffering of severe multivalvular heart d...

A 28-year-old primigravida undergoes a forceps delivery with a midline episiotomy for failure to progress in the second stage of labor. At birth, the infant weighs 4 kg (8.8 lb), and the episiotomy extends to the anal verge. The resident who delivered the child is uncertain whether the anal sphincter is involved in the injury and asks a consultant to examine the perineum. What should this exami...

After induction with oxytocin because of premature rupture of the membranes, a caesarean section had to be performed on a primigravid patient owing to fetal distress. At laparotomy a fundal rupture of the uterus was found. Rupture of the primigravid uterus in the absence of obstetric trauma or congenital abnormality is rare, and apparently only 4 cases have been reported. The condition does not...

Pregnancy creates significant alterations in energy metabolism which itself is a physiological adaptation to provide continuous flow of energy metabolites to the foetus. The state of insulin resistance created by hormonal changes in pregnancy enables free flow of glucose to the foetus and allows its absorption through facilitated diffusion. As glucose is preferentially available for the foetus,...

Background: Incidence of elderly primigravida has increased now days, due to rising education level, effective means birth control and high carrier goals. The women who conceived at advanced age (&gt;35 years) for first time is defined as primigravida. Indian standard fixed more than 30 years by Dutta 2013. These are risk maternal foetal complication outcome. study was done assess pregnancy out...

Snakebite AntiSnake Venom Coagulopathy Third Trimester Worldwide occurrence of snake bite envenomation is rare in pregnancy according to the medical literature particularly in the third trimester. The obstetrical consequences are severe and the severity depends on the degree of envenomation and the time elapsed before starting treatment. We report a case of a Primigravida of 32 weeks gestation ...