Sri Lanka has shown relatively good maternal outcome indicators for a developing country. However, high maternal deaths from pregnancy induced hypertension and pre-eclamptic toxemia raise questions about the quality of detection and treatment at field antenatal clinics, which is the primary care setting for pregnant women. The objective of the study was to assess the quality of facilities and s...

Recently, investigators have shown the use of alternative prostaglandin PGE1 Misoprostol for cervical ripening and induction of labour.1,2 It is prostaglandin E1 analogue, which was introduced as the treatment of gastric ulcer, but later on FDA approved a new label for the use of Misoprostol during pregnancy.3 It has been used for many years for the first and second trimesters of pregnancy term...

pregnancy, labor and delivery are known to be associated with higher rate of fetal and neonatal complications in old primigravidas. in a period of 5 rears (2531 - 36) there were 30000 deliveries at amin hospital, among them, there are records of 355 deliveries in primigravidas over 35 years of age who are included in this retrospective study. comparison with the same number of primigravidas und...

Many tests have been done to evaluate renal function in the toxemias of pregnancy and investigators (1, 2, 3, 4, 5) are agreed that the most accurate is the blood urea clearance. Addis (6, 7) has studied the urinary sediment in both normal and nephritic patients and is able by this means to classify the nephritides more accurately. These two tests are the most sensitive and accurate of anyused ...

For many years toxemia has served as a wastebasket for a variety of disease states characterized by an elevated arterial pressure, edema, and albuminuria. Whereas this triad is consistent with the diagnosis of toxemia, it is not diagnostic. Besides toxemia, these abnormalities may be found in pregnant patients with hypertensive vascular disease, pyelonephritis, glomerulonephritis, or any combin...