Obstetric fistula is a devastating problem known to mankind from time immemorial [1]. It is an abnormal opening into the vagina leading to continuous involuntary leakage of urine and/or faeces following childbirth. The commonest type is vesicovaginal fistula. Other variants include rectovaginal fistula, urethrovaginal fistula, ureterovaginal fistula and vesicouterine fistula. It is a complicati...

Uterine rupture in pregnancy is a rare and often catastrophic complication with a high incidence of fetal and maternal morbidity. A gravida 2 para 1 woman aged 40 years who was 33-34 weeks pregnant presented to our clinic with serious abdominal pain, nausea and vomiting that had begun 6 hours previously. Her past surgical history included a robotic myomectomy 2 years ago in our unit. Obstetric ...

Postpartum depression (PPD) is a common complication of childbearing, and has increasingly been identified as a major public health problem. Untreated maternal depression has multiple potential negative effects on maternal-infant attachment and child development. Screening for depression in the perinatal period is feasible in multiple primary care or obstetric settings, and can help identify de...

BACKGROUND Obstetric fistula is a physically and socially disabling obstetric complication that affects about 3,000 women in Tanzania every year. The fistula, an opening that forms between the vagina and the bladder and/or the rectum, is most frequently caused by unattended prolonged labour, often associated with delays in seeking and receiving appropriate and adequate birth care. Using the ava...

Obstetric fistula, a complication of dystocic labor neglected in the social and developmental context, shows the progress made in improving health status in developing countries [1]. The difficulty of treating vesico-vaginal fistulas is well known and the proposed repair techniques are numerous [2]. The choice of the way of approach is not unequivocal, because the best way is that the comfort o...

n little more than two decades, the subject of multiple pregnancy has evolved from an obstetric curiosity to an issue of international medical and social concern. The overall number of multiple pregnancies has increased dramatically, not only for twins, but also for triplets and higher-order births. In addition, physicians and society are now concerned with a previously unknown type of multiple...

Multifetal pregnancies are estimated to represent 3.2% of all (80% dichorionic and 20% monochorionic) associated with a higher risk perinatal morbidity mortality relative single pregnancies. Single fetal loss twin pregnancy during the first trimester is not an uncommonevent seems impair further development surviving one. In gestational losses where fetus retained intrauterine for at least 10 we...

Mechanical valve thrombosis is a feared complication in pregnant women with mechanical heart valves (MHV). It associated high maternal and foetal morbidity mortality. Optimal anticoagulation strategies for MHV remain controversial. Vitamin K antagonists (VKA) are the most effective treatment regimen to prevent therefore considered safest mother. However, VKAs increase risk of embryopathy, foeto...

Twin-to-twin transfusion syndrome (TTTS) is a severe complication of monochorionic (MC) twin pregnancies, characterized by the development of unbalanced chronic blood transfer from one twin, defined as donor twin, to the other, defined as recipient, through placental anastomoses. If left untreated, TTTS is associated with very high perinatal mortality and morbidity rates, due to a combination o...