Uterine rupture is an obstetrical emergency that can be catastrophic for the mother and fetus. Previous uterine surgery, including previous cesarean delivery or myomectomy, is an established risk factor, although the exact magnitude of the associated risk remains uncertain. We reviewed the literature related to uterine rupture after previous cesarean delivery with classical incision or myomecto...

INTRODUCTION Acute fatty liver of pregnancy (AFLP) is a rare but life-threatening disease. AFLP is characterized by liver failure with different degrees of coagulopathy. Outcome and survival can be dramatically improved with prompt recognition and treatment. Thromboelastometry has been considered a point of care for the management of bleeding patients. It could, therefore, be an alternative too...

BACKGROUND General and regional anesthesia are the two main techniques used in cesarean section. Regional anesthesia is preferred, but under certain circumstances, such as by patient request and in patients with back deformities, general anesthesia is the only option. Commonly used induction agents include thiopental, ketamine, and propofol, depending on availability and the maternal clinical c...

BACKGROUND Abnormal placental cord insertion (PCI) includes marginal cord insertion (MCI) and velamentous cord insertion (VCI). VCI has been shown to be associated with adverse pregnancy outcomes. This systematic review and meta-analysis aims to determine the association of abnormal PCI and adverse pregnancy outcomes. METHODS Embase, Medline, CINAHL, Scopus, Web of Science, ClinicalTrials.gov...

Ogilvies syndrome describes an acute colonic pseudo-obstruction (ACPO) consisting of dilatation part or all the colon and rectum without intrinsic extrinsic mechanical obstruction. It often occurs in debilitated patients. Its pathophysiology is still poorly understood. Several theories have been incriminated: nervous, vascular, hormonal,medicinal,metabolic disorder, infectious…Since computed ...

Despite global efforts to improve maternal health, many developing countries including Pakistan have failed to achieve the target of a 75% reduction in maternal deaths by 2015. Addressing socioeconomic inequalities in access to emergency obstetric care is crucial for reducing the maternal mortality rate. This study was done to examine the time trends and socioeconomic inequalities in the utiliz...

BACKGROUND Despite estimates that 83% of mothers in the United States receive labor pain medications, little research has been done on how use of these medications affect onset of lactation. OBJECTIVE To investigate whether use of labor pain medications is associated with delayed onset of lactation (DOL). METHODS We analyzed data from the 2005-2007 Infant Feeding Practices Study II, a longi...