OBJECTIVE To determine the effect of partogram on the frequency of prolonged labour, augmented labour, operative deliveries and whether appropriate interventions based on the partogram will reduce maternal and perinatal complications. METHOD A case controlled, prospective and interventional study on 1000 women in labour was carried out in the obstetric unit of Jinnah Post graduate medical cen...

AIMS To describe longitudinal changes in symptoms of overactive bladder (OAB) and stress urinary incontinence (SUI) among parous women. METHODS At annual examinations, beginning at least 5 years from first delivery, OAB and SUI were assessed using the Epidemiology of Prolapse and Incontinence Questionnaire. Published thresholds were used to define "bothersome" symptom scores. The prevalence, ...

AIMS Knowledge of the distribution of the innervation zones (IZs) of the external anal sphincter (EAS) may be useful for preventing anal sphincter incompetence during vaginal delivery. A method proposed for the automatic estimation of the distribution of IZs of EAS from high-density surface electromyography (EMG) was evaluated for repeatability in continent volunteers. METHODS In 13 healthy f...

AIM BACKGROUND AND AIM Pregnancy has its own complications such as premature rupture of membranes, preterm delivery, premature birth, low-birth-weight children, and infection. This study aimed to determine the prevalence rate of reproductive tract infections among pregnant women. MATERIALS AND METHODS In this cross-sectional study, 85 randomly selected pregnant women referred to the ambula...

Mummification of the bovine foetus is rare in cows. There is currently limited data available on the success of pregnancies following expulsion of mummified foetuses, especially after expulsion of twin mummified foetuses. This report describes a case of the expulsion of twin mummified foetuses from the uterus two days apart and the process of oestrous synchronisation for a new pregnancy of a fi...

Gynaecological malignancies frequently metastasize to contiguous structures, internal organs and bones. Cutaneous metastasis as a primary or recurrent presentation of these malignancies is rare and only a few cases have been reported in the literature. A twenty year (1991-2010) retrospective search for umbilical metastasis from gynaecological malignancies in our departmental case records showed...

We investigated the relationship between the persistence of uterine bacterial infections with cytologically determined endometritis and ovarian function in 65 postpartum Holstein cows. Vaginal mucus discharges were collected, and endometrial smear samples (n = 130) were collected for cytological and bacteriological examinations from the cows at weeks 5 and 7 postpartum (pp). Blood samples were ...

Aim of study: To evaluate the effectiveness of using uterine artery color Doppler and location of intrauterine copper device by three dimensional transvaginal ultrasound in relation to abnormal vaginal bleeding and pain. Methods: Three dimensional transvaginal ultrasound examinations were carried out to 180 women 3-6 months after IUD insertion. Seventy six women were suffering from pain (groupI...

BACKGROUND Currently, vaginal examination is the gold standard for assessment of labor progress. The World Health Organization emphasizes that the number of vaginal examinations should be limited where it is necessary. OBJECTIVES Therefore, this study aimed to determine the diagnostic accuracy of purple line in the prediction of labor progress. PATIENTS AND METHODS In this cross-sectional s...

OBJECTIVE To describe a safe long-term medical treatment for deeply infiltrating endometriosis, a critical condition characterized by multiple painful symptoms and a high recurrence rate after surgical treatment. DESIGN Prospective study. SETTING University of Siena. PATIENT(S) Twenty-one women with deeply infiltrating endometriosis. INTERVENTION(S) In a nonrandomized prospective study ...