In modern high-yielding dairy herds fertility is of major economic importance. In order to gain maximum profit, calving intervals should not exceed 365 days. The achievement of a 365-day calving interval requires an early resumption of ovarian activity, an excellent oestrus detection, and a high first-service conception rate. Especially the inability to detect oestrus and to mate the cows by 60...

A 36-year-old female started having postpartum vaginal bleeding after normal vaginal delivery. She underwent hysterectomy for persistent bleeding and was referred to our institution. An elevation of PTT and normal PT made us suspect postpartum acquired hemophilia (PAH), and it was confirmed by low factor VIII activity levels and an elevated factor VIII inhibitor. Hemostasis was achieved with re...

The subject of post-partum haemorrhage has often been discussed here and elsewhere, and it would not be easy to import much of novelty into the handling of it; still it is one of such grave importance that the reiteration of truths and facts can scarcely be valueless or profitless. The appalling suddenness of its advent when all seems going fair, the speed with which it kills in some cases, eve...

OBJECTIVE To assess misoprostol's ability to prevent postpartum hemorrhage (PPH) where no alternatives exist. Comparison to oxytocics demonstrates how similarly misoprostol achieves a level of effectiveness-obtainable only in hospitals-in remote locations around the world. METHOD Using the Mantel-Haenszel fixed-effects model and the DerSirmonian and Laird random-effects model, summary statist...

The debate about whether misoprostol should be distributed to low resource communities to prevent post-partum haemorrhage (PPH), recognized as a major cause of maternal mortality, is deeply polarised. This is in spite of stakeholders having access to the same evidence about the risks and benefits of misoprostol. To understand the disagreement, we conducted a qualitative analysis of the values u...

BACKGROUND Previous research suggests early postpartum fatigue (PPF) plays a significant role in the development of postpartum depression (PPD). Predicting risk for PPD via early identification of PPF may provide opportunity for intervention. OBJECTIVE To replicate and extend previous studies concerning the impact of PPF on symptoms of PPD and to describe the relationships among PPF, PPD, and...