BACKGROUND To compare 2D transperineal ultrasound assessment of cervical dilatation with vaginal examination and to investigate intra-observer variability of the ultrasound method. METHODS A prospective observational study was performed at Skane University Hospital, Lund, Sweden between October 2013 and June 2014. Women with one fetus in cephalic presentation at term had the cervical dilatati...

Vaginal angiomatosis is regarded as part of a very rare entity of benign vascular tumors of the female genital tract. The incidence of these tumors is extremely low. The rarity of this disease and lack of distinctive features poses a problem of differential diagnosis. We present the case of a 51-year-old female with grade III uterine prolapse and a bleeding vaginal wall mass. Violaceous irregul...

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...

On making a vaginal examination Dr Cairns found a foetus of about six weeks protruding from the os uteri and removed it. Eight months after he delivered the same patient of a fine healthy child. He pointed out that the case was of interest for two reasons. First, that it showed how one ovum might be thrown off at an early stage of pregnancy, while the other was retained till the full time; and ...

Experience in using Barton's forceps for mid-pelvic arrest of the fetal head in 348 cases has proved that this instrument is both easy to apply and safe for the baby, provided rigid adherence to safety criteria are observed. As modern obstetric practice is favourably disposed towards mid-pelvic forceps vaginal delivery, the particular advantages of Barton's forceps should be more widely extolle...

OBJECTIVE The natural distribution and predictive accuracy of Bishop scores was evaluated to predict cesarean delivery (CD) in nulliparas between 37 and 42 weeks gestation. STUDY DESIGN Subjects underwent serial digital cervical examinations. The Bishop score was evaluated as a binary and continuous factor to predict CD at each gestational week beginning at 37 weeks. Bishop scores were catego...

Background: Vaginal neoplasms usually represent a challenge for veterinary surgeons. Surgical resection often requires episiotomy or even laparotomy and pubic osteotomy, increasing the risk for intra and postoperative complications, such as severe pain, bleeding, wound infection or dehiscence and vaginal stenosis. Endoscopic treatment of neoplastic lesions is routinely used in human patients. H...

BACKGROUND The aim of this study was to retrospectively evaluate sexual injury treated in our clinic. METHODS We evaluated the results of 31 patients (17 males, 14 females; mean age 31,97±11,64; range 18 to 60 years) with sexual injury during consensual sexual activity, who presented to the emergency department between January 2004 and December 2010. Patients' age, etiology of injury, time pa...

BACKGROUND & OBJECTIVES Though nonoxynol-9 (N-9) is available in India as a spermicidal pessary, data on its safety as a potential microbicide among Indian women are not available. Nonoxynol-9 containing compounds have shown anti-HIV activity in in vitro studies and protection against cervical infections. Nonoxynol-9 is being extensively evaluated as a vaginal microbicide world-wide. We assesse...

CASE REPORT A 29-year-old patient presented with fever, abdominal pain, and pyuria since 8 days earlier. There was no history of episodic hematuria. The patient was reared as a male and appeared to be a phenotypically male with short stature and male pattern of body hair. Local examination showed suprapubic fullness with distal penile hypospadias and an empty left scrotal sac. Routine investiga...