A diamnionic dichorionic twin pregnant women (due to in vitro fertilization) admitted to emergency department at the 21st week of gestation because of regular contractions. By gynecological examination, we observed 8 cm dilated cervix with 80% effacement. Amniotic membrane was also bulging through the cervix. After evaluation delivery of the presenting fetus occurred quickly. The baby's weight ...

PURPOSE OF THE STUDY Twisting is clinically the most frequently applied method for tightening and maintaining cerclage fixation. The twisting procedure is controversially discussed. Several factors during twisting affect the mechanical behaviour of the cerclage. This in vitro study investigated the influence of different parameters of the twisting procedure on the fixation strength of the cercl...

A thirty-nine year old woman with history of infertility was admitted at the 14 week of gestation complaining of acute abdominal pain. Ultrasound revealed a large intramural fibroid bulging into the uterine cavity showing signs of degeneration. It was pressing on the gestational sac with a normal intrauterine pregnancy. The internal cervical os was funneling indicating incompetence of the inter...