Objective To compare the obstetric outcomes of cesarean section in women who had a history of four or more previous cesarean sections with those who had a history of two or three previous cesarean sections. Methods Total 1318 women who underwent repeat cesarean section between January 2013 and January 2016 were retrospectively reviewed. Of these, 244 (18.5%) had previously had four or more ce...

IN THE Royal Maternity Hospital and the Gynaecological Department of the Royal Victoria Hospital, Belfast, as at other hospitals, the operation of tubal ligation is being performed more readily and in greater numbers than previously. In 1963 fifteen were done, in 1967, one hundred and twenty-six. It is becoming less a matter of medical necessity and more a matter of personal choice and it was t...

Hypogammaglobulinemia is characterized as a deficiency in humoral immunity. Humoral immunity deficiencies include the absence of B cells and/or serum immunoglobulins. Common clinical features include a predisposition toward infections naturally defended against through antibody-mediated responses. Clinical manifestations of this condition, in the parturient, may contraindicate neuraxial anesthe...

Protein engineering has been used to remodel pores for applications in biotechnology. For example, the heptameric α-hemolysin pore (αHL) has been engineered to form a nanoreactor to study covalent chemistry at the single-molecule level. Previous work has been confined largely to the chemistry of cysteine side chains or, in one instance, to an irreversible reaction of an unnatural amino acid sid...

The cervicovaginal and endometrial isolation rates of Ureaplasma urealyticum and Mycoplasma hominis and relevant demographic data were obtained at the time of laparoscopy in 193 women from infertile marriage. For comparative purposes, fertile women undergoing laparoscopy for tubal ligation (n = 56) or other purposes (n = 64) were also cultured. Blacks were more likely than caucasians to be infe...

We present the concept of natural orifice surgery and of scarless operations, with their access routes, their multidisciplinary character, and challenges to their development. We point out the intra- and postoperative advantages. We emphasize the use of the vaginal route and posterior colpotomy in the application of natural orifice surgery in vaginal hysterectomies and surgical access to adnexa...

The measurement of tubal perfusion pressures (TPP) is a recent advance in the field of gynaecoradiology. Measurement of TPP involves a standardized technique using transcervically placed tubal catheters which is reviewed in detail. TPP assesses the functional status of the Fallopian tubes, i.e. their ability to permit pregnancy. Infertile patients with normal TPP demonstrated a higher pregnancy...

background: ectopic pregnancy (ep) is a prevalent problem and the most common cause of maternal mortality at the first trimester. results from different studies are not consistent regarding the risk factors associated with ep. the current study aimed to investigate about risk factors associated with ep in kermanshah-iran. methods: a case–control study conducted to compare risk factors of ep amo...

Ruptured ectopic pregnancy is an emergency surgery in which mostly the patient is in severe shock preoperatively. The outcome is excellent in these patients inspite of poor hemodynamics as the vitals pick up dramatically on ligation of the fallopian tube during salpingooopherctomy. In this case report we present a rare case of bilateral ectopic pregnancy which was diagnosed on the table due to ...

BACKGROUND Uterine rupture is an obstetric calamity with surgery as its management mainstay. Uterine repair without tubal ligation leaves a uterus that is more prone to repeat rupture while uterine repair with bilateral tubal ligation (BTL) or (sub)total hysterectomy predispose survivors to psychosocial problems like marital disharmony. This study aims to evaluate obstetricians' perspectives on...