BACKGROUND The aim of this study was to evaluate the outcome of pregnancies in Iranian women with immune thrombocytopenic purpura (ITP). METHODS In a historical cohort study, maternal and neonatal outcomes were studied in 30 pregnant women with ITP at a hospital in Tehran, from January 1994 through November 2003. RESULTS Twenty-two cases were diagnosed as ITP before and 8 during pregnancy. ...

BACKGROUND Severe postpartum hemorrhage occurs in 1/1000 women giving birth. This condition is often dramatic and may be life threatening. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) has in recent years been introduced as a novel treatment for hemorrhagic shock. We present a series of fluoroscopy-free REBOA for controlling life threatening postpartum hemorrhage. METHODS ...

Thirteen asymptomatic women with postpartum blood loss of at least 500 cc were evaluated for anterior pituitary endocrine function. Insulin tolerance tests and TRH stimulation tests were done and determinations made for serum growth hormone, cortisol, thyrotropin, and prolactin. There was no laboratory evidence of pituitary dysfunction in this group of 13 patients. Subclinical hypopituitarism i...

Sir, Sheehan’s syndrome is a clinical entity, which occurs because of pituitary apoplexy after severe postpartum hemorrhage (PPH). This syndrome is uncommon to be picked up in the early postpartum period. We describe a case of Sheehan’s syndrome, who presented because of recurrent hypoglycemia with shock 3 months after PPH in her last delivery. The presentation of Sheehan’s syndrome with recurr...

BACKGROUND Knowledge on how well we can predict primary postpartum hemorrhage (PPH) can help policy makers and health providers design current delivery protocols and PPH case management. The purpose of this paper is to identify risk factors and determine predictive probabilities of those risk factors for primary PPH among women expecting singleton vaginal deliveries in Egypt. METHODS From a p...