Cervical insufficiency (CI) is one of the main pathological conditions that leads to pregnancy loss, in particular, recurrence miscarriages and premature births, which account for up 5 % all obstetric cases. Recurrence losses caused by CI lead serious psychological trauma both woman her family members, as well significant economic society. However, many women some regions world still do not kno...

We report our experience with a unilateral congenital dislocation of the knee associated with a developmental dysplasia of the hip on the same side. Our case is a good example of congenital dislocation of the knee caused by abnormal intrauterine pressure leading to this type of congenital postural deformity. To our knowledge this is the first case of congenital dislocation of the knee reported ...

OBJECTIVES To estimate the risk of preterm delivery of twin pregnancies based upon sonographic cervical length measurement and gestational age at measurement. METHODS Twin pregnancies that delivered between 1999 and 2005 and that underwent sonographic measurement of cervical length between 13 and 34 + 6 weeks' gestation were identified and a retrospective review performed. Women with anomalou...

Purpose To evaluate the outcomes of cervical cerclage (CC) in twin pregnancies. Methods Retrospective analysis of twin pregnancies undergoing CC between January 2001 and December 2009 at our Institution. CC was offered in case of a cervical length measurement B20 mm (ultrasound-indicated CC) or in case of cervical dilatation with membranes at or beyond the external cervical os (physical examina...

0002-9378/free © 2012 Published by Mosby, Inc. OBJECTIVE: We sought to provide evidenc the prevention of preterm birth (PTB). METHODS: Relevant documents, in part PubMed (US National Library of Medicine, 19 in English, which evaluate the effectiveness o gens evaluated were, in particular, vaginal pr caproate. Additionally, the Cochrane Library, through review of the above were utilized to accor...

Objective: To review the use of transvaginal ultrasound for the diagnosis of placenta previa and recommend management based on accurate placental localization. Options: Transvaginal sonography (TVS) versus transabdominal sonography for the diagnosis of placenta previa; route of delivery, based on placenta edge to internal cervical os distance; in-patient versus out-patient antenatal care; cercl...

BACKGROUND Obstetric or non-obstetric surgery can be performed in pregnant women during the second trimester. We evaluated maximal sensory block level (MSBL), and other sensory block characteristics after spinal anesthesia in early and late second trimester pregnant women. METHODS Forty-four pregnant women scheduled for cervical cerclage under spinal anesthesia in the early second trimester (...

Introduction Women who have undergone radical trachelectomy as a fertility-sparing treatment for early-stage cervical cancer may be at higher risk retained tissues after early-term miscarriage due to cerclage or necrosis. Dilatation and curettage aspiration present additional risks in these women. The aim of this study was assess the efficacy expectant management early pregnancy trachelectomy. ...

Background: Cervical cerclage is simply the use of a specialized non-absorbable suture to tie cervix at level internal os prevent recurrent abortions, preterm labour and delivery especially in women with short or cervical weakness. It was introduced 1950s by Shirodkar McDonald has since become common obstetric practice. There still exist lot controversies concerning its efficacy factors determi...