OBJECTIVES To establish the relationship of cervical length at 23 weeks of gestation to the risk of spontaneous delivery before 33 weeks and to determine the possible additional risk if funneling is present. METHODS During a 36-month period, 6819 women with singleton pregnancies underwent transvaginal sonographic cervical assessment at 22-24 weeks as a screening test for preterm delivery. The...

Background: There is an alarming rise in Caesarean section (CS) leading to increased adverse outcomes for both the mother and fetus when compared with vaginal delivery despite efforts limit operative abdominal deliveries. Within this increasing CS rate, there a concerning increase rate of second stage cesarean section. Cesarean sections performed at full dilatation (FDCS) are becoming increasin...

Abstract Background Cervical cerclage is a recognised treatment to prevent late miscarriage and pre-term birth (PTB). Emergency cervical (ECC) for dilatation with exposed unruptured membranes less common the potential benefits of are certain. A randomised control trial needed accurately assess effectiveness ECC in preventing pregnancy loss compared an expectant approach. Methods C-STICH2 multic...

Aim: To keep the cervical canal dilated after the fi rst high dose rate (HDR) brachytherapy fraction to avoid general anesthesia during subsequent applications. Patients and Methods: In the fi rst HDR brachytherapy application: examination and cervical dilatation was done under general anesthesia. The proximal 4 cm of urinary Foley catheter was cut (making the new cervical tube), inserted in th...

OBJECTIVE To determine whether sonographic measurement of cervical length in pregnancies complicated by preterm prelabor amniorrhexis helps distinguish between those women who deliver within 7 days and those who do not. METHODS In 101 women with singleton pregnancies presenting with preterm prelabor amniorrhexis at 24-36 (median, 32) weeks of gestation cervical length was measured by transvag...

the uterine rupture during pregnancy is a catastrophic condition resulting in both maternal and perinatal morbidity and mortality. it occurs in nearly 1% of patients with previous cesarean sections. however, uterine rupture at the site of previous iatrogenic perforation which is spontaneously healed or repaired is less reported. we present a 29-year-old woman, gravida 3 para 1, at 20 weeks of g...

background although heller myotomy is one of the most effective treatments for achalasia, it may be associated with early or late symptom relapse in some patients. therefore, additional treatment is required to achieve better control of symptoms. aim : to evaluate the safety and efficacy of pneumatic balloon dilation (pbd) in patients with symptom relapse after heller myotomy. methods thirty si...