Birth by Caesarian section is associated with short- and long-term respiratory morbidity. We hypothesized that mode of delivery affects the development of the respiratory microbiota, thereby altering its capacity to provide colonization resistance and consecutive pathobiont overgrowth and infections. Therefore, we longitudinally studied the impact of mode of delivery on the nasopharyngeal micro...

OBJECTIVES to evaluate mother-to-child transmission (MTCT) rates and related factors in HIV-infected pregnant women from a tertiary hospital between 2000 and 2009. SUBJECTS AND METHOD cohort of 452 HIV-infected pregnant women and their newborns. Data was collected from recorded files and undiagnosed children were enrolled for investigation. STATISTICAL ANALYSIS qui-square test, Fisher exact...

OBJECTIVE To determine safety and effectiveness of uterine packing to stop hemorrhage in postpartum and post abortal cases. METHODS Patients who delivered either vaginally or via Caesarian section who developed primary post partum haemorrhage and post abortal patients developing primary post partum haemorrhage refractory to conventional medical treatment, were included in the study. Packing w...

We herein report the case of a splenic artery aneurysm with a hepatosplenomesenteric trunk that presented in a pregnant woman. Catheter embolization was not performed due to the wide neck of the aneurysm and its close location to the trunk indicates a high risk of mesenteric trunk thrombosis. We instead performed surgical resection of the aneurysm after successful delivery of the infant by Caes...

Courier delivery services in many cases are faced with sporadic, tightly constrained, urgent requests in addition to regular demand. An example of such an application is the transportation of medical specimens, where an efficient delivery is crucial in providing high quality and affordable service. However, the presence of random urgent requests, due to medical emergencies, can create substanti...

Twin pregnancy continuing up to term in a uterus didelphys is an extremely rare occurrence. The following case report of such event at District Base Hospital, Dambulla, Sri Lanka.

Pregnancy is a hypercoagulable state due to pro-hemostatic changes in the activity of coagulation factors and fibrinolysis progressively increasing pressure on iliac veins from growing uterus. Thus, it not surprising that there an increased risk for thrombotic events especially pelvic veins. With trauma delivery, particularly caesarian section, accentuated early days postpartum. Multiparity see...

Childbirth is one of the most painful phenomena that women will tolerate in their lifetime. Labor pain is recognized as one of the most severe human pain [1,2].Severe pain associated to vaginal delivery can cause abnormal uterine action during labor which might lead to increased medical interventions such as caesarian section (C/S) [3]. According to world health report, the rate of C/S in Iran ...