A previously healthy 23-year-old primigravida at 35 weeks' gestation presented with ante-partum haemorrhage and evidence of placental abruptio on ultrasound scanning. Emergency Caesarean section was performed via a Pfannenstiel incision, and a healthy baby was delivered in good condition. The obstetrician noticed that the peritoneal cavity contained some free reactive fluid, and surgical assist...

We have read the debate on peritoneal closure by Cheong et al. with interest (Cheong et al., 2001). The authors state that the long term benefits and hazards of non-closure of the peritoneum are unknown, and expect adhesion related problems. Among the various outcome measures concerning long-term morbidity, adhesion formation/reformation is probably one of the most important ones. The presence ...

THE lengthening list of indications for Caesarean section makes the management of subsequent deliveries a problem which confronts the obstetrician with ever-increasing frequency. Where the original Caesarean section was performed for a non-recurrent indication, subsequent vaginal delivery may reasonably be expected, and it is customary to allow such patients to go into labour. Even where electi...

A nulliparous non-descript mare was presented with a complaint of dystocia. The mare was recumbent and physical examination revealed that the animal was in shock. There was no straining and foetal forelimbs were visible outside the vulva. The foetus was dead as there was no pedal reflex. Vaginal examination revealed anterior presentation with dorso-sacral position and rigid lateral head deviati...

A.H., a 33 year old primigravid woman, was at 38 week’s gestation. She had myomectomy two years ago. When she was hospitalized for delivery, it was seen that the cervix was completely dilated. The vertex was at +1 station in the left anterior position. Because of the past myomectomy history and foetal distress we decided to perform a caesarean section. The phannenstiel incision was accomplished...

Background and Objectives: Obstetric blood loss is one of the feared complications child birth. Blood during caesarean section twice than that vaginal delivery. The aim this study to evaluate effect preoperative single sublingual dose melatonin in reducing after when comparing with placebo. Methods: subjects prospective randomised placebo controlled were 60 pregnant women who admitted labour wa...

Background: Women with repaired bladder/cloacal exstrophy face unique challenges throughout their pregnancy. Limited obstetric care information available in the current literature. Aims: To review perinatal issues, pregnancy outcomes and surgical techniques for five pregnancies in three women with repaired bladder exstrophy and cloacal exstrophy. Materials and Method Design: A case series and r...

Cesarean Scar Defect (CSD) is the formation of a diverticulum at the site of the old caesarean incision [1]. With a rising cesarean sections being performed, the complications caused by CSDs has attracted more and more attentions. These include conditions such as scar pregnancy, placenta accreta, placenta previa, and uterine rupture in subsequent pregnancies [2,3]. The CSD is also associated wi...