Obstetric fistula is a serious and debilitating complication of childbirth affecting millions of women in the developing world. A gynecologic fistula refers to an abnormal communication between the urinary tract or the gastrointestinal tract and the genital tract, produced by obstetric causes, usually prolonged and obstructed labor. The earliest example of obstetric fistula was found in 2050 BC...

.........................................................................................................3 Dedication.......................................................................................................4 Acknowledgments.............................................................................................5 INTRODUCTION........................................................

Neonatal seizures continue to be a diagnostic and therapeutic challenge to the clinicians. Seizures can permanently disrupt neuronal development, induce synaptic reorganisation, reduce neurogenesis, alter plasticity and prime the brain to increased seizures later in life1. The prevalence of seizures is 2-3 /1000 live births in term and 10-15 /1000 in preterm deliveries2. Diagnostic and therapeu...

INTRODUCTION Universally mothers at 35 years or more have had higher maternal and perinatal risks. This study analyzed the trend of this group in maternal population and determined their risk of having premature children, during the demographic transition period in Chile. MATERIALS AND METHODS Epidemiological study conducted in the population of simple live births registered in the Chilean Na...

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Fetal cholelithiasis is a rare finding during a third-trimester ultrasound with an average incidence rate of 0.07-1.15%. We report a case of fetal cholelithiasis in twins, observed in a patient with monochorionic diamniotic twin pregnancy hospitalized at our unit for signs of premature labor. We present the outcome of the 2 neonates with a clinical and sonographic follow-up. In addition, we off...

One of the keys to treating preterm labor is the early detection of changes indicating the onset of parturition. Recently, we have developed a non-invasive method for the objective evaluation of the status of the cervix, where changes in collagen content of the cervix can be detected using an optical system and light-induced autofluorescence (LIF). This system measures the collagen fluorescence...

Obstetrician-gynecologists, in collaboration with midwives, nurses, patients, and those who support them in labor, can help women meet their goals for labor and birth by using techniques that are associated with minimal interventions and high rates of patient satisfaction. Many common obstetric practices are of limited or uncertain benefit for low-risk women in spontaneous labor. For women who ...

OBJECTIVE Effective pain relief during labor is essential to reduce maternal and perinatal morbidity arising due to pain-induced maternal sympathetic activation, and to avoid unnecessary cesarean sections performed due to maternal anxiety. Walking epidural analgesia on labor reveals lower pain scores, leading to higher maternal satisfaction with better cardiovascular and pulmonary physiology. D...

Preterm birth constitutes a potential risk factor for infant development. There is evidence that parental sensitivity and responsivity can compensate for biological risk. Since the birth of a preterm infant often constitutes a crisis for parents, they may be impaired in their ability to relate appropriately to their infants. The nursing staff can play a vital role in enhancing the interaction b...