BACKGROUND High caesarean section (CS) rates are not only costly but associated with significant perinatal and maternal morbidity and mortality. It has recently been suggested that structured auditing of CSs may identify those groups in the obstetric population that contribute substantially to the high rates and for which focused interventions may bring about change. OBJECTIVE To evaluate the...

During birth the infant’s head is exposed to contractions of the uterine muscles and to intra-abdominal pressure1. These mechanical influences are the cause of transient physiological or enduring pathological changes to the skull. The skull deformities differ according to the size of the pelvic opening2. The neonatal period is a highly vulnerable time for an infant. The high neonatal morbidity ...

The objective of this study was to determine whether pregnant young adolescents under 15 years of age developed more obstetric complications than adult women. A retrospective case control study was undertaken. The pregnancies of 121 nulliparous women under age 15 delivered at Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University between January 1994 and December...

BACKGROUND Surgery and anaesthesia cause shivering due to thermal dysregulation as a compensatory mechanism and is worsened by vasodilatation from spinal anaesthesia that redistributes core body heat. Due to paucity of data Mulago Hospital's post spinal shivering burden is unknown yet it causes discomfort and morbidity. METHODS Ethical approval was obtained to perform the study among consenti...

background: cesarean section is a surgery to deliver a baby and remove the placenta and membranes through an incision made on the mother's abdomen and uterus. while the rate of cesarean section is 10-30% of all deliveries in the world, it is 50-65% in iran. the aim of this study was to identify factors leading to cesarean section in bam, iran. methods: in this cross-sectional study, 200 mothers...

Objective: To investigate the duration and course of labour, need for intervention feto-maternal outcome in a primigravida with an unengaged fetal head at term labour.
 Study Design: Prospective longitudinal study.
 Place Duration Study: Department Obstetrics Gynaecology, Pak Emirates Military Hospital, Rawalpindi Pakistan, from Jun 2018 to Oct 2019.
 Methodology: This study was ...

IN THE PERPETUALLY RESOURCE-STARVED environment of public health, where each disease or risk factor has to fight for a scrap of the federal budget, it is easy to forget how fast progress can be made when appropriate policy attention and resources are marshaled to solve a problem. The natural response of public health professionals to the starvation diet is to maintain low expectations. But thos...

BACKGROUND The study was conducted to determine the rate and clinical indications for emergency and elective caesarean section. METHODS This was a cross-sectional descriptive study conducted from December 2010 to January 2011 in Gynaecology unit-A of Lady Reading Hospital Peshawar. Consecutive patients who gave birth in the hospital during the study period were included in the study. There we...

INTRODUCTION Amniotic fluid embolism is one of the most severe complications in the peripartum period. Because its onset is abrupt and fulminant, it is unlikely that there will be time to examine the condition using thoracic computed tomography (CT). We report a case of life-threatening amniotic fluid embolism, where chest CT in the acute phase was obtained. CASE PRESENTATION A 22-year-old As...

The extremely rare condition of molar pregnancy with a coexisting fetus progressing to a viable infant, is reported. At 20 weeks gestational age, prenatal diagnosis was made by biochemical and sonographic findings, in which elevated free beta-human chorionic gonadotrophin (HCG, 500 ng/ml) was noted and ultrasound showed a well-defined multicystic snowstorm-like mass connecting with placenta. Ch...