OBJECTIVE Levator avulsion is common after vaginal delivery and is strongly associated with prolapse and prolapse recurrence. The aim of this study was to compare assessment by digital palpation and two ultrasound methods, one using rendered volumes and the other multislice imaging, for the diagnosis of levator avulsion. METHODS We retrospectively analyzed randomly identified datasets of 266 ...

BACKGROUND Although management of twin deliveries has been a topic of discussion for decades, a consensus on how to deliver twins is lacking. The objective of this study was to examine short-term neonatal outcome of the second twin delivered by cesarean section after vaginal delivery of the first-born twin (combined delivery) and to identify predictors of combined delivery. METHODS This study...

This study aims to analyze the clinical characteristics and to manage patients with retained placenta left in situ accompanied by fever following vaginal delivery.Twenty-one patients with retained placenta in association with fever following vaginal delivery were enrolled and managed at the maternity department of our university hospital between 2012 and 2014.All patients had risk factors for d...

Prepubertal vaginal bleeding is considered as isolated menarche when, in the absence of detectable abnormality, it is not accompanied by any evidence of sexual development. The etiology remains unclear and various hypotheses have been put forward. This is the first time that a series of ultrasound patients with prepubertal menarche whose investigation has included imaging with ultrasound has be...

OBJECTIVE To evaluate pelvic floor muscle strength before and after vaginal birth. DESIGN Prospective repeated measures study. SETTING Main district hospital. POPULATION Fifty-five women: 25 primiparae and 20 multiparae following vaginal birth, and 10 women following elective caesarean delivery as a control group. METHODS Pelvic muscle strength was evaluated by palpation, perineometry a...

background: leiomyomas are the most common benign tumors of the uterus. removal of the prolapsed pedunculated submucous myoma represents a distinct entity. evaluation and treatment of such cases may need intervention via the hymen.mini-laparotomic management of a pedunculated submucous myoma while preserving hymen integrity in a virginal patient is described as a safe alternative.. case: a 30-y...

background this study compared the health outcomes of abortion by vaginal misoprostol tablets and suction curettage in the first trimester of pregnancy. material and methods in this study, 220 pregnant women (under 14 week’s gestational age) who candidate for termination of pregnancy (due to fetal or maternal reasons) were divided into the treatment and surgery groups. in the medical abortion g...

Vaginal bleeding in early pregnancy is a common emergency department complaint. Point-of-care ultrasound is a useful tool to evaluate for intrauterine ectopic pregnancy. Emergency physicians performing these studies need to be cognizant of artifacts produced by ultrasound technology, as they can lead to misdiagnosis. We present two cases where mirror-image artifacts initially led to a concern f...

Caesarean scar ectopic pregnancy (CSEP) is where the conceptus implanted deep in myometrium and at exact site of previous caesarean section. Symptoms include amenorrhea, pelvic pain vaginal bleeding first trimester. The investigation choice transvaginal ultrasound. Individualized treatment options are based on gestational age, presence embryonal cardiac activity, severity symptoms, serum hCG le...