STUDY QUESTION Can sublingual administration of misoprostol 1 h prior to vacuum aspiration be more effective than vaginal administration and as effective as either route three 3 h prior to surgery? SUMMARY ANSWER Sublingually administered misoprostol is superior to vaginally administered misoprostol when given 1 h pre operatively, and it is as effective as after a three 3 h priming interval w...

OBJECTIVE To determine the prediction rate of success in trial of labour after one previous caesarean section. METHODS The cross-sectional study was conducted at the Department of Obstetrics and Gynaecology, Cantonment General Hospital, Rawalpindi, from January 1, 2012 to January 31, 2013, and comprised women with one previous Caesarean section and with single alive foetus at 37-41 weeks of g...

Cervical pregnancy is a rare form of ectopic pregnancy. Its treatment has been described by different authors. We report our successful experience of a cervical twin pregnancy that was diagnosed by transabdominal and transvaginal ultrasound and confirmed by magnetic resonance imaging. To preserve fertility, our patient was treated by a bilateral hyperselective uterine artery embolization follow...

BACKGROUND Mode of delivery at first childbirth largely determines mode of delivery at subsequent births, so it is particularly important to understand risk factors for cesarean delivery at first childbirth. In this study, we investigated risk factors for cesarean delivery among nulliparous women, with focus on the association between labor induction and cesarean delivery. METHODS A prospecti...

OBJECTIVE To study the effects of early versus delayed oxytocin augmentation on the obstetrical and neonatal outcome in nulliparous women with spontaneous but prolonged labour. DESIGN Randomised controlled study. SETTING Two delivery units in Sweden. POPULATION Healthy nulliparous women with normal pregnancies, spontaneous onset of active labour, a cervical dilatation of 4-9 cm and no pro...

This technical report describes the creation and use of a cervical dilation and effacement model in a pre-licensure nursing course in reproductive health. Vaginal examination is typically taught in reproductive health courses; however, nursing students do not always have sufficient opportunity to practice on actual patients. This low-cost task-training model provides undergraduate nursing stude...

a 25-year-old woman (gravida 2, abortion 1) was admitted to ghaem hospital affiliated to mashhad university of medical sciences at 24 th week of gestation. her chief complaint was bloody show. she had a history of incompetent cervix, with premature labor at 22 nd week of gestation. she was hospitalized with 4 cm dilatation and 50% effacement of cervix at 24 th week of gestation. following bed r...

The hysteroscopy is the gold standard for treatment of uterine intracavitary diseases. It is effective and safe with low rate of recurrence and complications. The features of intrauterine lesions are factors influencing the instrument choice. The larger are generally treated by resectoscope but this technique is associated with potential serious complications mainly due to the need of cervical ...