A prospective study of 54 primigravid twin pregnancies in Durban showed that pregnancy-induced hypertension occurred in 37%. This was more than twice the expected rate for singleton pregnancies in this Black African population. The babies born in the group of patients with pregnancy-induced hypertension were significantly lighter and had a higher rate of fetal growth retardation than the babies...

A primigravid patient in labour had an epileptiform convulsion following the first "topup" injection of bupivacaine 50 mg into the epidural space. The fit was treated successfully by artificial ventilation with oxygen and there were no subsequent ill effects in the mother. The foetus was born several hours later in good condition. The maternal venous plasma bupivacaine concentration was found t...

We determined the prevalence of Toxoplasma antibodies in 576 primigravid women randomly selected from health houses in Hamadan. The relationship between positivity and some risk factors was assessed. Data were collected by questionnaire and blood samples examined for Toxoplasma antibodies by indirect fluorescent antibody test. Of the 576 women, 193 (33.5%) were positive for Toxoplasma antibodie...

A 32-year-old primigravid woman developed acquired factor VIII inhibitor after delivery. She presented with postpartum hemorrhage and large hematoma in episiotomy site. Laboratory examinations showed markedly prolonged activated partial thromboplastin time, low levels of factor VIII (8%), and factor VIII inhibitor (2 Bethesda units). The bleeding was controlled successfully using combined treat...

Fear of childbirth casts a shadow in 10% of the pregnancies. It can cause fear, mental illnesses and previous experiences of violence or bad experiences in giving birth. It is treated at the phobia clinic with the support of a midwife and an obstetrician. Psychoeducative group therapy intended for primigravid women has proven to be the most effective form of therapy. In addition to obstetric as...

A 37-year-old primigravid woman presents at 12 weeks of gestation with a painful, swollen left leg, breathlessness, and lower abdominal pain. She has had hyperemesis for several weeks. She has no personal history of venous thrombosis, but she reports a family history of thrombosis in both her mother and her maternal aunt. On examination, she has a body-mass index (BMI, the weight in kilograms d...