Background. A prenatally diagnosed fetal anomaly that could compromise the fetal airway at delivery can be managed safely with the ex utero intrapartum treatment (EXIT) procedure. Case. A 26-year-old healthy primigravida was diagnosed during her midtrimester anatomic ultrasound survey with a fetal oropharyngeal cystic structure located at the base of the tongue. The neonatal airway was successf...

Amniocentesis and intra-amniotic injection of hypertonic saline to terminate pregnancy in the second trimester has at~ tained great importance in recent [Years. That such a method was not accepted or currently used in leading obstetric institutiolll3 can be easily demonstrated. In Scandinavia, where an average of 3,354 pregnancies were legally terminated annually from 1955 to 1965, abdominal by...

This study describes 58 cases of legal termination of pregnancy done in the acute gynaecology ward, Kenyatta National Hospital (KNH), Nairobi, over a 4 year period. The ward handles 20-40 new cases of incomplete abortion daily. Patients in the midtrimester received extra-amniotic or inter-amniotic prostaglandins (PGF2 alpha). Most of the patients were young, single and primigravid. Most termina...

Aim. The aim of this study is to investigate whether amniotic fluid leptin and insulin levels can be used for prediction of for prediction of gestational diabetes mellitus or not. Methods. The levels of leptin and insulin were measured in the samples of amniotic fluid which were obtained at 16-20 weeks of pregnancy during genetic amniocentesis. We recorded the patients who developed gestational...

The frequency of adherent placenta is increasing due to growing number of caesarean deliveries. The optimal management of this condition remains unclear, resulting in complications in the peripartum period such as severe haemorrhage, a possible need for caesarean hysterectomy, and even severe injuries to pelvic organs. We report cases of conservative management of adherent retained placenta fol...

Comparison of transabdominal and transvaginal sonography in measuring cervical lenghts in midpregnancy Objective: To compare the transabdominal and transvaginal ultrasonographic measuring of cervical length in midtrimester of pregnancy. Material and Methods: This retrospective study was performed in a university hospital. The pregnant women between 18-20 weeks gestation were included to the stu...