Umbilical and Para umbilical hernia are frequently encountered in surgical practice & account for 10-12% of abdominal wall hernias. 1 Obesity & multiparity are the most important pre disposing factors. 1,12 It has known to occur since biblical times. Umbilical hernia repair has been reported by Celeus in the 1 st century, William Cheselden in 1740. William Mayo’s in 1901 described the classical...

Pregnancy is a hypercoagulable state due to pro-hemostatic changes in the activity of coagulation factors and fibrinolysis progressively increasing pressure on iliac veins from growing uterus. Thus, it not surprising that there an increased risk for thrombotic events especially pelvic veins. With trauma delivery, particularly caesarian section, accentuated early days postpartum. Multiparity see...

Parturition triggers an acute phase response, but its magnitude, duration and predictors are not well described. We determined serum alpha1-antichymotrypsin (ACT) and C-reactive protein (CRP) among 216 women attending postpartum services in south-eastern Zimbabwe. Serum CRP peaked during the first week and serum ACT around 9 days postpartum. Serum ACT, but not serum CRP, was lower among HIV inf...

Uterine rupture is a true obstetrical emergency. We present a case of a multigravid woman who had a spontaneous uterine rupture after induction with misoprostol and oxytocin, followed by a general discussion of uterine ruptures with a special emphasis on an unscarred uterus. Risk factors for uterine rupture in an unscarred uterus include grand multiparity, induction with misoprostol or oxytocin...

Obesity has become an epidemic problem worldwide, and in the Eastern Mediterranean Region the status of overweight has reached an alarming level. A prevalence of 3%-9% overweight and obesity has been recorded among preschool children, while that among schoolchildren was 12%-25%. A marked increase in obesity generally has been noted among adolescents, ranging from 15% to 45%. In adulthood, women...

Newborn weight exceeding 4000 g or 4500 is considered as macrosomia, incidence of which varies from 6 to 10% all deliveries. Maternal diabetes, obesity, age >35 years, male baby, history previous multiparity are few risk factors. It associated with several maternal and neonatal complications presents an obstetric challenge there no consensus regarding the most appropriate route delivery for ...