This study compared the effects of two levels of crude protein (CP) fed during late gestation on the performance, blood metabolites, and ovarian activity of Holstein cows. One-hundred and six cows (42 primigravid and 64 multiparous) 32 d before calving were divided into two groups and fed diets containing moderate (12.7% CP, 36% rumen undegradable protein, (RUP) or high (14.7% CP, 40% RUP) prot...

BACKGROUND A spontaneous rupture of the unscarred uterus in a primigravid patient is extremely rare and is associated with high perinatal and maternal morbidity and mortality. CASE PRESENTATION A 34-year-old white primigravid woman, 31 + 3 weeks of gestation, presented with pre-eclampsia and developed a sudden acute abdomen. An emergency laparotomy was performed and a uterine rupture was foun...

This study assessed the relation between perineal body length and the risk of perineal laceration extending into the anal sphincter during vaginal delivery in primigravid patients at an institution with a low utilization of episiotomy. This was a prospective study of primigravid patients in active labor. Primigravid women with singleton pregnancies who were in the first stage of labor at 37 wee...

This study compared the effects of two levels of crude protein (CP) supplementation during a close-up dry period on the productive performance, nitrogen balance, and blood profiles of Holstein cows. Eighteen cows (8 primigravid and 10 multiparous), 21 days prior to calving, were divided into four groups and fed a diet containing a low (11.5 to 12.7% CP) or high (14.1 to 15.3% CP) level of prote...

After induction with oxytocin because of premature rupture of the membranes, a caesarean section had to be performed on a primigravid patient owing to fetal distress. At laparotomy a fundal rupture of the uterus was found. Rupture of the primigravid uterus in the absence of obstetric trauma or congenital abnormality is rare, and apparently only 4 cases have been reported. The condition does not...

Uterine prolapse during pregnancy is an uncommon condition. It can cause preterm labor, spontaneous abortion, fetal demise, maternal urinary complication, maternal sepsis and death. We report the case of uterine prolapse in a 32-year-old healthy primigravid woman. She had no risk factors associated with uterine prolapse. She was conservatively treated, resulting in a successful vaginal delivery...

Malaria in nonimmune, primigravid women threatens both mother and fetus. We used the Plasmodium coatneyi/rhesus monkey model to examine factors associated with this. Clinical and immunologic responses during the blood stage of chronic malaria (4 months) were evaluated in 8 malaria-naive primigravid (PMI) and 8 age-matched nulligravid (NMI) infected monkeys, compared with those in 8 primigravid,...

BACKGROUND As women increasingly delay child bearing, the proportion of women having their first delivery at ''advanced maternal age'' is expected to rise. These elderly primigravidae have traditionally been considered to be at increased risk of adverse maternal and perinatal outcomes because of associated pregnancy and labor complications and, therefore, need to be evaluated. AIM To determin...

Spontaneous uterine rupture (SUR), a public health problem in developing countries, is a rare but hazardous obstetric complication with significant maternal and fetal morbidity and mortality. Cases of rupture are more likely to occur in a scarred uterus, usually after a previous caesarean delivery. Spontaneous unscarred uterus rupture (SUUR) in primigravid women is usually unexpected and extrem...