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Obesity is a growing epidemic in the western world. We carried out a comparative analysis of the incidence of obstetric morbidity in three BMI categories in the ranges 30–40 to identify which BMI category was associated with greatest risk. This identification could help target limited maternity care resources to the group of women who would benefit most. There exists a scale continuum of risk of obstetric morbidity with maternal obesity: the greater the BMI, the greater the risk. However, pregnant women with mild or moderate obesity are still at significant risk of having pre-existing co-morbidities of developing antenatal complications and of being delivered by caesarean section than women with BMIs within the normal range. These women, at the time of antenatal booking, are currently not perceived by healthcare providers as having at-risk pregnancies and are therefore potentially denied access to best care. [ABSTRACT FROM AUTHOR]

Haemorrhage is one of the leading global causes of maternal mortality. The Rüsch balloon has been used in the treatment of postpartum haemorrhage (PPH) after failure of medical management. It is often effective in tamponading uterine bleeding, thus providing an alternative to hysterectomy. We describe a series of 22 cases in which we used the Rüsch balloon to control massive obstetric haemorrhage after failure to control haemorrhage by medical means. In our study, 13 out of 22 patients (59.1%) required no further interventions after balloon tamponade. Seven patients (31.8%) required hysterectomy to control the bleeding. We include a review of the current literature on balloon tamponade for PPH, including analysis of six relevant case series. This demonstrates a variety of methods based on tamponade to terminate uterine haemorrhage. Our study highlights the benefit of balloon tamponade for massive PPH and the importance of its involvement in labour ward protocols. [ABSTRACT FROM AUTHOR]

The article presents a case study of a 41-year-old woman with a pain in her right shoulder, causing her to feel tired and unwell. It says that the patient had a levonorgestrel-containing intrauterine system for contraception and was a two-month postnatal. It states that a necrotizing fasciitis was confirmed after the growth of group A streptococcus admission on her blood cultures. It also discusses necrotizing fasciitis and its relation to different disciplines, such as surgical management.

This is a prospective study evaluating 28 patients who were suspected to have ectopic pregnancy. Frozen section Pipelle endometrial biopsy was performed as an outpatient procedure to look for the presence of chorionic villi in the specimen. The sensitivity of the frozen section endometrial biopsy in detecting the presence of chorionic villi was 13.3% and the specificity was 100%. The positive predictive value was 100% and the negative predictive value was 50%. We concluded that frozen section endometrial biopsy was not helpful in predicting intrauterine gestational process; therefore, it has a limited application in patients suspected to have ectopic pregnancy. [ABSTRACT FROM AUTHOR]

The article presents a case report of a 32-year-old woman who is on her 15th week of her first pregnancy. She delivered a male infant at 41 weeks by forceps and she underwent syntocinon infusion was administered due to vaginal hemorrhage. She went into post-delivery shock and examination showed blood clots and inversion of the fundal fibroid. Uterotonics was performed and the uterus was replaced but bleeding continued then a Rusch hydrostatic balloon was inserted and she responded positively.

This is a retrospective study to evaluate the reproductive outcome after abdominal myomectomy. Seventy myomectomies were performed at the Jordan University Hospital over a 10-year period. Fifty-five percent of these patients were infertile at the time of surgery. The most common indication for the myomectomy was a combination of infertility and menorrhagia (34.2%). A successful pregnancy was recorded in 53.8% of those who attempted pregnancy after the operation. [ABSTRACT FROM AUTHOR]