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Background/aims: The study aimed to assess whether the use of intrapartum transperineal ultrasound (US) can reduce the rate of failed vacuum extraction (VE).Methods: This is a retrospective cohort study including all women delivering at term with the diagnosis of protracted second stage of labor. The mode of delivery and rate of failed VE were compared between women who underwent a US examination prior to the decision on obstetrical interventions ("+US" group) and those in whom clinical decisions were based upon digital assessment only ("no-US" group).Results: The study included 635 women. Among the "no-US" group (536), there were 13 failed VE attempts (3.6%) vs. none in the "+US" group (99, p = 0.1). There was a significant difference between the groups regarding mode of delivery (p = 0.001), with a lower cesarean section (CS) rate (20.2 vs. 27.8%) among the "+US" group. Maternal age, body mass index, nulliparity, gestational age at delivery, and birth weight, as well as neonatal short-term outcome did not differ significantly between the 2 groups.Conclusions: We demonstrate that among women who had the addition of intrapartum US during the second stage of labor there was a trend toward a lower rate of failed VE (although not reaching statistical significance), with a lower rate of CS but not affecting neonatal outcome. [ABSTRACT FROM AUTHOR]

Aim: To evaluate the efficacy and safety of oral misoprostol for labor induction in women with term premature rupture of membranes (PROM) and an unfavorable cervix. Methods: We randomized 130 women with PROM of ≤4 h to either oral misoprostol, 50 μg, or a placebo given every 4 h for up to three doses. Intravenous oxytocin was initiated if active labor did not begin within 12 h. Results: Sixty-four women received oral misoprostol and 66 received placebo. The PROM-to-delivery interval was shorter with misoprostol than with placebo (13.7±5.8 vs. 20.3±6.8 h, respectively, P<0.05). Misoprostol significantly reduced the need for oxytocin (28.1 vs. 72.7%, P<0.001) and antibiotics (25 vs. 69.7%, P<0.001). No significant differences in cesarean section or hyperstimulation rate were noted. Conclusion: Oral misoprostol given to women with unfavorable cervix soon after term PROM significantly reduces the induction-to-delivery time and the need for oxytocin and antibiotics. [ABSTRACT FROM AUTHOR]

In this paper, we describe a case of ovarian vein thrombosis following laparoscopic hysterectomy and obturator tension-free vaginal tape surgery. Clinical presentation included spiking fever and lower abdominal pain. The diagnosis was made using computed tomography scanning with contrast material. Therapy consisted of broad-spectrum intravenous antibiotics and subcutaneous low-molecular-weight heparin. This is a rare case of ovarian vein thrombosis following laparoscopic hysterectomy. We believe that such a thrombotic complication should be considered when evaluating a patient with spiking fevers and abdominal pain, even after minimally invasive procedures, such as laparoscopic hysterectomy. (J GYNECOL SURG 22:163) [ABSTRACT FROM AUTHOR]

Focuses on perinatal infections cytomegalovirus and toxoplasmosis. Percentage of all congenital anomalies attributed to perinatal infections; Most common infections, including toxoplasmosis, rubella, cytomegalovirus, herpes, syphilis, varicella-zoster and parvovirus; Importance of the recognition of maternal disease and fetal monitoring; Discussion of cytomegalovirus and toxoplasmosis; Virology and epidemiology; Diagnosis.

The sonographic "onion skin" sign was initially described as concentric echogenic layers in mucinous tumors unrelated to the female reproductive system. Typically, the sonographic appearance of ovarian mucinous cystadenoma includes numerous septa and fine, gravity-dependent echoes. We present a case of the "onion skin" sign in a mucinous ovarian tumor. [ABSTRACT FROM AUTHOR]

The sonographic 'onion skin' sign was initially described as concentric echogenic layers in mucinous tumors unrelated to the female reproductive system. Typically, the sonographic appearance of ovarian mucinous cystadenoma includes numerous septa and fine, gravity-dependent echoes. We present a case of the 'onion skin' sign in a mucinous ovarian tumor. © 2012 Wiley Periodicals, Inc. J Clin Ultrasound 2013 [ABSTRACT FROM AUTHOR]

Presents information on placental site trophoblastic tumor (PSST). Description of two case reports of PSST patients; Symptoms of PSST; Treatment procedure.

Presents a case of two families with ovarian dermoid cysts. Medical history of the families; Role of the process of parthenogenesis in the occurrence of dermoids; Diagnosis of the disease.

No Abstract available [ABSTRACT FROM AUTHOR]