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Our purpose was to determine whether the Doppler cerebroplacental ratios predicts perinatal outcome in postterm pregnancy. The middle cerebral to umbilical artery resistant and pulsatility indices (MCA PI/UA PI and MCA RI/UA RI) were measured in 59 postterm pregnancies. We found significant correlation between MCA PI/UA PI, MCA RI/UA RI, nonstress testing and intrapartum fetal heart rate assessment. There was also an association between MCA PI/UA PI and 1- and 5-minute Apgar score. We conclude that the Doppler cerebroplacental ratios provide useful information about perinatal outcome.

Objectives: Case of advanced ovarian pregnancy are exceptional because ovarian pregnancy itself is very rare., Study Design: The authors describe a case of prolonged ovarian pregnancy with retention of the dead fetus for more than a year. Usually ovarian pregnancy finishes in rupture which occurs before the end of the first trimester. It is then difficult to make out the integrity of the organs and in particular of the tube and indeed to recognize them. On the other hand when the mass persists intact with the development of pregnancy in a retort shape, it is easy to see how confusion is possible and arises between it and an intra-uterine pregnancy. In this case, however, the different anatomical forms are clear and an almost definite diagnosis can be made at the time of operation (the three first criteria of Spiegelberg). The diagnosis of ovarian pregnancy is never made before operation. At the very best one can say, when things happen early, that an extra-uterine pregnancy has ruptured, or in certain particular circumstances like in the case we are reporting lithopedian. The presence of ovarian tissue in the wall of the sac, which is the fourth criterion of Siegelberg, is easier to recognize in early accidents than in advanced cases of ovarian pregnancy in which the parenchyma of the ovary is compressed, distended and laminated by the increasing development of the fetus and the adnexae. The absence of the placenta being adherent to other organs than the ovary can then be kept as a worthwhile criterion of ovarian pregnancy.

We analysed 91 cases of pH-metric verifications of pre-pathological and pathological cardiotocograms, which suggested imminent perinatal partial asphyxia. In 50% of cases there was no need for medical intervention, this groups of patients delivered vaginally and newborns were in good condition. In 80% pH value well correlated with state of newborn at birth. Pre-pathological cardiotocograms showed mainly variable decelerations, pH value didn't show acidosis and afterbirth umbilical cord collision was stated. In pathological cardiotocograms we observed mainly late decelerations, pH value showed fetal acidosis which coexisted with placental insufficiency in prolonged gestation.