Abstract Aim To evaluate the efficacy and adverse effects of an i.v. infusion paracetamol during active phase labor as compared with sterile water (placebo) a method for intrapartum analgesia. Methods In triple‐blind, randomized, placebo‐controlled trial, 120 low‐risk primiparous women presenting in at A S hams U niversity M aternity H ospital, C airo, E gypt, between ugust 2011 O ctober 2012, were allocated to receive either 1000 mg ( n = 60) or 60). The primary outcomes drug supply...

To evaluate sildenafil citrate as an adjuvant to clomiphene (CC) for ovulation induction (OI) in women with polycystic ovary syndrome (PCOS).A total of 595 infertile PCOS were randomly assigned into either clomiphene/sildenafil (C/S) group or CC group. Transvaginal (TVS)-Doppler studies done participants when the dominant follicle reach 16 mm, measure resistance index, pulsatility and maximum velocity sub-endometrial, uterine, ovarian vessels. Participants examined using TVS on 21st day...

Abstract Aim Of the different described methods of placental delivery during cesarean section (CS), manual removal and cord traction are most commonly used techniques. The ideal method CS is still a conflicting issue as data derived from previous studies widely heterogeneous inconsistent. This study has investigated effect two delivery, controlled removal, on perioperative blood loss. Methods randomized trial recruited 345 pregnant women scheduled for elective at term. Eligible participants...

to evaluate the role of three dimentional power doppler ultrasonography (3D PDUS) uteroplacental circulation in early pregnancy as a screening tool for prediction preeclampsia. 50 pregnant women who came do routine ultrasound scan between 11 and 13.6 weeks during period from February 2016 April 2016. Placental volume vascularization indices were obtained, vascular index (VI), flow (FI), blood vessels (VFI) calculated by three-dimensional Doppler histogram. Of included women, 22% developed...

Background Females with rare bleeding disorders who suffer from mild symptoms and extra related to menstruation are usually delayed in their diagnosis, necessitating early evaluation for an underlying diathesis based on clinical suspicion. Objectives We aimed assess the frequency of among female children adolescents presenting evaluate health-related quality life. Patients methods Sixty females younger than 18 years old were recruited subjected detailed medical assessment different using...

Aim of the Work: this study aimed todetect assessment histological features uterine septum as regard proportion muscle fibers in relation to fibrous tissue decide best management whether incision or excision.Patients and Methods: was carried out on 16 women with childbearing period complaining either infertility recurrent miscarriage fulfilling inclusion criteria, attending Ain Shams University Maternity Hospital between May 2017 April 2018. The incised excised by scissors resectoscope then...

Abstract Background Sildenafil Citrate (Respatio® 20 mg) as an adjuvant therapy in induction of ovulation along with Clomiphen (Clomid ®), is settled to enhance the endometrial receptivity through enhancing thickness and echogenicity. Yet, exact role itself still under study assuming that increasing ovarian blood flow a part pelvic flow, will measured by number diameter growing follicles. Aim Work The aim this evaluate efficacy sildenafil citrate on PCOS women undergoing using clomiphene...

Background At present, ovarian hyperstimulation syndrome (OHSS) is an uncommon and potentially life-threatening complication of stimulation. The ideal colloid solution for the treatment patients with severe OHSS still unknown. Human albumin, however, considered most ‘physiologic’ this purpose commonly used. However, anaphylaxis has been reported albumin infusion. study was to compare efficacy safety hypertonic saline 3% rather than albumin. Patients methods Over a period 2 years, randomized...

Objectives: To evaluate the role of Doppler ultrasound in prediction and follow up during management gestational trophoblastic neoplasia (GTN). Methods: The study was performed at Oncology Unit, Maternity Hospital, Ain Shams University period from November 2015 to December 2018. Forty cases complete mole, after evacuation serum human chorionic gonodotrophin (β-hCG) titre until it reached zero level (group I) forty post molar GTN II) were included study. subendometrial intramural blood flow...

Abstract Background It is now generally accepted that the uterine cervix plays an important role during pregnancy and labor it depends on active ripening process within cervix; which necessary for successful induction. Aim of Work to test safety efficacy titrated oral misoprostol compared vaginal induction in term gravid ladies. Patients Methods This prospective, single-blinded randomized controlled clinical trial was conducted at Ain-Shams University Maternity Hospital period between August...

The morbidly adherent placenta (MAP) is usually associated with maternal morbidity and mortality. objective of this study was to evaluate the uterine cavity after preservation surgeries for MAP.The group comprised women ≥ 28 weeks pregnant confirmed MAP, a desire future fertility, who agreed surgery MAP. done MAP include following: artery ligation, placental-myometrial en bloc excision, and/or internal iliac (IIA) ligation. Participants managed by were evaluated 3-6 months using office...

The impact of various management plans on subsequent fertility after tubal ectopic pregnancy (EP) is not well known. objective the present study was an evaluation outcome among women with EP managed either surgical or medical systemic methotrexate followed by one.A retrospective cohort done reviewing records all diagnosed at King Faisal Military Hospital, Southern Region, Saudi Arabia throughout period from January 2015 to December 2016 provided that they were hemodynamic stable, starting...