Case Report

Bilateral absence of common iliac artery: Abnormal internal iliac artery during ligation in conservative surgical management of placenta accreta

Ahmed Samy El-Agwany

>Background: Abnormal placental invasion has increased with persistent rise in Caesarean delivery. Management depends on accurate diagnosis and delivery should be planned at an institution with appropriate expertise and resources. Hemorrhage in pregnancy is the leading cause of maternal mortality in developing countries …


Vaginal birth after cesarean section in Greece and the contribution of the midwives

Nousia Konstantina, Michalopoulos George, Grigoriadis Charalampos, Stournaras Stamatis, Brezeanou Christina, Vrachnis Nikolaos, Farmakides George

Introduction: The aim of this study was to examine the success rate and safety of vaginal delivery after cesarean section, as well as the value of midwives’ contribution in these cases. Material and Methods: This was a retrospective clinical study, including women diagnosed with singleton uncomplicated pregnancies and history of one or more previous cesarean sections, who underwent trial of labor, supported by midwives …

Case Report

Cesarean scar pregnancy: A diagnostic dilemma and management with suction curettage

Syed Rifat, Sinha Prabha, El – Halwagy Hosam, Brompton Wendy

A case of a cesarean section scar pregnancy with a diagnostic dilemma is presented. Due to a decrease in β – hCG after 48 hours, the patient was diagnosed with a failing pregnancy and was given misoprostol. However, β – HCG was still high and the patient had a severe vaginal bleeding after a month of medical management. Evacuation curettage under laparoscop …


Really an epidemic of cesarean section?

Anastasakis Eleftherios, Daskalakis George

In the modern obstetric era, the obstetricians and the maternity units are asked to provide information regarding their obstetric performance. The public debate focus mainly on the percentage of cesarean births. The public belief is that the vaginal delivery is the positive obstetric outcome while caesarian birth is the negative obstetric outcome. However, this approach is not a reliable …

Necrotizing fasciitis after cesarean section

Ioannidis C

Necrotizing fasciitis after cesarean section is a very serious condition. The patient’s fate is related to an early diagnosis, aggressive surgical debridement and adequate supportive medical management. Final reconstruction of the resulting defect is preferably done at a later stage. A case of 33-year old woman who developed necrotizing fasciitis two days after cesarean section …

Pregnancy after 40 years: Is it high risk ?

Drizis E, Prapas N, Papanikolaou A, Makedos A, Chrisohoidis C, Makedos G

Aim: To investigate the outcome of pregnancy in women over 40 years. Materials and methods: Retrospective study of the years 1994-2002. Pregnant women over 40 years of age were matched with a control group of women 20-29 years old, regarding previous history of infertility, gestational age at birth, birth weight, mode of delivery, and complications in pregnancy …