29yrs old Primi at 24 weeks of pregnancy was brought to the emergency by ambulance in shock with complaints of sudden onset of epigastric pain and dizziness. There was no complaint of bleeding per vaginum.
The patient was resuscitated and urgent ultrasound was done which revealed massive hemoperitoneum with intra uterine fetal death. Emergency laparotomy was done through midline vertical incision (with differential diagnosis of ruptured uterus, abruption, non-obstetric causes of bleeding) with arrangements being made for blood and blood products. Laparotomy findings were as follows;
1. Hemoperitoneum 4 litre with clots. Continue reading “Spontaneous Hemoperitoneum in Pregnancy From a Ruptured Superficial Uterine Vessel”
It is human tendency to believe that certain conditions appear only among adults, failing to realise how ignorance leads to greater health issues in the future. Chicken pox for example, once a child gets chicken pox we believe that it is not going to occur again. Nobody takes the effort to know more in detail about an issue, the causes for it and if it has any future implications. Another major health issue that is considered to affect only adult women is Endometriosis. Endometriosis is a health condition that affects almost 100,000 women in the UAE. It is a condition of equal opportunity, differentiates on no grounds. The youngest patient of Endometriosis as literature states was said to have been 101/2 years of age who had only two previous menstrual flows.
What constitutes a full term pregnancy?
A full-term pregnancy lasts 40 weeks. A pregnancy is considered full-term if the baby is born anytime between 37weeks-40weeks.
Why is it important to reach full term?