Uterus didelphys with obstructed hemivagina with chronic presentation: a case report

This is a case report of a 24-year patient who had uterus didelphys with obstructed hemivagina. Clinical manifestations of this case were of progressive dysmenorrhea, abdominal pain after menarche, cyclic difficulty in urination and constipation, with the existing paravaginal tumor indicated this rare anomaly. The diagnosis was by clinical examination and ultrasonography.  The patient underwent successful transvaginal septoplasty and drainage of the hematocolpos and hematometra, which is the appropriate mode of treatment in such cases. 

A Study of Antepartum Cardiotocography in Mothers with Reduced Fetal Movement at Term and Its Correlation with Fetal Outcome

Maternal perception of fetal movement is one of the first signs of fetal life and is regarded as a manifestation of fetal wellbeing. Reduced or absent fetal movements may be a warning sign of impending fetal death. According to the various tracingsobtained on cardiotocography (CTG), categorization can be done into normal, suspicious or abnormal/pathological and therebyfetal jeopardy can be reliably predicted. This study was designed to evaluate the CTG findings in mothers with complaint ofreduced fetal movement and their fetal outcome at term. It was seen that abnormal and suspicious CTG were more commonlyassociated with meconium-stained liquor at delivery; also they were associated with a higher rate of cesarean section with fetaldistress being the most common indication among these two groups

Cervical length measurement in nulliparous women at term by ultrasound & its relationship to spontaneous onset of labour

Background & objectives: Data on serial cervical length (CL) measurements in pregnancy at term to predict spontaneous labour onset are scarce and conflicting. This study was conducted to observe CL changes preceding spontaneous onset of labour, by serial transvaginal sonography (TVS) and transabdominal sonography (TAS), in nulliparous Indian women near term. Methods: Only nulliparous women with a singleton foetus in cephalic presentation and who confirmed their gestational age were recruited. Sonographic CL measurements were taken at weekly intervals from 36 wk gestation onwards by a single ultrasonologist. Transabdominal and transvaginal measurements were undertaken using the suitable transducer probes with the women in the supine position. Results: A total of 104 women with spontaneous onset of labour were evaluated. There was substantial variation in CL measurements, both by TVS and by TAS, from 36 to 40 wk gestation, although the two sets of measurements correlated closely. Mean CL changed significantly over the last three weeks before delivery. However, only one-third of the women showed CL change of >5 mm per week in the last three weeks. There was poor correlation between gestational age at delivery and the last measured CL, either by TVS or TAS. Length >3.1 mm, measured by TVS at 38 wk gestation, predicted post-dated pregnancy to a limited extent. Interpretation & conclusions: Inter-individual variations in CL and in CL changes were large. Thus, it was not practical to predict spontaneous onset of labour by sonographic CL measurement near term. Post-dated pregnancy may be predicted with limited success. Further studies should explore other parameters, in addition to CL