Seasonal Variation in the Incidence of Severe Preeclampsia in Mediterranean Climatic Conditions

The aim of the study was to evaluate possible involvement of environmental factors in the incidence of preeclampsia. A retrospective observational study on the seasonal variation of severe preeclampsia, derived from the intensive obstetric care unit files over a 48-month period, was undertaken. Obstetrics were studied and all deliveries and number of severe preeclamptic patients were recorded. The extracted data were then divided into four groups, based on the four main seasons of the year. The rates of severe preeclampsia, occurring in each season, were compared. Although there is a trend of higher incidence during summer, statistical difference was not significant (unpaired t -test: p=0.1250 for preeclampsia p=0.1250 for total deliveries, and paired t -test: p=0.0027 for severe preeclampsia p=0.0002 for total deliveries), perhaps due to the small numbers of the studied groups. In this study we found a prevalence of preeclampsia during summer when the weather is warmer than the other seasons. This finding may provide new possible mechanisms in the pathogenesis of preeclampsia

Uterine inversion after controlled cord traction during caesarean section: A case report

Introduction: Inversion of the uterus during caesarean section is a rare but life-threatening complication of the procedure that requires immediate treatment, which is reversion and awareness due to the very serious adverse effects that it may have. Materials and Methods: The authors present a case of a 34-year-old para 1 woman of Greek ethnicity who underwent a scheduled caesarean section at 39 weeks of gestation. During the procedure, a uterine inversion occurred as a controlled cord traction was applied in order to achieve placental detachment, after the delivery of the baby. It was managed by immediate manual uterine reversion, which was performed after exteriorization of the uterus. There were no adverse effects. Conclusion: Uterine inversion during caesarean section is a serious complication, but fortunately very rare. However, the obstetrician should be aware that the complication should be quickly identified and act without hesitation because it is critical for the well being of the patient