Headache and seizure on postpartum day 7: late postpartum eclampsia: a case report

Historically, convulsions beginning more than 48 hours, but less than 4 weeks, after delivery, known as late postpartum eclampsia, was thought to be uncommon; however, recent evidence suggests that its incidence is increasing. In addition, the presentation of late postpartum preeclampsia-eclampsia may differ from that occurring during the pregnancy. About 40% of late eclampsia has no premonitory symptoms. This contributes to difficulty in diagnosing late postpartum preeclampsia-eclampsia in an emergency department setting. Greater awareness and knowledge of this disorder by ED physicians should improve outcomes in these potentially life-threatening cases. The authors present a case of new-onset seizures occurring 07 days postpartum. The patient presented with headache, hypertension, and generalized tonic-clonic seizures to the emergency department. Postpartum eclampsia was diagnosed and IV magnesium sulphate was administered. The patient had no further seizures and did not require long-term anticonvulsants.

Relationship of lunar phases and sex of the foetus: a retrospective study

Background: The relation of lunar phases at the time of conception to the sex of the child at birth has been touted as a method of sex selection by various birth calendars with controversial results. It is made to believe that indeed there is a relation of lunar phase at the time of conception/intercourse which results in birth of a particular gender. The purpose of this study was to examine the influence of the lunar phase on the possible relationship between lunar position at EDD/LMP and the gender of the child.Methods: One thousand and five deliveries were retrospectively analysed from 1 January 2016 to 31 December 2018 at the department of obstetrics and gynaecology of military hospital, Gwalior (latitude and longitude coordinates: 26.218287, 78.182831). Females having regular menstrual periods history around conception and in general their periods have been normal and regular were included in the study. Females having irregular menstrual periods history or having oligomenorrhoea/polymenorrhoea, ART/IVF conceptions were excluded from the study. Exact lunar phases were determined at the time of EDD and not with their LMP since that would automatically corelate well with LMP because of regularity of their periods. The actual date of birth was not considered while corelating with moon phase because of obvious reason of unexpected timing of labour.Results: The analysis revealed no significant correlation of gender of the child to lunar phases at EDD. This would indirectly corelate well with the LMP since the inclusion criterion had females having normal and regular menstrual periods.Conclusions: There is no predictable influence of the lunar phase on the gender of the baby. As expected, and in agreement with some recent studies this pervasive myth is not evidence based

Misplaced IUCD: a case report

Contraception is a national emergency, essential in a developing country like India. Intrauterine contraceptive devices (IUCDs) are amongst the most frequently used methods of contraception. The patients with misplaced IUCDs may present with pregnancies or ‘lost strings’ or they may remain asymptomatic and/ or may have recurrent pregnancy losses and may become pregnant as in our case

A large fibroma polyp of labia majora

Fibroepithelial stromal polyps are benign proliferations which are usually polypoid or pedunculated, and less than 5cm in size. They are generally single lesions but can be multiple during pregnancy. They can be polypoid or pedunculated and are usually solitary. Symptoms usually include bleeding, discharge and general discomfort with sensation of a mass. They typically have a central fibrovascular core and contain stellate and multinucleated stromal cells which are best seen beneath the surface epithelium. True myxoid stroma is absent. Although vulvovaginal fibroepithelial stromal polyps are well documented, a giant variant such as the one authors report here is rather rare. To the knowledge, present case is the largest fibroepithelial stromal polyp compared to others reported in the literature

An update of electro surgery devices options in minimal invasive surgery: a review

The rate and variety of advances in energy sealing technology in the last two decades has heralded new opportunities in laparoscopic and minimally invasive surgery. Reduced operating times, lower postoperative pain scores, and shorter length of stay are offset by the additional cost of such instruments. Critical to obtaining optimal clinical effects and reducing potential complications, is a thorough understanding of the proper use of each energy modality. No single device has shown a significant superiority over the other. However best combination to have is harmonic along with ligasure or perhaps now the latest wireless sonicision with ligasure to undertake most of the surgeries. Thunderbeat has advantages like faster cutting speed and minimal instrument changes. Ferromagnetic wand is the fastest available instrument with unique features. Argon beam coagulation has certain specific uses and is best for fulguration and it is definitely advantageous to have it in OT. Sonicision offered wireless ergonomics and better manoeuvrability, cheapest VSD was the conventional bipolar