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Obstetrics, Birth and Pregnancy -  Case Studies

OBGYN.net Obstetrics Pregnancy and Birth 
Archive of Clinical Case Studies
 

Amniorupture Leading to Cord Entanglement in Twin Gestation Complicated by Twin to Twin Transfusion Syndrome - Nilaofer Meher-Homji and Martin Necas

Antepartal Fetal Surveillance - William F. von Almen, II, MD, FACOG
The purpose of antepartal fetal surveillance is to determine the well-being of a fetus at risk for antepartal fetal loss. We can do this by reducing the risk of fetal death in utero, delaying the need for inappropriate interventions, and prolonging the gestation in pregnancies at risk for preterm delivery.

Antithyroid Autoantibodies in Unexplained Recurrent Abortion - Samir F. Abdel Aziz, M.D.; Asem A. Moussa, M.D.; Hisham O. Kandil, M.D.; Mohamed Y. Shaheen, M.D.; Mahmoud M. Abou Zeid 

Behavior of Leiomyoma during Pregnancy as Evaluated by Ultrasound - Samir F. Abdel Aziz, M.D., Mohamed K Al-Sharkawy

From Breech to Brow - Thomas Ind MB BS MD MRCOG
A photographic presentation.  Fetal presentation is the lowest part of the fetus present in the pelvis or lower uterine segment. In over 95% of cases the presentation is a fully flexed vertex. Anything other than a fully flexed vertex is defined as a malpresentation. One of the most common malpresentations is a breech. One of the rarest is a brow.

Case Studies of Abnormal Fetal Heart

Comparative Study Between Epidural Analgesia vs. Other Anaesthetic Techniques on the Maternal Blood Pressure and Foetal Outcome in Pregnancy Induced Hypertension (PIH) - A.A. Moussa, M.D., &  M. Diaa, M.D.

Cord Blood Erythropoietin and Markers of Fetal Hypoxia - Samir F. Abdel Aziz, M.D.; Ali A Afia, MD, and Mohamed S El-Shourbagy MD

Diagnosis and Management of Fetal Megavesica During the First Half of Pregnancy - J. Wisser, M.D., Ph.D.
The OBGYN.net Ultrasound Case of the Month

Ectopic Pregnancy - Eric Daiter, MD
This comprehensive presentation encompasses all aspects of ectopic pregnancy, from overview and risk factors to diagnosis and treatment options.

Effects of Preeclampsia on the Mother, Fetus and Child - Liliana S. Voto, M.D., Alicia M. Lapidus, M.D., Miguel Margulies, M.D.  

Fetal Heart Screening Examination - Dr. Vladimir Nikolaev
Ultrasound diagnosis of congenital cardiac defects is often a very difficult problem, even for highly skilled specialists. Thorough study will promote improved quality of perinatal medical care, and save more children with these pathologies. 

Hepatitis C Infection: A Clinician’s Guide - William Cusick, MD
It has been a mere 10 years since a portion of the genome of the hepatitis C virus (HCV), the infectious agent responsible for most cases of post transfusion hepatitis was sequenced....Our intent is to provide the health care provider with an overview of HCV infection, with special mention of HCV infection in the pregnant patient. 

The Meckel Syndrome - Hans van der Slikke, MD
In 1992 a 27 year old woman was seen in our obstetric ultrasound department, because of routine sonography for her first pregnancy of 16 weeks and 4 days. Her general and general history were negative, as was her family history. The ultrasound showed dilated ventricles and an occipital encephalocele. Both kidneys showed multiple cysts. Diagnosis: Meckel-Gruber syndrome....

Painful Intercourse After Delivery - D. Ashley Hill MD
A 26 year-old woman delivered her first baby, weighing 7 pounds, 6 ounces, without difficulty after 35 minutes of pushing. Although her doctor used perineal stretching (gentle stretching of the area between the vagina and anus) and lubricants during delivery, there was a small, second-degree tear of the vagina and perineum as the baby's shoulders delivered.

Stone Baby - Dr. Andrew Folley, MD
View photographs and read the history of this rare case. A fetus that calcified and remained in utero for 3 years!

Stuck Twin - J. A Worrall, MD

Triple Screen - R. Daniel Braun, MD.
This patient is a 23 year old Gravida 1 who presents for prenatal care at 8 weeks gestation. She has a completely normal history and physical exam is compatible with an 8 week gestation. The pelvis is of normal configuration and size. Lab work reveals Rh positivity, Rubella immunity, and no abnormalities. She is provided with the usual information and given an appointment to return in 4 weeks.

The Ultrasound Detection of Chromosomal Anomalies - Adrian Werther Clavelli, M.D., Silvia Susana Romaris de Clavelli, M.D., and Philippe Jeanty, M.D., Ph.D.

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