AUTHORS Nusrat Sharmin, Jahanara Begum, Md Raihan Ali, Asif Raihan ABSTRACT   Introduction: Over 13 million adolescent girls (10-19 years old) give birth yearly, with 9 out of 10 births in underdeveloped countries. Pregnancy and delivery complications kill most young women in developing countries. This study aims to investigate adverse obstetric outcomes in adolescents compared with adult pregnancy in a tertiary-level hospital located in Dinajpur, Bangladesh. Methods: The investigation included all pregnant patients delivered at M. Abdur Rahim Medical College Hospital, Dinajpur, from J ..read more

Authors Saadia Ghafoor Abstract The COVID-19 pandemic has led to widespread fears and strains on healthcare systems. Healthcare personnel and the global community are continuously struggling to evolve through the ongoing pandemic and its challenges. The unexpected surge of infectious COVID-19 cases has led to the cancellations of non-essential hospital appointments and delays in various procedures in many healthcare settings. Nevertheless, the healthcare sector has recognized the importance of providing integrated patient care through telemedicine-based health delivery systems. The p ..read more

Authors Afaf Aly Ismail, Doaa Mahmoud Effat, Hanaa AbdlelHamid Ebisy, Amira Mohamed Farahat Abstract Introduction: Prolonged third-stage of labor can be associated with a high risk of serious maternal complications. Nonetheless, active management of the prolonged third stage of labor can effectively reduce the risk of these complications. The objective of this study: To evaluate the efficacy of the following three different protocols on shortening the duration of the third stage of labor and reduction of blood loss during the third and fourth stages of labor using umbilical vein oxytoci ..read more

Authors Hansa Dhar , Qamariya Ambusaidi, Shireen Ayesha Khan    Abstract Forgotten foreign bodies in female genital tract can be a menace due to persistent offensive discharge. Such cases are challenging to manage as most women present late, sometimes even in menopause or in early childhood. This case report highlights a postmenopausal woman with purulent vaginal discharge, mistakenly thought to be pyometra, which ultimately turned out to be an impacted foreign body in cervix.An initial examination under anesthesia failed to reveal this impacted foreign body thus making the dia ..read more

Authors Dena J. Kaufman, Cheryl L. Straub-Morarend, Addy C. Abstract Introduction: Surgical options for cervical intraepithelial neoplasia vary in the reduced risk of recurrence. This systematic literature review investigated the effectiveness of cold knife conization and loop electrosurgical excision procedure for the reduction of neoplastic recurrence in women with cervical intraepithelial neoplasia. Methods: A literature search of PubMed, the Cochrane Database of Systematic Reviews, and Turning Research Into Practice between January and March 2019 resulted in two systematic reviews, one met ..read more

Authors Edgar Allan Villagomez Mendoza, Pilar Alejandra Boix Escobar, Marco Antonio Cuellar Miranda, Hanzel Azael Espinosa Aguilar Abstract Ectopic pregnancy develops when the blastocyst implants outside the endometrial cavity. Its most frequent location is fallopian tubes that account for 96% of all ectopic pregnancies, whereas 11% occur in the fimbrial end. Once the implantation of ectopic pregnancy has been attained, the villi rapidly invade the endosalpinx, and then it reaches the tubal wall and peritoneum. This penetration is accompanied by vascular proliferation and a peritubal hematoma ..read more

Author Saadia Ghafoor Abstract  COVID-19 pandemic is in its early stages and it is almost impossible to predict its future impact. The ongoing COVID-19 pandemic has alarmed the global community to the sudden outbreaks of viruses. This literature review is meant to provide historical context and current implications of ongoing COVID-19 pandemic on the global community and healthcare resources. It aims to present a review of various accredited studies about SARS-CoV-2, clinical presentation, point-of-care tests, disease course, and public health interventions. The composite collection of su ..read more

Authors Ahmed WE, Daoud MA Abstract Introduction: Salpingectomy is a common procedure performed for ectopic pregnancy. However, its impact on the ovarian reserve is still uncertain. This study was conducted to explore the potential effect of salpingectomy in ectopic pregnancy on future ovarian reserve by measuring serum anti- müllerian hormone. Methods: This prospective observational study was conducted on 60 women with ectopic pregnancy managed by salpingectomy. Serum anti-müllerian hormone was measured before the surgical procedure and 3 months postoperative as a marker of ovarian ..read more

Authors:Kanika Ranjan, Rehana Najam Abstract  The most common factors of infertility in developing countries like ours are uterine and fallopian tube factors. There is not enough literature on prolonged intrauterine retention of parts of the fetal skeleton even though it is a well-recognized cause of secondary infertility. Here, we present three cases of intrauterine retention of fetal bones who presented with secondary infertility with menstrual problems. All of them were relieved of their symptoms after hysteroscopic removal of bony fragments. We would like to emphasize the impor ..read more

Authors:Edgar Allan Villagómez Mendoza, Jaime Edgar Martínez Niño Abstract               The acute fatty liver of pregnancy (AFLP) represents an obstetric emergency that may cause multiple organ failure due to the risk of the delayed diagnosis and unpredictable progression. This is the case report presented to our hospital. Given the low incidence, we demonstrate the importance of the “ Swansea criteria” to determine a diagnosis and early treatment. Keywords Acute fatty liver of pregnancy, liver disease, and pregnancy, int ..read more