MyMedR

Pregnancies conceived through assisted reproduction can present considerable management problems to the obstetric and paediatric staff. Multiple pregnancies are common. The complication of prematurity increases the morbidity and mortality rates of the neonates.

Matched MeSH terms: Labor Presentation

Cervicograms of normal labour in Malaysian women

Peng WW, Aun LM, Sinnathuray TA, Lin WM

Med J Malaysia, 1976 Jun;30(4):261-3.

PMID: 979726

Matched MeSH terms: Labor Presentation

Algaphan in obstetrics

Thambu JA

Med J Malaya, 1971 Mar;25(3):234-6.

PMID: 4253256

Matched MeSH terms: Labor Presentation

Term Live Secondary Abdominal Pregnancy: A Case Report

Pannu D, Bharti R, Anand HP, Sharma M

Malays J Med Sci, 2016 Sep;23(5):96-99.

PMID: 27904431

Term, live abdominal pregnancy secondary to rupture of a uterine rudimentary horn is a rare condition. Pregnancies conceived in the rudimentary horn of the uterus usually rupture during early gestation and present as a catastrophic event. However, rarely, after rupture of the uterine horn the foetus may continue to grow in the abdominal cavity and reach term gestation. A primigravida with a term pregnancy was referred to our centre for caesarean section with ultrasonography findings of transverse lie and placenta previa. During surgery, a live baby was extracted from the abdominal cavity, revealing a bicornuate uterus with rupture of the rudimentary horn. The early peroperative diagnosis and prompt control of the bleeding with excision of the rudimentary horn and transfusion of multiple blood products saved the patient's life. The case is presented for its rarity and to highlight the importance of a high index of suspicion in cases presenting with abnormal foetal presentation.

Matched MeSH terms: Labor Presentation

Transabdominal fetal heart rate detection using NIR photopleythysmography: instrumentation and clinical results

Gan KB, Zahedi E, Mohd Ali MA

IEEE Trans Biomed Eng, 2009 Aug;56(8):2075-82.

PMID: 19403354 DOI: 10.1109/TBME.2009.2021578

In obstetrics, fetal heart rate (FHR) detection remains the standard for intrapartum assessment of fetal well-being. In this paper, a low-power (< 55 mW) optical technique is proposed for transabdominal FHR detection using near-infrared photoplesthysmography (PPG). A beam of IR-LED (890 nm) propagates through to the maternal abdomen and fetal tissues, resulting in a mixed signal detected by a low-noise detector situated at a distance of 4 cm. Low-noise amplification and 24-bit analog-to-digital converter resolution ensure minimum effect of quantization noise. After synchronous detection, the mixed signal is processed by an adaptive filter to extract the fetal signal, whereas the PPG from the mother's index finger is the reference input. A total of 24 datasets were acquired from six subjects at 37 +/- 2 gestational weeks. Results show a correlation coefficient of 0.96 (p-value < 0.001) between the proposed optical and ultrasound FHR, with a maximum error of 4%. Assessment of the effect of probe position on detection accuracy indicates that the probe should be close to fetal tissues, but not necessarily restricted to head or buttocks.

Matched MeSH terms: Labor Presentation

Epidural analgesia in primigravidae in spontaneous labour at term: a prospective study

Leong EW, Sivanesaratnam V, Oh LL, Chan YK

J Obstet Gynaecol Res, 2000 Aug;26(4):271-5.

PMID: 11049237

OBJECTIVES: To prospectively study the intervention rate, duration of labour, malpositions, fetal outcome, maternal satisfaction, voiding complications and adverse events in healthy primigravidae in spontaneous labour at term following epidural analgesia.

METHODS: A prospective randomized study involving 55 patients in the epidural group and 68 in the control pethidine--inhalational entonox group.

RESULTS: There were significantly more obstetric interventions (instrumental deliveries) in the epidural group (p < 0.01). The total duration of labour and the duration of the second stage was prolonged in the epidural group (p < 0.01). There were more malpositions at the second stage of labour in the epidural group (p < 0.02). There were no differences in fetal outcome (Apgar scores and Special Care Nursery admissions). Patients in the epidural group were consistently happier with their method of pain relief (p < 0.01). Two patients required blood patches while another 2 patients had persistent backache post epidural analgesia.

CONCLUSION: Epidural analgesia in primigravidae in spontaneous labour at term led to an increased instrumental delivery rate, prolonged duration of labour, greater rate of malpositions in the second stage, increased oxytocin requirements but with no difference in fetal outcomes but with happier mothers as compared to the control group.

Matched MeSH terms: Labor Presentation

"Once a Caesarean section"

Kuah KB

Med J Malaya, 1970 Sep;25(1):38-42.

PMID: 4249492

Matched MeSH terms: Labor Presentation

Some impressions of childbearing in tropical areas. 3. Outcome of labour

Thompson B, Baird D

J Obstet Gynaecol Br Commonw, 1967 Aug;74(4):510-22.

PMID: 6033271

Matched MeSH terms: Labor Presentation

Fulltext Clinical experience of medical students at University Sains Malaysia

Quah BS, Malik AS, Simpson H

Malays J Med Sci, 2000 Jan;7(1):27-32.

PMID: 22844212 MyJurnal

Experience of acute medical, surgical conditions, and clinical procedures of undergraduate students were assessed via a questionnaire survey during the final week of the 1993/1998 programme at the School of Medical Sciences, Univestiti Sains Malaysia. Individual performances were assessed by a scoring system. One hundred and twenty four students responded, (response rate 97%). More than 90% had seen myocardial infarction, cerebrovascular accident, pneumonia, respiratory distress, gastroenteritis, coma, and snake bite. Less than 33% had witnessed acute psychosis, diabetic ketoacidosis, acute hepatic failure, status epilepticus, near drowning, hypertensive encephalopathy, acute haemolysis or child abuse.Acute surgical/obstetrics cases, seen by >90% students, included fracture of long bones, head injury, acute abdominal pain, malpresentation and foetal distress. Less than 33% had observed epistaxis, sudden loss of vision, peritonitis or burns. Among operations only herniorrhaphy, Caesarian section, internal fixation of fracture and cataract extraction were seen by >80% students. The main deficits in clinical procedures are in rectal and vaginal examinations, urine collection and microscopic examinations. The performance of individual students, assessed by a scoring system, showed 15 students had unacceptably low scores (<149/230, 50%), 37 had good scores (>181.4/230, 70%) and 5 had superior scores (197.6/230, 80%).

Matched MeSH terms: Labor Presentation

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