We reviewed the deliveries in a teaching hospital in a multiracial community over the period of one year (1988), and investigated the relationship between maternal height, ethnic origin, and the extremes of birth weight with the likelihood of emergency lower segment caesarean section (LSCS). After excluding patients with obvious indications for LSCS, 5,050 patients were entered in the study. Chi‐square analysis showed that the risk of emergency LSCS is significantly higher in the Indians compared to Chinese and Malays, but does not differ significantly between the latter two groups. Logistic regression analysis showed that birth weight of less than 2,500 g or greater than 3,500 g is the most significant association with emergency LSCS rate. Conditional logistic regression showed that, provided the individuals conformed to the characteristics of the cohort in this study, risk of emergency LSCS for a 150 cm (25th centile) tall Indian pregnant lady is almost twice that of a 158 cm (75th centile) tall non‐Indian.
Following a quick vaginal delivery of a preterm infant, the placenta was delivered with some difficulty. A globular mass approximately 10 cm in diameter was seen attached to the maternal surface of the placenta by large veins. Histology revealed it to be a large chorioangioma. This tumour was asymptomatic and there were no maternal or fetal complications.
Retrospective studies performed in Caucasian populations have shown an inverse association between placenta previa and pre-eclampsia. Our study aims to test the effects of race and distinct geographical setting in the Malaysian population on this hypothesis of association.From 1989 to 1998, 25 844 singleton primigravida deliveries managed in University Hospi-Ž . tal, Kuala Lumpur Malaysia were enrolled.Inclusion criteria were maternal age between 15 and 44 years old, maternal height between 130 and 185 cm and maternal weight from 39 to 130 kg. The exclusion criterion was congenital abnormalities at birth. Diagnoses of placenta previa were verified at delivery. Smoking or chronic alcohol consumption in pregnancy has been very
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