Objectives: 1) To study the obstetric outcome in two women with heterotopic pregnancy, 2) To report the challenges faced during management of these pregnancies. Design: Case study of two heterotopic pregnancies managed by us. Setting: RL Jalappa Hospital and Research Hospital. Patients: Two women with heterotopic pregnancy. Interventions: Laparotomy and management of ectopic component. Main Outcome Measures: Pregnancy outcomes following surgery. Results: Both pregnancies continued with one live birth at 36 weeks and one preterm delivery at 29 weeks with neonatal death subsequently. Conclusion: Pregnancy outcome after surgery for heterotopic pregnancy is guarded and is at high risk for preterm birth. Salpingostomy is a good option when faced with dilemma of whether it is hematosalpinx or ectopic pregnancy instead of salpingectomy.
BACKGROUND Umbilical cord is the lifeline of the foetus, which contains three vessels in a coiled fashion. Total number of coils divided by umbilical cord length centimetres is called Umbilical Coiling Index (UCI). Abnormal umbilical coiling index has been related to adverse perinatal outcome. MATERIALS AND METHODS Sample Size 600. Singleton live cephalic deliveries after 37 weeks both vaginal and caesarean section were included. Immediately after delivery, umbilical cord is clamped at 5 cm from the foetal end and cut. Length of cord is measured. No. of coils measured as one complete 360° spiral course of vessels. At the end, mean umbilical coiling index is calculated. Normocoiled group was having UCI values between 10 th and 90 th percentile, hypocoiled group was having <10 th percentile and hypercoiled group was having UCI >90 th percentile. Outcomes measured were maternal age, meconium-stained amniotic fluid, foetal growth restriction, 5 mins. APGAR scores, neonatal intensive care unit admissions and hypoglycaemia. Statistical analysis was performed using SPSS software and chi-square test. P value of <0.05 was regarded as statistically significant.
<p class="abstract">Oncocytic laryngeal cyst is an uncommon benign lesion of larynx that develops in the supraglottic area. Oncocytic laryngeal cyst arises from the ventricle and the patient presented with hoarseness of voice. Management of these lesions is conservative and consists of local excision. It is metaplasia of respiratory or glandular salivary epithelium with no risk of malignancy although recurrence after excision can still occur. It usually presents with hoarseness of voice although acute and chronic dyspnea may occur as well. Although oncocytic cysts are benign lesions, follow-up is recommended, as recurrence is possible.</p>
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