The efficacy and safety of oral misoprostol for labor induction of twins is unknown. We conducted a retrospective case-control study to evaluate the use of oral misoprostol in near term (> or =35 weeks) twin pregnancies in nulliparas. Eligible cases were given 100 mcg oral misoprostol, which was repeated after 6 h if labor did not start. Either a third dose or diluted oxytocin infusion were given in intractable cases. Diluted oxytocin infusion was used for augmentation. Controls were nulliparas delivered at > or =35 weeks by elective cesarean section. The two groups were comparable in most aspects, except for fetal malpresentation, which was the major reason for avoiding induction. Of the 69 patients in whom labor was induced, 53 (76.8%) had a vaginal birth, 3 (4.3%) had a combined twin delivery, and 13 (18.8%) had a cesarean during labor. The mean length of stay of the neonates was significantly shorter among study cases, without significant difference in the frequency of delayed discharges as an overall proxy for neonatal complications. Labor induction with oral misoprostol could be offered to patients in whom near term vaginal twin delivery is unequivocally permitted and wish to deliver by the vaginal route.
Ectopic pregnancy occurs when the developing blastocyst becomes implanted outside the uterine cavity. Interstitial pregnancy is a rare type, representing 2-3%, of all ectopic pregnancies. It is located outside the uterine cavity in the segment of the fallopian tube that penetrates the muscular layer of the uterus. Therefore, it is a difficult and challenging diagnosis. We report a case of a 19-year-old girl who was admitted to our emergency department because of a ruptured interstitial pregnancy at 15 weeks of gestation.
Electronic poster abstractsshowed an extensive temporo-parietal tumour of 8 cm with diffuse cerebral edema. The patient underwent an extensive tumour resection but it was incomplete. She received an antiepileptic treatment. The histopathological examination showed a grade-4 glioblastoma. Because of the need for radioadjuvant therapy, the termination of the pregnancy was discussed with the patient who refused this medical advice. During the subsequent fellow-up visits, she did not present any particular complaint and the delivery was scheduled by Caesarean section at the 34th week of gestation. Postpartum, the patient was referred to another centre for adjuvant chemotherapy.EP42.17 Vacuum-assisted stereotactic breast biopsy and its role in the management of suspicious microcalcifications
Electronic poster abstractsneovascularisation density was detected by immunohistochemical CD31 staining. CEUS images were analysed for peak intensity (PI), time to peak (TTP). Results: Compared with conventional contrast-enhanced ultrasound, peak intensity (PI) is larger, time to peak (TTP) is shorter in targeted contrast-enhanced ultrasound. There was a linear relationship between PI and MVD(P > 0.05) Conclusions: With the CXCL12 antibody targeted ultrasound contrast in ultrasound evaluation of tumour imaging has more advantages than ordinary. Targeted ultrasound contrast parameters can evaluate tumour angiogenesis.
EP30.07Luteoma of pregnancy as a challenging ovarian mass
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