Chisholin (GD. Benign prostatic hyperplasia: the best treatment. 1BMI7 1989;299:2 15-6. 2 Neal DE. Irostatectom\-an open or shut case. Br7 Urol 1990;66:449-54. 3 Wrennburg J E, Roos N, Sola L, Schori A, Jalfe R. Use of claims data s\stcms to cvaluatc he:alth care ouitcomes. Mortality and re-operation aftcr prostatectormr. J.1IA 1987;257:933-6. Design-Comparison of extended fetal echocardiography with the standard four chamber view in detecting abnormalities. Extended echocardiography comprised the four chamber view and visualisation of the left ventricular outflow tract, the right ventricular outflow tract, and the main pulmonary artery and its branches. In cases with abnormal results complete echocardiographic studies were performed by a paediatric cardiologist using M mode, Doppler, and colourflow mapping techniques.25 Matthews JNS, Altman DG, Campbell NIJ, Royston P. AnalNsis otf serial mcasturcmcnt in medical rescarch. HBl] 1990300:230-5. 26 Perkins JB, Miller HC. Blood loss diuring transurethral prostatctotny. LUrol 1969;101:93-7. 27 Flechnlcr SM, Williams RD. Continuotis flow anid cotiventiontal resectoscope mcthods in tranisuretliral prostatectomy;Setting-Obstetric ultrasonographic unit at Shaare-Zedek Medical Centre, Jerusalem.Subjects-5400 fetuses in low risk pregnancies between 18 and 24 weeks' gestation (mean 21 weeks); 53 were lost to follow up.Main outcome measures-Detection of abnormality before and after birth.

The present data offer the normal range of fetal thymus size from early stages of gestation that may allow intrauterine assessment of its development. It may be helpful in the prenatal diagnosis of thymic pathologies.

Large for gestational age pregnancies are associated with an increased rate of cesarean section, PPH, shoulder dystocia and neonatal hypoglycemia, as well as longer hospitalization. These risks increase as the birth percentile rises. These risks need to be emphasized in pre-delivery counseling.

We present the outcome of a relatively large cohort of women with suspected placenta accreta who underwent prophylactic pelvic artery catheterization prior to cesarean section. All pregnant women with suspected placenta accreta who delivered in one tertiary center were included in this retrospective study. All patients underwent an elective cesarean section with prophylactic pelvic artery catheterization of internal iliac arteries through femoral or brachial approach. Thirty women underwent prophylactic catheterization; placenta accreta was clinically confirmed in 25 (83.3%) cases. Embolization was performed in 23 cases (76.6%) and hysterectomy in 2 (8%). Median estimated amount of blood loss was 2000 mL (500 to 9000 mL). There were no major catheterization-related complications. Three women had a subsequent pregnancy and uncomplicated delivery by cesarean section. Prophylactic pelvic artery catheterization and embolization in women with placenta accreta is safe and effective in prevention of hysterectomy and should be considered in woman wishing to preserve fertility.