Morbidly adherent placenta (MAP) is defined as the abnormal adherence of placenta to the underlying uterine wall. Strange placental adherence can be grouped into three particular conditions: placenta accreta; placenta increta, and placenta percreta where chorionic villi infiltrate through the uterine serosa and may attack encompassing. The points of this examination were to decide the occurrence of sullenly Adherent Placenta in cases with past cesarean segment in Benha University from December 2018 till June 2019.Also to decide the epidemiological elements in instances of Morbidly Adherent Placenta according to ordinary placenta. The imminent examination was done at Benha University Hospital, from December 2018 till June 2019 where a sum of 33 ladies who satisfied the consideration standards were enlisted into the investigation. Coming up next were accomplished for all case: history, clinical assessment and ultrasonography assessment. Level of Morbidity Adherent Placenta was (36.4%).Percentage of Accreta (18.2%), Focal Accreta (3.0%), Percreta (15.2%). There were measurably critical increment in Number of Previous CS among cases with Morbidly Adherent Placenta than cases without Morbidly Adherent Placenta.There were factually noteworthy increment in Gravidity (frail) and Parity and maternal age among cases with Morbidly Adherent Placenta than cases without Morbidly Adherent Placenta. Ladies with an earlier cesarean conveyance had a high frequency of MAP. The most common sullen bond was placenta accumulate. Expanded frequency of MAP with expanding number of past cesarean conveyances. There was additionally an expanded danger of MAP related with more seasoned maternal age. Multiparity and multigravidas have been proposed as being related with a higher danger of MAP.
Polycystic ovary condition (PCOS) is a typical heritable and heterogeneous issue described by ovulatory brokenness with hyperandrogenic status, notwithstanding the polycystic morphology of the ovaries. Treatment of anovulation begins with weight decrease in fat ladies, through to careful control of the ovaries. A few medicines been utilized for acceptance of ovulation. This investigation expected to assess the impact of clomiphene citrate in enlistment of ovulation in patients with polycystic ovarian syndrome(PCOs) without prompting withdrawal seeping in examination with the conventional convention of clomiphene citrate. Techniques: complete of 60 barren ladies matured 20 -40 years of age with the conclusion of PCOS , who introduced to Benha University Hospital at the barrenness outpatient facility , were enrolled for the investigation , all patients were arbitrarily isolated into two gathering :Group 1 (study gathering ): Group II (Control gathering ): Transvagina l ultrasound folliculometry was done 5 -7 days after finish of CC treatment . Results: This examination had indicated that the all out number of follicles, mean follicular width and endometrial thickness after incitement was altogether more when beginning CC in (luteal stage) than (follicular phase).Conclusion:Early organization of CC in late luteal stage (before withdrawal shedding) in patients with PCOS may prompt more follicular development, ovulatory patients and endometrial thickness which may ponder higher pregnancy rate than organization of CC in early follicular stage (from second day to fifth day of cycle).
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