Objective: This study was conducted in order to assess the prevalence of different cervicovaginal infections during PREGNANCY.Materials and methods: Totally 110 healthy pregnant women with complaints of vaginal symptoms in their third TRIMESTER of PREGNANCY were checked for vaginal candidiasis, bacterial vaginosis, vaginal trichomoniasis, streptococcus b hemoliticus, gonorrhea, syphilis, and infection by chlamydia trachomatis and HIV.Results: Among 110 studied women and mostly nullipara, the mean age was 25.2 years. All of them had at least one symptom including discharge, itching or burning of vagina. Among them 39 (35.5%) had vaginal and endocervical infection identified by laboratory tests including candidiasis 26.4%, bacterial vaginosis 8% and streptococcus b hemoliticus 5.3%. Gonorrhea and trichomoniasis were not seen. Three of the patients had positive IgG antibody for chlamydia trachomatis. None of them had serological positive test for syphilis and HIV.Conclusion: Symptomatic pregnant women need to be actively searched for infections. Besides speculum examination as an easy to carry out clinical test and if needed laboratory exams must be used to choose the best treatment.

Introduction: Rudimentary horn PREGNANCY (RHP), an entity with a diagnostic dilemma is known to rupture most commonly in second TRIMESTER, sometimes in early third TRIMESTER. This case of ectopic rudimentary horn (RH) presented acutely in the first TRIMESTER.Case Presentation: A 30 years old G3P2L2 with previous two vaginal deliveries presented with acute abdominal pain and features of hemorrhagic shock at 8 weeks 5 days gestational age. With clinical diagnosis of ruptured ectopic PREGNANCY, the patient immediately underwent laparotomy, which revealed hemoperitoneum with a unicornuate uterus along with ruptured RHP. RH excision with ipsilateral salpingectomy and right tubal ligation was done and the maternal life salvaged.Conclusion: High index of suspicion based on clinical history and examination complemented with diagnostic radiological modalities can help in prenatal and pre-rupture diagnosis of RHP, hence its prompt treatment to alleviate scope of any emergency situation and the disastrous consequences leading to maternal morbidity and mortality.

Background: A significant number of pregnancies, particularly in women with previous histories of infertility, are associated with fetal abnormalities. Methods such as the nuchal translucency (NT) measurement enable us to identify more pregnancies with chromosomal abnormalities.Materials and Methods: This analytic cross-sectional study was performed in 446 pregnant women at 11-14 weeks gestation, from 2009 to 2010 in the Fetal Medicine Unit of Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences. All NT measurements were performed by a certified sonographer using the Fetal Medicine Foundation (FMF) recommended protocol. FMF first TRIMESTER software was used for primary and secondary (adjusted) risk calculation.Results: The average maternal age was 28.5 years and 15% of mothers were ³35 years of age. The average crown rump length (CRL), gestational age and NT thickness were 61.7, 12.4 weeks and 1.75 mm, respectively. There were 20 cases with increased adjusted risk (4.04%) and 4 cases of documented abnormal karyotype.Conclusion: In our study increased adjusted risk was 4.04%.Documented abnormal karyotype were 0.9% and 28% of total and high-risk groups who accepted amniocentesis, respectively. In this study, 50% of women with high-risk results and about half of those with abnormal karyotypes were seen in women under age 35. Knowing these risks is of utmost importance in PREGNANCY, particularly in patients with infertility histories.

Objectives: The purpose of this study was to determine the perinatal outcome and PREGNANCY complication (preterm delivery, preterm prelabour rupture of membrane [PPROM], preeclampsia, placental abruption and intrauterine growth restriction [IUGR]) of threatened miscarriage.Materials and Methods: A total of 963 patients attended the study. Of these, 493 women had threatened miscarriage. The control group included 470 pregnants without first TRIMESTER vaginal bleeding. We compared the two groups according to maternal age, gravida, parity, spontaneous or induced abortion history, PREGNANCY period, livebirth or PREGNANCY loss, newborn weight and Apgar values after 1 and 5 minutes, newborns’ gender for livebirth and preterm deliveries.Results: Incidence of preterm delivery, abortion, lower gestational fetal weight and preterm rupture of membrane was increased in threatened miscarriage group. Mean PREGNANCY period in threatened miscarriage group was 243 days; in control group was 263 days. There was adverse influence of maternal age and abortion history on outcomes in pregnancies with threatened miscarriage. However sex of the fetuses and Apgar values after 1 and 5 minutes were similar between two groups.Conclusion: Threatened miscarriage is an important situation to predict both the maternal and fetal outcomes in late PREGNANCY. Maternal obstetric history on previous pregnancies should be questioned. It is therefore essential to consider these pregnancies as high risk group and provide careful antenatal care.