Obstetrics and Gynecology
Hana Sohrabi; Seyedeh Reyhaneh Yousefi-Sharmi; Rozbeh Sohrabi
Volume 5, Issue 4 , December 2020, , Pages 172-174
Abstract
Aplasia cutis congenita (ACC) is a rare congenital disorder characterized by localized or widespread skin absence. The most common site is the scalp and the main cause is unknown. Here we report a case of extensive ACC with scalp involvement. A female infant with an Apgar score of 9 and weighing 3406 ...
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Aplasia cutis congenita (ACC) is a rare congenital disorder characterized by localized or widespread skin absence. The most common site is the scalp and the main cause is unknown. Here we report a case of extensive ACC with scalp involvement. A female infant with an Apgar score of 9 and weighing 3406 gr was born by cesarean section in Besat Hospital, Sanandaj, Iran. A lesion measuring 5×10 cm with highly prominent vessels was on the forehead and parietal bone without scalp, skull, or bone tissue leading to the brain tissue being covered with a thin membrane. Other clinical examinations were normal. The newborn suffered from a ruptured aneurysm and intracerebral hemorrhage and underwent pharmacologic treatment. She died after 21 days of hospitalization. In order to prevent mortality in infants with skin defects, infection control is a priority. Antibiotics could be administered in cases with extensive lesions to prevent neonatal sepsis and improve scar tissue formation. Moreover, restorative measures should be taken if necessary.
Shapoor Shoja; Seyedeh Reyhaneh Yousefi Sharami; Shole Shahgheibi; Farnaz Zand-Vakili; Shamsi Zare; Daem Roshani; Nasrin Sofizadeh
Volume 4, Issue 3 , September and October 2019, , Pages 105-110
Abstract
Background & Objective: The induction of labor is needed to terminate pregnancy in pregnant women lacking labor pain. Common indications of labor induction include rapture of membranes without labor pain, hypertension, fetus’ unreassuring conditions and post-term pregnancies. The purpose of ...
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Background & Objective: The induction of labor is needed to terminate pregnancy in pregnant women lacking labor pain. Common indications of labor induction include rapture of membranes without labor pain, hypertension, fetus’ unreassuring conditions and post-term pregnancies. The purpose of this study is to compare and contrast vaginal misoprostol with Foley catheter in cervical ripening and the induction of labor.
Materials & Methods: This study was done on pregnant women who showed pregnancy termination indication for any cause, using randomized clinical trial method. Inclusion criteria in this study included gestational age equal to or greater than 37 weeks and ultrasonography of the first trimester, unfit cervix Bishop Score 1 equal to or less than 4, single-shot pregnancies, vertex display, intact membrane and the subject’s consent to participate in the research. Patients were divided into two equal groups of 60. Oxytocin was used for the induction of labor if the patient did not enter the active phase.
Results: In this study, the average age of women in Foley catheter group and misoprostol group were 27.03±4.04 and 26.85±3.49 respectively in which there was no meaningful difference statistically. However, the average age of women with cesarean delivery was statistically more than the average age of women with NVD. Bishop score 2 has demonstrated more increase in comparison to Bishop score 1 among Foley catheter group rather than misoprostol group. The average of labor speed, the number of women with NVD and the failure of induction in Foley catheter group exceeded those in misoprostol group.
Conclusion: According to the results gained in this study, Foley catheter application for induction of labor had better outcomes in comparison to vaginal misoprostol. It can even be a better alternative for vaginal misoprostol; hereby the side effects of misoprostol such as possible tachysystol and fetus distress can be prevented.