Fetal intravenous immunoglobulin therapy in rhesus hemolytic disease.

Intrauterine blood transfusion is the mainstay of treatment of fetal rhesus hemolytic anemia with optimal perinatal outcome. Postnatal immunoglobulin therapy has been successfully used in the management of alloimmunized neonates and has shown to decrease the need for exchange transfusion. We report the first case series of fetal immunoglobulin therapy in the antenatal management of severe Rh incompatibility.

One-step hysteroscopic myomectomy: unusual cases and a review of the literature.

Operative hysteroscopy has enabled us to resect submucosal myomas transcervically as a minimally invasive surgery. However, not all submucosal leiomyomas are easily treated by hysteroscopic resection. We report two unusual and difficult cases of submucosal myomas associated with infertility, treated successfully by one-step hysteroscopic resection.

Successful pregnancy outcome in Bernard-Soulier syndrome.

Bernard-Soulier syndrome is a rare bleeding disorder, and there is scant literature on the pregnancy outcome in women with this syndrome. Due to the bleeding tendency in this disease, pregnant woman may have ante-, intra- or postpartum complications. We report our experience of managing a pregnant woman with Bernard-Soulier syndrome who had a successful pregnancy outcome, and review the existing literature on pregnancy in women with this syndrome.

Vaginal delivery in a woman with uncorrected coarctation of aorta.

Aortic coarctation is an uncommon condition complicating pregnancy and is associated with increased morbidity and mortality. Due to the perceived risk of aortic dissection/rupture during labor, the rate of cesarean delivery is higher in these women. We report a young woman with uncorrected coarctation of aorta who had two successive vaginal deliveries with successful maternal and neonatal outcome.