Failure to recognise the impact of 'moderate' obesity (BMI 30-40) on adverse obstetric outcomes.

Obesity is a growing epidemic in the western world. We carried out a comparative analysis of the incidence of obstetric morbidity in three BMI categories in the ranges 30-40 to identify which BMI category was associated with greatest risk. This identification could help target limited maternity care resources to the group of women who would benefit most.

Titrated low-dose vaginal and/or oral misoprostol to induce labour for prelabour membrane rupture: a randomised trial.

Objective: To evaluate the clinical effectiveness and safety of titrated low-dose misoprostol for induction of labour (IOL) in the presence of prelabour rupture of membranes (PROM).

Design: Randomised controlled trial.

Setting: Maternity units in the UK (9) and Egypt (1).

Ectopic pregnancy with postcoital contraception--a case report.

The incidence of ectopic pregnancies is increasing. Common risk factors are tubal pathology, previous tubal surgery, previous ectopic pregnancy, intrauterine device use and embryo transfer. Levonelle-2, a progesterone-only postcoital contraceptive works by a combination of mechanisms including ovulation inhibition, prevention of fertilization, and inhibition of implantation.

A case of hysterotomy for removal of an intrauterine contraceptive device and subsequent pregnancy.

The Chinese policy of limiting family size is well known worldwide. We report the case of a patient who required hysterotomy for removal of an intrauterine contraceptive device inserted in China following termination of pregnancy.