Two medical abortion regimens for late first-trimester termination of pregnancy: a prospective randomized trial.

Background: Medical abortion regimens based on the use of either misoprostol alone or in association with mifepristone have shown high efficacy and excellent safety profile in early pregnancy abortion. However, no clear recommendation is available for late first-trimester termination of pregnancy.

Study Design: A prospective randomized controlled trial included 122 women seeking medical abortion at 9 to 12 weeks of gestation.

[The managment of serious pregnant disease in the intensive care unit].

We report a retrospective study over a period of 4 years and half and bearing on 59 patients that require an intensive care. The number of childbirth during this period was 22237 with 8.97% of Caesareans.

[Endometrial ossification. 6 cases].

Endometrial ossification is a rare and benign pathology. The etiopathogenesis of this pathology is controversial. Findings suggestive of diagnosis are fairly well know, menstrual irregularities is the main clinical symptoms, expulsion of bony fragments is a rare but pathognomonic event.

[Enecphalocele: 26 retrospective cases at the Maternal and Neonatal Center of La Rabta, Tunis].

Encephalocel is leff frequent than spina bifida and anencephalia. Its incidence is 0.25@1000 births.

[Fetal pathology aspects of 97 cases of anencephaly. CMNR Tunisian study].

So, the epidemiologic study done for 8 years at CMNR Tunis has shown that the incidence is 1.15@1000 births (between 0.52 and 1.

[The Dalkon Shield, a forgotten device, responsible for actinomycosis].

The authors report a case of a Dalkon Shield, forgot in a 55 years old patient, responsible for actinomycosis infection. Basing on a review of the literature, diagnostic methods and management of this kind of complication are discussed.

[Lethal uropathies: prenatal diagnosis and feto-pathologic aspects].

Forty-three prenatal diagnoses of lethal urinary tract abnormalities were carried out during a five-year-period. The abnormalities were bilateral renal agenesis (56%), autosomal recessive polycystic kidney disease (16%), autosomal dominant polycystic kidney disease (14%), MECKEL-GRUBER syndrome and Prune-Belly syndrome (4%). The pregnancy was interrupted in thirty-five cases (81.