Short-course postpartum (6-h) magnesium sulfate therapy in severe preeclampsia.

Objective: To assess the efficacy of short-course postpartum (6-h) magnesium sulfate therapy versus 24-h conventional magnesium sulfate therapy in severe preeclampsia.

Methods: Cases of severe preeclampsia were randomly allocated to group A (n = 76) and group B (n = 43). Group A and group B received magnesium sulfate loading dose (4 g) followed by infusion for 6 and 24 h postpartum (1 gm/h), respectively.

Heterotopic pregnancy with successful pregnancy outcome.

A heterotopic pregnancy is a rare complication of pregnancy, in which both extra-uterine and intrauterine gestation occur simultaneously. We hereby report a case of ruptured heterotopic pregnancy presenting at 6weeks of gestation and was managed with immediate laparatomy. The intrauterine pregnancy course was uneventful with delivery of a healthy baby at term by Caesarean section.

Does amnioinfusion reduce caesarean section rate in meconium-stained amniotic fluid.

Introduction: The purpose of our study was to evaluate the safety and efficacy of transcervical amnioinfusion during labour complicated by meconium-stained amniotic fluid, in a setting with limited peripartum facilities, to lower the incidence of caesarean section.

Methods: A prospective study was conducted in a teaching hospital in north India, which enrolled 292 patients admitted in labour. Patients were randomly divided into two groups after taking their consent.

Serum tumor necrosis factor-alpha in pre eclampsia.

Cytokines are major contributors in pathogenesis of pre eclampsia. Serum TNF-alpha was determined in 10 normal and 30 pre-eclamptic pregnant females with special reference to maternal age, parity and levels of mean arterial blood pressure. TNF-alpha was determined using sandwich ELISA technique.