Oral hypoglycemic agents vs insulin in management of gestational diabetes: a systematic review and metaanalysis.

Objective: The objective of this review was to provide pooled estimates of randomized controlled trials comparing the effects of oral hypoglycemic agents with insulin in achieving glycemic control and to study the maternal and perinatal outcomes in gestational diabetes mellitus.

Study Design: A protocol for the study was developed. All metaanalyses were performed using Stats Direct statistical software (Stats Direct Ltd, Cheshire, UK).

Tisseel for management of traumatic postpartum haemorrhage.

Introduction: Following the introduction of haemostatic agents, new opportunities are available when facing problematic bleeding. We report the first case of traumatic postpartum hemorrhage successfully controlled with a fibrin sealant.

Case Presentation: 26-year nulliparous patient had a rotational forceps delivery and developed multiple vaginal lacerations.

The impact of a dedicated antenatal clinic on the obstetric and neonatal outcomes in adolescent pregnant women.

This retrospective observational study was designed to study the impact of a dedicated antenatal clinic service on obstetric and neonatal outcomes among teenage mothers in the maternity unit of a district general hospital in the UK. Outcomes were measured to investigate improvement in obstetric and neonatal outcomes before, and 12 months after the establishment of dedicated clinic for teenage pregnant women. Significant improvement in the birth weight was observed p = 0.