Risks and consequences of puerperal uterine inversion in the United States, 2004 through 2013.

Background: Puerperal uterine inversion is a rare, potentially life-threatening obstetrical emergency. The current literature consists of small case series and a single nationwide study from Europe with only 15 cases.

Objective: We aimed to define the incidence, temporal trends, and outcomes in women with uterine inversion using a nationally representative US cohort.

Differences in obstetric care among nulliparous First Nations and non-First Nations women in British Columbia, Canada.

Background: Canada's Aboriginal population faces significantly higher rates of stillbirth and neonatal and postnatal death than those seen in the general population. The objective of this study was to compare indicators of obstetric care quality and use of obstetric interventions between First Nations and non-First Nations mothers in British Columbia, Canada.

Methods: We linked obstetrical medical records with the First Nations Client File for all nulliparous women who delivered single infants in British Columbia from 1999 to 2011.

Caesarean section on maternal request: risks and benefits in healthy nulliparous women and their infants.

Objective: To determine the risks and benefits of an elective Caesarean section (CS) at term in healthy nulliparous women.

Methods: We conducted a population-based cohort study of deliveries between 1994 and 2002. Using bivariate and multivariable techniques, we compared maternal and neonatal outcomes in healthy nulliparous women who had undergone elective pre-labour CS (using breech presentation as a surrogate) with those in women who had undergone spontaneous labour with anticipated vaginal delivery (SL) at full term.

Pregnancy with uterine vascular malformations associated with hemorrhagic hereditary telangiectasia: a case report.

Background: Hereditary hemorrhagic telangiectasia (HHT) is a rare autosomal dominant condition. It is rarely seen in pregnancy and even more rarely has uterine manifestations.

Case: A 29-year-old primigravid woman with HHT was noted to have vascular manifestations of her disease in the lower uterus, distal rectum, pelvis, and bladder before pregnancy.

Is the nuchal index increased in fetuses with congenital structural heart defects?

Objectives: To determine if the Nuchal index (NIx) is increased in euploid fetuses with structural congenital heart defects (CHD).

Methods: Euploid fetuses with CHD between 18 and 24 weeks gestation were identified. The next fetus meeting the same criteria with a normal fetal echocardiogram were selected as a control.