Non-puerperal uterine inversions. A two case report and review of literature.

Chronic non-puerperal uterine inversions are rare but the occasional case has to be managed without previous experience. Of the 77 cases reported, 75 (97.4%) were tumour produced and 20% of these tumours were malignant.

Eclampsia at Ga-Rankuwa Hospital.

Objectives: To study the epidemiology of eclampsia and the maternal and fetal outcome of the disease.

Design: Observational study.

Setting: Ga-Rankuwa Hospital, a tertiary institution.

Surgical management of retroperitoneal necrotising fasciitis by planned repeat laparotomy and debridement.

Mortality remains high in patients with necrotising fasciitis despite use of modern powerful antimicrobial drug therapy and advances in the care of the critically ill. This is particularly so in patients with intra-abdominal retroperitoneal lesions. While necrotising fasciitis of the integument has been well described, its retroperitoneal (extraperitoneal) location has not been highlighted.

Induction of labour in twin pregnancy.

Labour was induced in 32 high-risk twin pregnancies and the outcome compared with that in 32 twin pregnancies ending in spontaneous labour. No significant differences were found between the groups in terms of duration of labour and mode of delivery, and there were no failures of induction. Perinatal outcome was compared by measuring Apgar scores and cord arterial blood pH levels.

Septicaemic low birthweight neonates treated with human antibodies to endotoxin.

In a double blind controlled study antilipopolysaccharide gammaglobulin given intramuscularly did not reduce mortality in low birthweight babies suffering from septicaemia. It did, however, reduce the recovery period of survivors from 310 to 120 hours.