[Induction of labour at term with misoprostol: the experience of a Tunisian maternity ward].

To evaluate the efficacy and safety of vaginal misoprostol for term labour induction. A prospective study conducted at the Department of Obstetrics and Gynecology B of hospital Charles Nicolle, Tunis, over a period of 4 months. The group of subjects, selected to represent the population of interest, were pregnant patients at term undergoing cervical ripening.

[Efficacy of misoprostol for medical termination of pregnancy in second trimester : Prospective study].

Aim: To investigate the efficacy of misoprostol used alone, and the time of fetal expulsion for medical termination of pregnancy in the second trimester.

Patients And Methods: 50 patients were enrolled in a prospective study over two years and in whom termination of pregnancy was indicated between 14 and 28 weeks of amenorrhea. Misoprostol was reported in a well-defined protocol: group 1: 2 tablets every 3 hours as intra vaginal, group 2: half dose for women bull 4th or more or carrying a scarred uterus for terms greater than or equal to 22 weeks of amenorrhea.

[Epidemiological profile, etiological diagnosis and prognosis of uterine synechias: report of 86 cases].

Background: Uterine synechias may pose real problems for fertility prognosis. It depends mainly on its etiology.

Aim: To study the epidemiological profile of patients, describe the circumstances of discovery of uterine synechias, specify the diagnostic procedures for pelvic ultrasound, hysterography and hysteroscopy and estimate the benefits on fertility.

Selective salpingography and tubal catheterization in infertile women.

Background: Use of selective salpingography (SS) and fallopian tube catheterization (TC) has revolutionized the diagnosis and treatment of proximal tubal infertility.

Aim: To evaluate results of women treated for proximal tubal obstruction by selective salpingography and tubal catherization.

Methods: Selective salpingography was performed in women with proximal bilateral tubal obstructions.

Maternal and fetal outcomes of large fetus delivery: a comparative study.

Aim: To review the deliveries of macrosomic babies, weighing over than 4000g and their obstetrical and neonatal outcomes.

Methods: Retrospective study involving a total of 209 deliveries at term of macrosomic babies between Marsh 2006 and February 2007 in the Maternity Hospital of Mahmoud ELMATRI, Tunis. The study concerned risk factors, mode of delivery and the incidence of maternal and perinatal complications.

[Prenatal diagnosis and management of fetal megacystis].

Background: Prenatal diagnosis of fetal megacystis particularly in the first trimester requires assessement of pronostic and aetiologycal criteria.

Aim: Report a new case.

Case: we report a case of severe megacystis in female fetus diagnosed at 23 weeks of gestation.

[Premature rupture membrane at term with unfavourable cervix].

Background: Between expectant attitude in hospital and labour induction, management of and premature rupture membrane at term stay controversial.

Aim: The aim of our study was to evaluate the management rupture of the membranes at term with unfavourable cervix.

Material And Methods: We conducted a retrospective study.

[Neonatal prognosis of second twin].

Background: Twin pregnancy is associated to high neonatal morbidity particularly for the second twin.

Aim: To assess twin delivery practice in our department and prognosis of second twin.

Methods: Retrospective study of medical files of parturition women with twin pregnancy between January 2003 and December 2006.

Conservative management of cervical pregnancy. A case-report.

Background: cervical pregnancy is one of the rarest ectopic locations. It can be responsible of spontaneous haemorrhage enquiring hysterectomy. Ultrasonography technical improvements allow early diagnosis and conservative treatment.

[Adenomyosis at hysterectomy].

Background: adenomyosis is a frequent gynecologic pathology which affects women particularly in the fifth decade. It is responsible of abnormal uterine bleeding and pelvic pain. The diagnosis can be difficult especially when it's associated to other gynaecologic pathologies.