Background: This study has taken into account the modalities of delivery during years 1983-1996 in the Department of Obstetrics and Gynecology of the "Spirito Santo" Hospital in Pescara.
Methods: Delivery methods of gravidae already subjected to a caesarean in the last seven years (1990-1996) have been examined and the single and multiple indications of a repeated caesarean have been analyzed considering also the modalities in dealing with the labour after a previous caesarean.
Results: The data obtained underline a minimum variability in the incidence of vaginal delivery, while among the operative deliveries, a marked reduction in the application of forceps and a more substantial rise of the caesarean in the last three years have been observed.
The presence at the same time of intrauterine and ectopic (heterotopic) pregnancy is unusual. A case of acute abdomen by tubaric haemorrage in a patient with ectopic pregnancy and evolutive intrauterine pregnancy during first trimester is reported. After surgical therapy, the intrauterine pregnancy had a good evolution.
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