Meconium passed in labor: how reassuring is clear amniotic fluid?

Objective: Clear amniotic fluid is frequently considered a reassuring sign during labor. Our aim was to examine the incidence of meconium that can only have been passed intrapartum and to determine its neonatal associations and whether its absence is a useful sign.

Methods: This was a prospective cohort study of 8394 "low risk" laboring women at term with clear amniotic fluid at early amniotomy.

Conservative management of placenta accreta and unruptured interstitial cornual pregnancy using methotrexate.

We describe two cases which demonstrate methotrexate (mtx) to be an effective alternative to surgery in two serious complications of early pregnancy, namely placenta accreta diagnosed at attempted evacuation of retained products of conception and interstitial cornual pregnancy diagnosed at laparoscopy.