Limb-body wall complex (LBWC) is a rare, congenital defect defined by lateral body-wall defects, limb reduction abnormalities and/or craniofacial defects. The developmental pathogenesis as well as the etiology of LBW complex is controversial and has no sex or familial predilection. The poor prognosis of LBWC necessitates an early antenatal diagnosis. Serum alpha-fetoprotein measurement and ultrasonographic examination is the key to prenatal diagnosis. Prenatally, the abnormal fetoplacental attachment can be detected ultrasonographically by the end of the first gestational trimester. Postnatal, the examination of placenta, umbilical cord and membranes is crucial in confirming the diagnosis of LBWC. The present case is associated with amniotic adhesive bands, thoraco-abdominoschisis, minor encephalocele, and belongs to the category of LBWC with craniofacial defects.

Retroplacental hematoma constitutes a major medical-obstetrical emergency, of unpredictable occurrence, putting at risk the vital and functional fetomaternal prognosis. Our work is a retrospective study of 60 cases of retroplacental hematoma that occurred at the Souissi Maternity Hospital in Rabat. These cases were identified from a total of 16864 deliveries, which represents a frequency of 0.35%. The main reason for admission was metrorrhagia. Among the etiological factors found, arterial hypertension dominated with a frequency of 40%. The average age of the patients was 28.31 years and 50% were primiparous. In 60% of the pregnancies, RPH occurred between 32 and 36 weeks of age. The diagnosis was made before birth in 65% of the cases, while in 36.66% of the cases the diagnosis was made only after the delivery examination. The classic form was found in 15% of cases. Therapeutic management was based on reanimation measures and uterine evacuation, taking into account the obstetrical and evolutionary circumstances of the retroplacental hematoma. Finally, the fetal prognosis was dominated by perinatal mortality, whereas the maternal prognosis was quite good overall, with no deaths. The improvement of the fetomaternal prognosis requires a better prenatal follow-up, an early diagnosis, and a rapid evacuation of the uterus without delay.

Ectopic pregnancies are rare and represent about 2% of all pregnancies. Unilateral ectopic twin pregnancy is even rarer as it represents only 0.5% of all ectopic pregnancies, with an estimated incidence of 1 in 20 000. It shares the same risk factors as ectopic pregnancies in general (smoking, pelvic infection, history of EP, maternal age, uses of assisted reproduction techniques, etc.). The most common site of implantation is the fallopian tube. Clinically, it presents with the classic triad of symptoms of ectopic pregnancy, namely pelvic pain, metrorrhagia and the notion of amenorrhea. The usual strategy for diagnosis of ectopic pregnancy, including ectopic twin pregnancy, relies mainly on quantitative beta-HCG level and endo-vaginal ultrasound. We report a case of ectopic twin pregnancy, in a 24-year-old primiparous patient with a history of upper genital infection 2 years ago and whose treatment was a left salpingectomy.

Ovarian ectopic pregnancy is a rare condition that carries an immediate risk of life-threatening hemorrhage and subsequent risks of infertility and recurrence. Clinicians should be well equipped to diagnose and treat this unusual form of ectopic pregnancy at the earliest .The incidence of ovarian pregnancy is increasing due to the rising incidence of infertility and the use of assisted reproductive technologies. The diagnosis is often made during surgery and requires histological confirmation. Ultrasound can detect ovarian gestations in unruptured cases but cannot easily differentiate an ovarian pregnancy from another tubal pregnancy in a ruptured state. A conservative surgical approach remains the treatment of choice. In cases of ovarian pregnancy after early surgical treatment of the disease, the success rates of future pregnancies are considered very satisfactory. We report here an unusual case of ovarian ectopic pregnancy. Our patient is a 26-year-old nulliparous woman, with no particular history. Ruptured ovarian pregnancy was suspected by endovaginal echography. A laparotomy was performed urgently, showing a ruptured ovarian ectopic pregnancy, and a wedge-shaped resection of the ovary was performed. Histopathological examination confirmed that it was an ovarian ectopic pregnancy.

Introduction: Obstetricians need an accurate estimate of gestational age to decide when to terminate the pregnancy and how to deliver the baby. When unreliable menstrual history cannot be used to determine gestational age, ultrasonography comes in handy. Ultrasonography has been used to determine gestational age using a variety of parameters. However, all of these parameters are only reliable in the first and second trimesters of pregnancy. They become less reliable as the pregnancy progresses, due to a variety of factors, with a maximum variability of about 3 to 3.5 weeks in the third trimester. Methods: A total of 200 pregnant women participated in this prospective observational study at the Department of Radiology and Imaging, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine, and Metabolic Disorders. The research was carried out between January 2001 and December 2002. Result: The participants' average age was 24.54 years. Only 3% of the participants were in the oldest age range of 36-40 years, with 38 percent of the participants being between the ages of 21 and 25. The average height of the participants was 150-154 cm in 52 percent of the cases. The mean SD height and weight were 152.40±3.44 cm and 54.80±4.45 kg, respectively. There is a strong positive relationship between fetal sacral length and gestational age, according to BPD and FL. The relationship between gestational age and fetal sacral length was demonstrated to be statistically significant. There was no statistically significant relationship between fetal sacral length and maternal height. Conclusion: Fetal sacral length is well related to gestational age. If sacral length is measured accurately with a high-resolution ultrasound scanner, it can be used reliably as an additional parameter throughout pregnancy in conjunction with other established parameters.

Introduction: Placenta previa is a complication of pregnancy, corresponding to the insertion of Anor male insertion of the placenta into the lower segment of the uterus. The objective of our study was to determine the frequency of hemorrhagic placenta previa, its epidemiological and clinical profile and its maternal-fetal prognosis in the maternity ward of Sominé Dolo Hospital. Methods: This was a descriptive cross-sectional survey type study of 40cas collated with hemorrhagic placenta previa ranging from February 1, 2016 to January 31, 2017, a 12-month period. Data were entered and analyzed on SPSS software (version 16 .0). Results: During the study period we collected on 946 deliveries of which 54 cases of placenta previa among which 40 cases were hemorrhagic placentas previa that is a prevalence of 4.2%. The age group 19-35 years represented 50% of the cases. The epidemiological profile was that of married women (80% of cases), housewives (50% of cases), and multiparous women (45% of cases). The delivery by high route was practiced in 87.5% of the cases and the main indications were placenta previa covering, hemorrhage despite amniotomy in labor, breech presentation and acute fetal distress with respectively 70%, and 6% of the cases for the last three indications each. Fetal mortality was represented by 25% of cases. Maternal complications were represented by hemorrhagic shock and delivery hemorrhage with respectively 60% and 40% of cases. Conclusion: Hemorrhagic placenta previa is nowadays a dreadful event that can jeopardize the maternal and fetal prognosis. Rapid management by a multidisciplinary team composed of obstetricians, resuscitators, neonatologists and biologists, could improve the maternal and fetal prognosis.

The rudimentary uterine horn belongs to the group of major uterine malformations according to the classification of Musset's classification. This rudimentary horn may have a cavity with endometrial lining of the uterus, and thus can serve as a site of implantation during pregnancy. The presence of a pregnancy in a rudimentary horn is a rare event, which can be revealed by a uterine rupture. It leads to an emergency fetal extraction and it is then recommended to perform an exeresis of this rudimentary horn [6, 7]. If it is not performed, it theoretically exposes the risk of recurrence of uterine rupture in case of a new pregnancy in this rudimentary horn. There is a need to increase awareness of this disease, especially in developing countries where the possibility of detection of the disease is limited. We report a case of ruptured rudimentary horn pregnancy in shock at 23 weeks of gestation misdiagnosed as intrauterine pregnancy. The pregnancy was located in a rudimentary left uterine horn ruptured on its posterior surface and communicating with the right horn. A hemi hysterectomy was then performed with the removal of the rudimentary horn and the homolateral adnexa. The fetus was deadborn. The postoperative course was simple and the patient was discharged on the fifth postoperative day.

Gayet-Wernicke encephalopathy is a neuropsychiatric emergency due to thiamine (vitamin B1) deficiency, secondary to several factors, it is a disorder characterized by confusion of acute onset, nystagmus, partial ophthalmoplegia and ataxia. The diagnosis is mainly clinical. The disorder may resolve with treatment, persist, or degenerate into Korsakoff's psychosis. We report a case of Gayet-Wernicke encephalopathy in a 39 year old non-ethylic patient, pregnant at 17 weeks of age who presented with consciousness disorders with paresthesia of the 4 limbs and dyspnea. Clinical and magnetic resonance imaging (MRI) have an important place, especially in the diagnosis of non-alcoholic Wernicke's encephalopathy.

Placenta accreta is a rare condition. Its incidence is constantly increasing due to the increasing number of caesarean sections (multiplied by four over the same period).Placenta accreta is responsible for major maternal morbidity and mortality. Targeted ultrasound, in the presence of risk factors, is relevant for this diagnosis. Patients with at least one uterine scar and a previous placenta previa represent a population at risk whose placenta should be examined during screening ultrasound with the full attention of the operator. The smallest diagnostic doubt should lead the practitioner to refer the patient for expert ultrasound examination. Current challenges include early detection of placenta accreta in the first trimester, prediction of the degree and extent of placental villi invasion, and prognosis assessment.

Introduction: The main objective was to determine the maternal and fetal consequences of severe anemia in pregnancy at the maternity ward of the Kalabancoro Reference Health Center. Methods: Our descriptive cross-sectional study with prospective data collection was conducted from January 1, 2019 to September 30, 2019 at the maternity ward of the Kalabancoro Health Center. Eligible patients were all consenting pregnant women presenting for prenatal consultation or in the delivery room in which the diagnosis of severe anemia was retained. The anemia was considered severe when the hemoglobin level was less than 7 g/dl and/or with clinical manifestations of decompensation of the anemia. Data were processed and analyzed by SPSS 12 software. Results: A total of 161 cases out of 2010 pregnant women were recruited and treated at the Kalabancoro Health Center, which represents a prevalence of 8% of severe anemia in pregnancy. The 14-19 year age group was the most representative, i.e. 52.2% of pregnant women, with extremes of 14 to 35 years and over. Malaria was the most predominant etiology with 31.05% followed by blood spoliation 25.47% and malaria plus malnutrition 14.29%. Prematurity represented 5% of cases. Maternal death was 1.9%. Low birth weight was 16.7% and stillbirths represented 3.7%. Conclusion: Severe anemia in pregnancy remains, through its complications, one of the most dreaded pathologies. Thus, a prospective analytical study is necessary to better study the causes of severe anemia in pregnancy.

Ectopic pregnancy implantation on the tubal stump after salpingectomy is a rare location for extrauterine pregnancy, whose pathogenesis is still unknown. We report in this work the case of a 37 years old patient who had been operated 10 years ago for a right ectopic pregnancy and who was presented to the emergency department for a ruptured ectopic pregnancy and in the surgical exploration showed a ruptured pregnancy on a salpingectomy stump.

Cystosarcoma phyllodes of the breast are rare, and it accounts for less than 1% of the malignant tumors of the breast. Its clinical and radiological characteristics are those of benign tumors, and only a fast tumoral growth can evoke diagnosis. The diagnosis is confirmed by anathomopathology and immunohistochemistry. Surgical extended resection is the treatment of choice. Adjuvant radiotherapy may be administered in patients with high-grade tumors, positive surgical margins, or postoperative recurrence. Here we present a case of a woman affected by a sarcoma phyllodes tumor, an uncommon oncologic disease.

Background: The COVID 19 Virus globally has caused tremendous morbidity and mortality among the general population around the world. To assess knowledge, there has been limited number of studies done to know the prevalence of COVID-19 vaccine acceptance among pregnant and lactating women. Aims: To assess knowledge, attitude and acceptance of Covid-19 vaccine among pregnant & lactating females in rural area of western U.P. Methodology: This was a cross-sectional study conducted on pregnant & breast- feeding women attending the antenatal & postnatal OPDs in the department of Obstetrics and gynecology & department of Pediatrics at Teer thanker Mahaveer Medical college & Research center. A total 1560 patient responses were taken from age group 18 to 42 years. All were provided with a pre-validated questionnaire consists of multiple choice. These questions evaluate knowledge of COVID-19 vaccine authorization and published materials. The universal acceptance of the COVID-19 vaccine. Three- and five-point Likert scales were used to rate the responses. Results: knowledge regarding COVID-19 vaccination among participants was obtained from government agencies was insignificant given by 16%, somewhat significant by 40% and significant by 44%, from news channel and radio was 20%, 42%and 38%, from social media in 25%, 48% and 27%, from friends and family in 18%, 50% and 32% and through healthcare provider in 14%, 36% and 50% respectively. In response Strongly disagree, disagree, neither agree nor disagree, agree, and strongly agree were seen as responses to desire to take the COVID-19 vaccine seen in 3%, 4%, 12%, 26% and 55%, through obtaining natural immunity COVID-19 vaccine was seen in 18%, 25%, 22%, 18% and 17%, desire to spend money for the COVID-19 vaccine was seen in 4%, 12%, 14%, 35% and 35% and there was tendency to recommend vaccines to people who were already familiar with them 3%, 8%, 12%, 34% and 43% respectively. Conclusion: Corona Virus immunization is reliable and accessible method of controlling the pandemic and as a result reduces it reduces the morbidity and mortality. Pregnant and lactating women need additional knowledge and attitude regarding COVID- 19 vaccination.

All health workers who care for women and children during the postnatal period and beyond are key players in protecting, promoting, and supporting breastfeeding. However, most health workers do not have the necessary knowledge and skills to effectively play their roles. This study aims to assess the knowledge about breastfeeding among health workers. This was a cross-sectional study among 220 health workers at the University of Port Harcourt Teaching Hospital. A 32-point questionnaire based on the World Health Organisation (WHO) and the United Nations Children’s Fund (UNICEF) manual on the Baby-Friendly Hospital Initiative Training Course for Maternity Staff was used to assess the knowledge of the health workers. Scores of >50% were classified as good knowledge and <50% as poor knowledge. The overall good knowledge about breastfeeding was 51.8%. The majority (80.0%), had good knowledge about the benefits of breastfeeding and 169 (76.8%) of health workers had good knowledge about exclusive breastfeeding and the timing of breastfeeding. Good knowledge about the importance of colostrum was 27.7%, 91 (41.4%) health workers had good knowledge of birth practices that affect breastfeeding, and only 72 (32%) health workers had good knowledge about the problems of breastfeeding. In conclusion, the overall knowledge about breastfeeding among health workers in this study was not satisfactory. To breach this gap, hospitals should ensure that their staff has sufficient knowledge, competence and skill to support breastfeeding.