Medicine and Health Sciences Commons^™

A Randomized, Controlled Trial Comparing The Metformin, Oral Contraceptive Pills And Their Combination In Patients With Polycystic Ovarian Syndrome, Hamed Mohamed Hamed Abd El Rahman, Mohamed Ali Mohamed, Mohamed Ibrahem Mohamed Ibrahem

Al-Azhar International Medical Journal

Objectives: To assess the effectiveness of metformin also OCP in females with PCOS. Subject and Methods: This was a prospective study that included three hundred patients who were chosen at random from patients who attended outpatient obstetrics and gynecology clinics at Al-Azhar University Hospitals. Samples were obtained using a systematic random technique. Results: Variations in age, BMI, and waist-to-hip ratio among the groups were statistically significant. Blood pressure, heart rate, and temperature demonstrated no statistically significant distinctions among the 2 groups. There was significant variance among examined group as regard TG, LDL-cholesterol, fasting plasma glucose and Fasting insulin. There was …

Role Of Retro-Chorionic Blood Flow Doppler In Early Prediction Of First Trimsetric Miscarriage, Ismail Mohamed Abd Elazim Mira, Mostafa Mohamed El-Laban, Ehab Taha Anwar Bakhaty

Al-Azhar International Medical Journal

Miscarriage is the most typical early pregnancy complication and a significant clinical problem even today. The etiology of this illness is poorly understood, and as a result, therapy regimens are based on scant evidence. The study objective was to assess the role of retro-chorionic blood flow doppler in early prediction of first trimester miscarriage. This prospective cohort study was carried out at a major medical center at the department of obstetrics & gynecology at Al Sayed Galal University Hospital from June 2022 till March 2023 and performed on total 100 patients who presented with singleton pregnancy and gestational age from …

A Comparative Study Between Cephalexin And Fosfomycin In The Treatment Of Urinary Tract Infection During Pregnancy, Mostafa Ramadan Soliman Mohamed, Ashraf Hamdy Mohamed, Mohamed Ibrahim Mohamed Ibrahim

Al-Azhar International Medical Journal

Urinary tract infection is the most common bacterial infection in pregnancy which has a serious complications for mother and fetus, so management of it by serial antibiotics is important. Aim of this Work was to compare between Cephalexin and Fosfomycin in the treatment of urinary tract infection during pregnancy. This randomized controlled study was conducted on 200 women attended at the Obstetrics and Gynecology department in Shebin El-Kom teaching hospital from October 2021 through April 2022. Patients were randomized to: (F) group: includes 100 cases treated with fosfomycin, and (C) group: includes 100 cases treated with cephalexin. Redarding our results …

Amniotic Fluid Level Effect On The Accuracy Of Sonographic Estimated Fetal Weight At Term, Mohamed Elsibai Anter, Sayed Abdel-Moneim Mahmoud, Alaa Eldeen Fathallah El-Halaby, Mohamed Shawky Abdullah, Eslam Omar Yosre Elsarrag

Menoufia Medical Journal

Objective: to study amniotic fluid index (AFI) effect on estimated fetal weight (EFW) measurement accuracy at term. Background: amniotic fluid assessment by ultrasound at full term is an essential factor of the fetal biophysical profile and confirm fetal well-being. Method: we conducted a prospective cohort study on 129 medically free pregnant women divided into three groups according to AFI with ratio 1:1:1: oligohydramnios group (43 cases AFIcm), polyhydramnios group (43 cases AFI>24 cm) and cases had normal volume of amniotic fluid (43 cases AFI between 5 cm and 24 cm). Results: we found highly significant difference among studied groups …

Gray Scale 2d Ultrasound In Relation To Coagulation Profile And Uterine Artery Doppler Indices In Women With Postmenopausal Bleeding, Lamiaa Mohammed Yosri, Reham Saeed Mohammed Aly, Asmaa Abady Awad

Al-Azhar International Medical Journal

Background: Abnormal uterine bleeding in postmenopausal women is a common complaint in general gynecological practice. Progression and prognosis of AUB primarily relies on invasive surgery and pathology so our research aimed to evaluate the use of non-invasive procedures such as uterine artery Doppler indices and coagulation profile in detecting some underlaying causes of AUB. Aim and objectives: To evaluate the coagulation profile (PT, PTT, INR and platelete count) in women with postmenopausal bleeding in relation to 2D ultrasound endometrial thickness and uterine artery Doppler. Patients and methods: This longitudinal observational study was performed at the departments of Obstetrics and Gynecology …

Laparoscopic Tubal Salpingotomy Versus Salpingectomy In Management Of Tubal Ectopic: Impact On Future Fertility, Ahmed Maher El Awadi, Abd Elrhman Mostafa Abd Elrhman Anbar, Ahmed Shaaban Mohamed

Al-Azhar International Medical Journal

Background: Ectopic pregnancy (EP) is the main cause of maternal death during the first trimester of pregnancy and accounts for approximately 10% of all pregnancy related deaths.

Aim of the work: The aim of this research is to observe fertility outcomes after laparoscopic tubal salpingotomy vs laparoscopic tubal salpingectomy in management of tubal ectopic. As regards decline in HCG and hystrosalpingogram (HSG) done 3 months post-operative.

Patient and Method: This prospective observational study was carried out in Gynecology and Obstetrics Department, El-Hussein University Hospital on 52 pregnant women diagnosed as tubal ectopic pregnancies in the period from 5/2021 to 10/2022. …

Post-Caesarean Section Niche-Related Impaired Fertility, Fahd Abdelal El Omda, Mohamed Ibrahim Mohamed, Mohamed Elbayoumy Mohamed

Al-Azhar International Medical Journal

A cesarean section is a common surgical operation all around the world. Post-caesarean niches, sometimes called isthmoceles, are anechoic myometrial indentation at the caesarean scar site caused by improper healing. Our study aimed to examine the role of the postoperative niche in reducing fertility following a cesarean surgery. 50 cases were randomly recruited from those who visited the obstetrics and gynecology outpatient clinics at Al Azhar University Hospitals for this prospective observational, cross-sectional study. Our results revealed that Mean age in included 50 cases, mean duration of secondary infertility was 2.62 years, 76% of cases had elective CS , 24% …

The Effect Of Diabetes Mellitus On Fetal Hemodynamic Indices In Late Pregnancy And Fetal Birth Weight, Ahmed Altaf Abbas, Ahmed Mohamed Al-Sheikh, Mahamed Hosny Mousa El-Behery

Al-Azhar International Medical Journal

Background: One of the most prevalent adverse pregnancy outcomes is gestational diabetes mellitus (GDM). Different degrees of impaired glucose metabolism characterize GDM, which is typically diagnosed during pregnancy. Consistent economic growth, rising living standards, and the introduction of more stringent diagnostic criteria have all contributed to a rise in GDM morbidity in emerging nations in recent years. Aim and objectives: The purpose of this study was to determine whether or not gestational diabetes has an impact on fetal hemodynamics, fetal growth indices, and birth weight. Subjects and methods: This cross-sectional prospective comparative study included 210 pregnant ladies between 36 – …

Role Of Transcerebellar Diameter And Abdominal Circumference In Assessment Of Gestational Age In Both Normal And Intrauterine Growth Restricted Fetuses, Mohamed Mohamed Gebril, Mofeed Fawzy Mohamed, Mohamed Hamdy Elshabrawy Mohamed

Al-Azhar International Medical Journal

Background: The process of providing obstetric and neonatal care, in addition to the monitoring of the outcomes of pregnancy by the public health system, requires an accurate estimate of the gestational age of the fetus. An incorrect estimation of the mother's gestational age has been associated with several different unfavorable birth outcomes, for example low birth weight, spontaneous preterm delivery, and death during the perinatal period. Aim and objectives: Identifying a Reliable Method for 2nd and 3rd Trimester Gestational Age Assessment and IUGR Diagnosis. Subjects and methods: This 2-dimensional ultrasound study included 100 pregnant patients at Al Azhar University Hospitals' …

Comparative Study Between Three-Dimensional Transvaginal Ultrasonography And Hysteroscopy In The Diagnosis Of Uterine Cavity Abnormalities In Infertile Women, Ahmed Soliman Hassan Zaki, Ismail Mohmed Abd-El Aziem Mira, Abd El-Monsef Abd El-Hamid Sedek

Al-Azhar International Medical Journal

Background: The uterus of 34%-62% of infertile women has abnormalities. Clinical hysterosalpingography (HSG), saline infusion sonohysterography (saline sonohysterography [SIS]), transvaginal sonography (TVS) or two-dimensional (2D) TVS, diagnostic hysteroscopy, three-dimensional TVS (3D TVS), and even magnetic resonance imaging (MRI) have all been used to evaluate the uterine cavity. However, diagnostic hysteroscopy has been the standard for examining uterine diseases in cases of infertility for several decades. Aim and objectives: compare the diagnostic accuracy of three-dimensional transvaginal ultrasonography and hysteroscopy in detecting intrauterine cavitary lesions or abnormalities in infertile women. Subjects and methods: This cross-sectional observational study compared 150 women who visited …

Evaluation Of Dual Trigger Versus Higher Dose Hcg Trigger In Antagonist Protocol For Patients With Low Number Of Oocytes Retrieved Per Number Of Follicles, Gamal Ibrahim Abou El Serour, Mohamed Khaled Mostafa, Mohamed Shehata Abdel All, Bahy Abd El Hamid Hussein Zaki

Al-Azhar International Medical Journal

Background: Controlled ovarian hyper stimulation is a critical step in the process of in vitro fertilization and embryo transfer because it ensures the absorption of a large number of oocytes that are of sufficient quality to be fertilized.This condition's source, mechanism, and/or pathophysiology are still unknown, unpredictable, and unpreventable, despite the years of clinical experience that have been accumulated. Aim and objectives: To assess the efficiency of utilizing a dual trigger as opposed to a higher dosage of hCG as a trigger in an antagonist protocol for the purpose of improving the number of up taken eggs per number of …

The Value Of Middle Cerebral Versus Umbilical Artery Doppler In The Prediction Of Neonatal Outcome Among Primi Gravida With Hypertension, Samir Abdalla Ali, Emad Mohamed Ibrahim Atalla, Ahmed Abdelhamid Ahmed Awad

Al-Azhar International Medical Journal

Background; Doppler ultrasonography is typically used to examine umbilical arteries, however recent research have shown that middle cerebral artery (MCA) Doppler examination is equally effective and strongly recommend it. Aim and objectives; This study sought to determine how well the ratio of the middle cerebral artery to umbilical artery pulsatility could be used to predict a newborn's outcome in Primi Gravida with hypertension. Subjects and methods: Women who have Primi Gravida with Hypertension participated in this cohort research. Between December 2021 and November 2022, Emergency personnel and workers at ALHUSSIEN University Hospital's foetal care unit 100 patients with severe preeclampsia …

A Comparative Study Between Ultrasound-Guided Transversus Abdominis Plane (Usg-Tap) Block Vs Open Surgical Technique For Post Cesarean Section Pain Control, Abd El-Moneim Mohamed Zakaria, Magdy Ahmed Abdel Momen, Ahmed Mohamed Saeed, Moustafa Mahomoud Nasr Hemdan

Al-Azhar International Medical Journal

Background: Opioids are linked to significant health problems, such as nausea, vomiting, sedations, pruritus, and respiratory depressions in addition to newborns adverse effects via opioid transmitting across breastfeeding during caesarean section, even after the efficient stages of post-operative analgesia attained with the administration of opioids in combination with NSAIDs and paracetamol continuing to follow general anaesthesia.

Aim of the work: This study's objective is to evaluate pain levels at (rests and movements), and need for opioids following cesarean section using TAP block techniques (USG TAP, intraoperative direct vision TAP).

Patients and Methods: This study comprised 100 pregnant women who underwent …

Doppler Study Of Uterine And Ovarian Arteries In Predication Of Post Insertion Heavy Menstrual Bleeding In Iucd Patients, Tag El-Din Ahmed Muhammad El-Sayed, Mofeed Fawzy Mohamed El-Sharkawy, Mohamed Ahmed Abdel Moaty

Al-Azhar International Medical Journal

Background: Worldwide, intrauterine contraceptive devices (IUCDs) are widely utilized. Uterine hemorrhage and/or period pain are copper IUD side effects. Resistance index (RI) and pulsatility index (PI) did not change significantly following copper-medicated IUD insertion (PI). Power Doppler investigation showed that the copper-IUD affected sub endometrial micro vascularization in side-effect patients (dysmenorrhea or menorrhagia). Doppler assessment of blood flow indicators before insertion can identify women prone to menorrhagia or menstrual pain. Aim: To evaluate resistance index of the uterine and ovarian arteries as well as power Doppler energy of subendometrial microvascularization, before and three months after insertion of IUCD, using vaginal …

Correlation Of Acetylcholinesterase Activity And Bone Biochemical Markers In Premature And Full-Term Neonates, Khaled Mohammed Elsayed, Abd Elaziz Abd Elrahman Alnokaly, Mohammed Abd El-Malik Hassan, Mabrouk Mahmoud Abo Elenin

Al-Azhar International Medical Journal

Background: Prematurity lowers body weight and bone mineral density in nearly 30% of preterm newborns. Premature newborns are not screened for metabolic bone disease, hence bone biochemical markers should be investigated. Acetylcholinesterase mediates bone remodeling in recent investigations. Bone biochemical indicators and acetylcholinesterase (AChE) levels in preterm newborns may be linked. Objective: The aim of our study is to evaluate the probable correlation of AChE levels with multiple bone biomarkers in full-term and premature neonates. Subjects and Methods: This study was designed as a case control study. We examined 80 newborns (40 preterm with gestational age less than 37 weeks, …

Uterine Artery Doppler Indices As Determinant Of Success In Intra Cytoplasmic Sperm Injection, Abd-Elqawy Hendawy Shams, Fahd Abd Elall El Omda, Noha Mohamed Sabry

Al-Azhar International Medical Journal

Background: In-Vitro Fertilization (IVF). Patients with infertility are usually advised to have intracytoplasmic sperm injections (ICSI). Doppler ultrasound, which uses high frequency transvaginal probes and coloured pictures, is one of the most frequently used methods in this field. One of the parameters supplied by an ultrasonographic test for determining the success of IVF includes endometrial thickness, endometrial pattern, endometrial volume, and endometrial blood flow. Aim: To detect implantation window using uterine artery indices in ICSI cycles. Subject and Methods: This study will be concluded at the assisted reproductive techniques unit of AlAzhar University on 100 patients. Results: Regarding BMI, there …

The Efficacy Of Intraoperative Intrauterine Iud Insertion During Cesarean Section, Ehab Hassanin Mohammad, El Metwally Farouk El Shahat, Mohamed Atef Ibrahim Abd Eldaim

Al-Azhar International Medical Journal

Background: The intrauterine contraceptive device (IUD) can be placed at a caesarean section (CS) for the first time in a woman's life. If the IUD is safe and effective for CS scars, they may use it as a long-acting reversible contraception. Objectives: to evaluate CS intraoperative intrauterine IUD implantation. Subjects and methods: The Al-Azhar University Faculty of Medicine's Obstetrics & Gynecology Department conducted a randomised controlled experiment on 40 women. Results: Our population had 5.2% significant bleeding, displacement, and infection and 12.8% discontinuation. 0% failed. After 2 months, 87.2% of patients were satisfied. Conclusion: Tubal ligation and immediate postplacental implantation …

Efficacy Of Dexamethasone On Latent Phase During Induction Of Labour, Yehia Abd Elsalam Wafa, Abd Elmonaem Mohammed Zakaria, Youssef Hassan Ahmed Rizk

Al-Azhar International Medical Journal

Background: The hypothalamus, pituitary gland, and adrenal glands form the axis around which the process of giving birth revolves. Fetal adrenal steroid hormones change the noncontractile myometrium into the contractile state, affecting the placenta and membranes, Aim: The objective of this research was to determine the effect of intramuscular dexamethasone injection on the time among labor induction and the commencement of active phase of labor, as well as the duration of active phase. Patients and Methods: This was a double-blind, randomized, controlled trial conducted on pregnant women visiting the maternity ward of Al-Hussein University hospital for a period of 12 …

Role Of Transvaginal Ultrasonography In Assessment Of Uterine And Adnexal Factors Of Infertility, Osama El-Saeed Aly, Saged Mohamed Elmazzaly, Mohammed Abdel-Aziz Ibrahim El-Menshawy

Al-Azhar International Medical Journal

Background: There are many categories of female infertility factors, including cervix or uterus, ovary, tubal, as well as others.

Aim of the study: Our study aimed to evaluate the role of transvaginal ultrasonography in female infertility diagnosis. Ultrasound is becoming a crucial component of current female infertility examinations and assisted conception treatments.

Patients and Methods: One hundred cases of infertility at Al-Azhar University Hospital and Damanhour teaching Hospital were selected based on clinical diagnosis, ultrasonographic and laboratory findings. Examined by transvaginal ultrasonography to define the cause of infertility.

Results: Our results showed that On doing TVUS for all women in …

Continuous Versus Intermittent Oxytocin Infusion Throughout The Active Phase Of Labor: A Randomized Controlled Trial, Mohammed Mohammed Gebreil, Ahmed Muhamed Ahmed Abdelmoaty, Hany Mahrous Elsayed Mansour

Al-Azhar International Medical Journal

Background: Modern obstetric practice includes augmentation of labour, which leads to progressive cervicovaginal effacement and dilation as well as childbirth. The use of several acceptable procedures has significantly improved induction's safety and reliability in recent years. Aim and objectives: to contrast the effects of oxytocin infusions that are continuous with those that are intermittent during labor's active phase. Subjects and methods: 200 pregnant women participated in an interventional, randomised clinical research at El-Hussein University Hospital's Obstetrics and Gynecology Division. Two equal groups made up this study. Group (A): 100 pregnant women who had continuous oxytocin infusion labour induction made up …

Study The Correlation Between Placental Thickness And Fetal Weight, Samir Abdallah Ali, Abdel Monsef Abdel Ghaffar Mustafa, Ali Mohammed Ali

Al-Azhar International Medical Journal

Background; The placenta is around 3 cm thick at term when the cord is inserted in the third trimester. To measure placental thickness transabdominally, one must position an ultrasound transducer perpendicular to the placenta's plane. Aim and objectives: The purpose of this study was to examine the relationship between placental thickness and foetal weight.

Patients and methods: 300 pregnant women participated in this cross-sectional prospective study, which was carried out at the Al-Hussein University Hospital's outpatient gynaecology clinic.

Results: The mean Placental thickness (mm) was 31.89 ± 7.50, and the mean fetal weight (gms) was 2272.91 ± 1379.07. The APGAR …

Comparative Study Between Immediate Versus Post Puerperium Intrauterine Contraceptive Device Insertion During Caesarean Section, Mohamed Mohamed Gebreel, Samir Khamis Galal, Tamer Mohsen Elnahas, Hany Mohammed Mohammed Abo Hamed

Al-Azhar International Medical Journal

Background: An intrauterine device (IUD) is a reliable reversible method of birth control. We assessed the effectiveness and security of cesarean delivery immediate postplacental IUD implantation. A long-term, reversible method of birth control is the copper intrauterine device, or IUD. Typically, copper IUDs are constructed of T-shaped plastic with certain areas exposed copper. Women had few long-term choices for safe, effective birth control prior to the development of the first IUDs. These largely relied on oral birth control pills and barrier techniques, which were only effective when taken appropriately and regularly.

Aim: The study's objective was to evaluate the effectiveness …

Progestin Versus Metformin And Progestin In Treatment Of Endometrial Hyperplasia Without Atypia In Premenopausal Women, Mohamed Mohamed Gebreel, Muhamed Ahmed Abdelmoaty, Mohamed Arafa El-Metwally

Al-Azhar International Medical Journal

Background: Endometrial hyperplasia is a probable precursor to endometrial cancer and a main cause of severe abnormal bleeding. Recently, metformin has been proposed as an adjunctive medicine for improved outcome in treating EH. Metformin has been shown to have anticancer efficacy by reducing cell proliferation and slowing tumor growth, according to recent studies. Aim and objectives: to compare between progestin versus metformin and progestin in treatment of endometrial hyperplasia without atypia in premenopausal females. Subjects & methods This comparative randomized controlled experiment was conducted at Al-Hussein University Hospital, obstetrics and gynecology department on 60 premenopausal women diagnosed by endometrial hyperplasia …

Pretreatment With Letrozole Plus Misoprostol Versus Misoprostol Alone In Induction Of Missed Miscarriage, El-Sayed Mohamed Taha Saadallah, Abdelrahman Ragab Rashed, Ahmed Hafez El-Badri Gad

Al-Azhar International Medical Journal

Background: Abortion, also known as miscarriage, is a common pregnancy problem that can happen naturally or be induced in order to terminate a pregnancy before the fetus has a chance to survive outside the uterus. Ten to twenty percent of all clinically confirmed pregnancies end in a missed miscarriage. Aim & objectives: to compare between repercussions of Letrozole plus Misoprostol also Misoprostol alone by means of inducing missed miscarriage. Subjects & methods: This comparative trial was performed on 74 cases who were recruited from the patients presenting in the outpatient obstetric clinic or the Emergency department in Al-Hussein & Sayed …

Middle Cerebral Artery And Umbilical Artery Doppler Indices In Pre-Gestational Diabetic Versus Normal Pregnancies And Their Values In Predicting Adverse Neonatal Outcome, Mofeed Fawzy Mohamed, Eslam El Sayed Sultan, Amir Eid Mahmoud

Al-Azhar International Medical Journal

Introduction: In the US, 6-7% of pregnancies are complicated with diabetes mellitus (DM). It is divided into gestational diabetes (DM) and pre-gestational diabetes (PGDM) (GDM).Aim: The study's objective was to evaluate how pregestational diabetes mellitus affected foetal middle cerebral and umbilical arteries.Doppler indicators to identify potential negative neonatal outcomes. Patients and methods: The El Galaa Teaching Hospital and Al Hussien Hospital both participated in this comparative cross-sectional study. The current study included 120 patients, divided into two groups, who travelled to Al Hussien Hospital and El Galaa Teaching Hospital between October 2021 and the study's conclusion. Study group and the …

Maternal Anemia And Fetal Doppler Indices In The Third Trimester Of Pregnancy, Mohamed Abu-Elfadle Mostafa, Abd El-Monem Mohamed Zakaria, Ahmed Mohamed Saeed

Al-Azhar International Medical Journal

Background: Complications for the mother and fetus are usually linked to maternal anemia. It may also cause a shift in fetal blood flow by decreasing the oxygen supply to the developing baby. Aim of the work: to assess the impact of maternal anemia on the umbilical artery and middle cerebral artery Doppler indices in the third trimester of pregnancy. Patients and methods: This was a prospective case-control study on 200 pregnant women separated into 2 groups at El-Hussein University hospital: 100 pregnant women with varying degrees of anemia (Mild, Moderate, and Severe) were involved in Group I (the study group), …

Comparison Of Misoprostol Vs Dinoprostone In Induction Of Labour, Mofeed Fawzy Mohamed, Al-Refaai Abd El-Fattah Marai, Mahmoud Ebraheim Atia Othman

Al-Azhar International Medical Journal

Background; The practise of obstetrics includes labour induction on a regular basis. In contemporary obstetrics, it is primarily used when continuing a pregnancy could be harmful to the mother, the fetus, or both. Oxytocin infusion has historically been used to induce labor, although multiple studies have proven that when the cervix is unfavourable, it cannot offer as satisfying results, Aim and objectives: To compare effectiveness of Dinoprostone vaginal inserts versus Misoprostol vaginal inserts in induction of labor as regard mode of delivery, number of doses and induction active labour interval, and the safety of the mother as regard uterine hyperstimulation …

Uterine And Subendometrial Arteries Doppler In Patients With Recurrent First Trimesteric Abortion, Mohamed Khaled Mostafa, Abd Elmonsef Abd Elghaffar Mostafa, Mahmoud Mohamed Mohamed Ismail

Al-Azhar International Medical Journal

Background: Recurrent pregnancy loss is distressing pregnancy disorder that affects ~2.5percent of all females attempting to conceive, Goal of research: To research role of uterine & sub endometrial arteries Doppler in studied cases with recurrent 1st trimesteric abortion. Subjects and methods: A prospective study (case-controlled study) was performed during the period from July 2021 to July 2022. We had 100 non-pregnant females presented to Outpatient Clinic AL-Hussein university Hospital, divided into 2 groups: RPL group: fifty cases with a history of unresolved abortions. Fifty cases with no history of abortion & at least 1 full-term child were included in control …

First Trimester Uterine Artery Doppler Indices In Prediction Of Small Gestational Age Pregnancy And Intrauterine Growth Restriction In Low-Risk Population, Mohammed Mohammed Gebreil, Ahmed Mohammed El-Sadek, Mohamed Ahmed Mostafa Mousa

Al-Azhar International Medical Journal

Background: Pregnancy complications including growth restriction are linked to serious morbidities such foetal death and long-term neurodevelopmental impairments. for gestational age, small (SGA), which can have a variety of reasons, is frequently associated with placental insufficiency. Aim and objectives: to examine the relationship between the first-trimester uterine artery Doppler indices and the intrauterine growth retardation (UGR) in postpartum small-for-gestational-age (SGA) new borns (IUGR). Subjects and methods; A prospective observational research involving 120 patients was carried out.The study was conducted at Al-Azhar University hospitals. The duration of the study ranged from 6-12 months. Result: When it comes to uterine artery Indices …

Comparison Between The Role Of Trans-Abdominal Ultrasound Versus Transvaginal Ultrasound In Evaluation Of Placental Invasion In Cases Of Placenta Previa Anterior Wall With Previous Uterine Scar, Mohammed Mohammed Gebreil, Ahmed Mohammed El-Sadek, Abdelrahman Ahmed Sayed Salama

Al-Azhar International Medical Journal

Background: Transabdominal ultrasound and transvaginal ultrasound are complementary for diagnosis; also, in situations of placenta previa, transvaginal ultrasonography is safe and enables thorough inspection of the lower uterine section. Aim and objectives: The study's objective was to compare how placental invasion was assessed using transabdominal ultrasound versus transvaginal ultrasound in patients with placenta previa anterior wall with a prior uterine scar. Subjects and methods: Between April 2021 and September 2021, 120 pregnant women with chronic placenta previa (beyond 28 weeks of pregnancy) were prospectively included into this research at the Department of Gynecology and Obstetrics, AL Azhar University Hospital. Results: …