Medicine and Health Sciences Commons^™

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 …

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 …

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 …

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 …

Relation Between Vitamin D Deficiency And Bacterial Vaginosis In Women With Gestational Diabetes, Mohamed Ali Mohamed, El Sayed Ahmed El Desouky, Mahmoud Abd Ellatif Hashish, Mohamed El Sayed Mohamed

Al-Azhar International Medical Journal

Background:A class of fat-soluble steroid hormones known as vitamin D is in charge of reabsorbing different ions including calcium, magnesium, and phosphate.

Aim of the work: to research the link between vitamin D insufficiencyand bacterial vaginosis in women with gestational diabetes and subsequent impact of vit D deficiency on maternal and fetal outcome.

Patients & Methods: a prospective cohort researchwas carried out from January 2020 till April 2022 on 100 pregnant women at al hussien university hospital.

Results: Regarding the vitamin D status in 2nd trimester among all patients, the present findings revealed that 58 % of studied cases have …

A Comparative Study Of The Effects Of Clomiphene Citrate, Tamoxifen, And Letrozole On Endometrial Thickness During Ovulation Induction, Abdel Monem Mohammed Zakareya, Ahmed Mohammed Saeed, Ahmed Ibraheam Ali Taalab

Al-Azhar International Medical Journal

Background: Infertility is described as married couple's incapability to conceive in 1 year despite regular marital life. This issue affects ten-fifteen percent of married couples worldwide, Aim: research's goal is to compare the effects of three drugs used to induce ovulation: clomiphene citrate, tamoxifen, & letrozole. Regarding: Impact on endometrial blood flow. Impact on endometrial thickness in females with anovulatory infertility. Subject & Methods: The study had been carried out in Al Hussin Maternity Hospital and Military Production Specialized Hospital. Studied cases were drawn from our studied case infertility clinic. Results: Endometrial thickness, endometrial PI, and endometrial RI differ significantly …

Effect Of Platelet Rich Plasma In Wound Healing On Women Undergoing Recurrent Cesarean Section, Ahmed Maher Abd Elrahman, Abd El Azim Mohamed Ahmed, Adel Aly Elboghdady, Ahmed Ali Ali Assem

Al-Azhar International Medical Journal

Background: 15% of deliveries globally are by caesarean delivery, one of the most frequently performed major surgical procedures, and its use is on the rise. It significantly contributes to postoperative problems at the surgical site like infection, hematoma, and dehiscence. Hemostasis, inflammation, proliferation, epithelialization, fibroplasia, and maturation are only a few of the physiological processes that are involved in the repair of tissue damage. A human plasma product known as platelet rich plasma (PRP) has excellent hemostatic and healing characteristics because it is filled in platelets, growth factors, and fibrinogen.

Aim of the work: This study's objective was to assess …

Comparison Of Four Dimensional Transvaginal Sonography Versus Hysteroscopy In Assessment Of Abnormal Uterine Cavity In Infertile Women, Mohamed Khaled Mostafa, Mohamed Mohamed Farahat, Taha Mohamed Taha

Al-Azhar International Medical Journal

Background: Transvaginal ultrasonography in four dimensions (TVS 4D) is a novel imaging method. It can visualise surfaces in three dimensions and concurrently register all three imaging planes. Aim and objectives: to to correlate the accuracy of Transvaginal Four-dimensional ultrasound (TV4D US) versus Hystroscopy in assessment of abnormal uterine cavity in infertile women. Patients and methods: This study was a prospective, Comparative, observational study that involved 100 infertile females whom underwent hysterosalpingography and/or conventional vaginal ultrasonography to diagnose their uterine intracavitary lesion or abnormality was conducted at Al-Azhar University Hospitals. Results; regarding US, the most prevalent finding was polyp (38%) followed …

Endometrial Thickness (Compaction) And Serum Progesterone Level On The Day Of Thawed Frozen Embryo Transfer As A Predictor Of Early Reproductive Outcomes, Ismael Mohamed Talaat El Garhy, Mohamed Shehata Abdel Aal, Ashraf Taha Abd Elmouttaleb, Islam Ahmed Rammah

Al-Azhar International Medical Journal

Background: The majority of studies have found that the thin endometrium during in vitro fertilization (IVF) therapy has a negative impact on pregnancy outcomes and that levels of serum progesterone may affect the pregnancy outcomes. The study's primary aim was to investigate any potential associations between the clinical pregnancy rate and serum progesterone levels on the day of the transfer of frozen embryos. Our study's secondary endpoint involved using transvaginal ultrasonography (TVUS) on the day of the transfer of frozen embryos to determine if endometrial compaction is related to increased rates of pregnancy.

Aim: The Primary aim of the study …

Prevalence Of Hepatitis B In Pregnant Women And Its Effect On Maternal And Fetal Outcome, Mazen Abdelraouf Mohamed El Zahry, Ibrahim Ramdan Al Sawy Rady, Sabry Abdel Fattah Ibrahim Mohamed, Ezzat Kamal Kassem Abdelmageed

Al-Azhar International Medical Journal

Background; The liver has been inflamed as a result of hepatitis, as shown by the presence of inflammatory cells in the tissue of the organ. Although there may be little or no symptoms, anorexia (poor appetite), jaundice, and general malaise are frequently the outcomes. Chronic hepatitis lasts longer than acute hepatitis, which is described as lasting shorter than six months, Aim and objectives; to study the prevalence of hepatitis B in pregnant women and how it impacts both maternal and foetal outcomes at Al-Hussein university hospital, Subjects and methods; This is a cross-sectional study that had been conducted on 1200 …

Potency Of Intravenous Dexamethasone On Preparing The Cervix And Labor Induction, Madiha Mohamed Hanafy, Hanan Abd El-Monem Mohamed, Hend Atif Mohamed Mesalam Abd Al-Hady

Al-Azhar International Medical Journal

Background: Corticosteroids are one strategy for accelerating labor (labor induction). Animal studies show that sheep fetuses and other fetuses secrete cortisol to trigger labor. Extra-amniotic and intravenous (IV) corticosteroids both works. Cortisol and DHEA-S seem to affect the myometrium indirectly via promoting the synthesis of membrane prostaglandins. Elevated levels of estrogen alter the ratio of estrogen to progesterone, which disrupts the fetus' static state and induces myometrium contraction. Aim: This study's objective is to evaluate the effectiveness of intravenous dexamethasone for cervix preparation and labor induction. Subject and Methods: At Al-Zahraa University Hospital and Sayed Galal University Hospital's obstetrics and …

3d Ultrasonography Compared With Magnetic Resonance Imaging For The Diagnosis Of Adenomyosis, Mohammad Mohammad Ibrahim Gebril, Mofeed Fawzy Mohammad, Hossam Abuelfotoh Fahmy El Sayed

Al-Azhar International Medical Journal

Background; A frequent benign gynaecological condition known as adenomyosis affects premenopausal women and is characterised by increasing endometrial expansion and invasion of the myometrium underneath, Aim and objectives; to contrast diagnostic accuracy of histopathology and 3D transvaginal ultrasound in detection of adenomyosis, Subjects &techniques: The research was happened during the period from September 2020 to September 2022 at El Hussein Maternity Hospital and Tokh central Hospital. A Cross sectional study was done on100 patients had been recruited from females presenting to outpatient clinic at El Hussein MaternityHospital and Tokh central Hospital planned to undergo hysterectomy for adenomyosis based on inclusion/ …

Correlation Between Suture Materials And Wound Infection After Cesarean Sections, Fahd Abdel Elal Al Omda, Ahmed Mohammed Saeed, Mohammed Shehata Abdel Monem Taha

Al-Azhar International Medical Journal

Background; The most prevalent major operation worldwide, the caesarean section, is linked to a risk of surgical-site infection. Skin closure is an essential CS stage. Uncertainty exists over the best suture material to use for subcuticular skin closure after cesarean. Prolene, Vicryl, and Monocryl. Aim, objectives; to correlate cesarean sections wound complications especially infection and sutures types used. Subject, method; The study will be conducted on 600 patients will delivered by cesarean section at full term through Pfannenstiel incision and skin closure will be subcuticular in all cases follow up period will b 6 weeks from delivery and they will …

First Trimester Metformin In Polycystic Ovary Syndrome Patients With History Of Recurrent Early Pregnancy Loss: Randomized Controlled Trial, Farid Ibrahim Hassan, Muhamed Ahmed Abdelmoaty, Ahmed Hamdy Muhammed Saad

Al-Azhar International Medical Journal

Background: Women with polycystic ovarian syndrome (PCOS) who take metformin throughout their pregnancies have lower rates of miscarriage, labour, and foetal development restriction. Positive benefits of metformin on insulin sensitivity, plasma glucose concentration, and lipid profile have been shown in patients with polycystic ovary syndrome.

Aim and objectives: to the disparity in the occurrence of miscarriage between two patient cohorts who will get or not receive Metformin in the first trimester, to determine the efficacy of Metformin in preventing early pregnancy loss in pregnant patients with PCOs.

Subjects and methods: This was a randomised controlled trial that was conducted on …

Evaluation Of Cervical Gland Area As Sonographic Predictor Of Preterm Labor, Abdel Moneim Mohamed Zakaria, Yasser Mohamed Said Kamel Diab, Mohamed Hisham Salah Ahmed Aboul Fotouh

Al-Azhar International Medical Journal

Background: Cervical assessment is a principal part of the prediction of PTL. The majority of tests assess cervical length and funnelling. The diminution in cervical length is an essential PTL criterion. The cervical gland area (CGA) is a unique ultrasonographic predictor of preterm birth. Collagen and proteoglycans are modified by the maturation of the cervical mucosa. Collagen disorganization, decreased collagen concentration & amplified water content are hallmarks of the development of the cervix. CGA vanishes from ultrasound imaging as a result of metabolic and water changes. In the second trimester, the absence of these glands can signify cervical maturity and …

Continuous Suturing Technique Comparative To Interrupted Suturing In Repair Of Episiotomy, Adel Aly Elboghdady, Ahmed Mohamed Saeed, Mohamed Hassan Gomaa Hassona

Al-Azhar International Medical Journal

Background: Episiotomy is a surgical incision that is done on the perineum to simplify delivery by decreasing the resistance of the outlet's soft tissues & straightening the pelvic canal.

Aim and objectives: to compare the efficacy of continuous versus interrupted suturing in the healing of the episiotomy following the first-time mother's delivery.

Subjects and methods: This randomized comparative research was established on 200 women undergoing an episiotomy. cases were randomly allocated into 2 groups: Group A: included 100 cases used a continuous suturing approach for wound closure (No. 2/0 polyglactin 910 (vicryl) sutures. Group B: included 100 cases used interrupted …

Role Of Uterine Artery Doppler In The First-Trimester In Prediction Of Pre-Eclampsia., Abd El-Moneim Mohamed Zakaria, Ahmed Mohamed Saeed, 3abd El-Aziz Mohamed Abd El-Aziz

Al-Azhar International Medical Journal

Background: Abnormal uteroplacental vasculature early in pregnancy may result in pre-eclampsia, which has linked to increased risk for serious morbidity or mortality. Doppler study of the uterine artery (UtA) as a standalone biomarker, using pulsatility index (PI) or notching, may help to identify the at-risk women in the 1st trimester of pregnancy.

Objective: This research aimed to assess the potential of 1st trimester UtA Doppler ultrasound for the early diagnosis of pre-eclampsia, in at-risk pregnant cases.

Patients and methods: A prospective, observational, cohort investigation was conducted on 120 singleton viable pregnant cases at hazard for pre-eclampsia. Doppler ultrasound at (110/7–136/7) …

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 …

Effect Of Different Contraceptive Methods On Cervico-Vaginal Cytology, Aliaa Mohamed Abdelatif Mosallam, Nahed Ezzat Mahmoud, Naglaa Mohamed Moharam, Doaa Elsaid Abd Elaziz Salama

Al-Azhar International Medical Journal

Background: The link between hormonal contraception and the growth of several cancers of the reproductive system in women has yet to be established. This study's goal was to assess the impact of different contraceptive methods on the cervico-vaginal smear at family planning outpatient clinic at Al-Zahraa university hospital and Zefta general hospital. Subjects and Method: We conducted a case control study with 276 women who met the inclusion criteria, all participants undergo Pap smear and evaluated according to the Bethesda system. The first group consistedd of 128 women who did not use contraception, while the second group was sub divided …

Role Of Serum Amyloid A Levels In Preeclampsia, Ashraf Hamdy Mohammed, Adel Aly Elboghdady, Abd El-Aty Khairy Abd El-Latif

Al-Azhar International Medical Journal

Background: Preeclampsia (PE)is a frequent pregnancy complication and a leading factor in mother and fetal death. The maternal plasma level of SAA may be anticipated to be higher compared to levels seen during a typical pregnancy since preeclampsia is linked to extensive endothelial malfunction, which is thought to be triggered by an enhanced maternal systemic inflammatory response. The maternal plasma level of SAA during a healthy pregnancy may vary from that during a non-pregnancy owing to changes in the inflammatory response, elevated hormone balance, and/or increased adipose tissue.

Patients and Methods: At the Department of Obstetrics and Gynecology, Al-Hussein and …

Accuracy Of Transcerebellar Diameter To Abdominal Circumference Ratio In Diagnosis Of Asymmetric Intrauterine Growth Restriction After 28 Weeks Of Gestation, Fahd Abdel Aal El-Omda, Mohamed Ibrahim Mohamed Ibrahim, Mokhtar Ahmed Mokhtar Wahib

Al-Azhar International Medical Journal

Background: A fetus whose estimated weight is below the 10th percentile for its gestational age (GA) is the most often utilized definition of IUGR. A newborn with asymmetric growth limitation will have a smaller abdomen than head. Gestational age affects several of the factors for IUGR identification. An important metric that is independent of gestational age is the transcerebellar diameter to abdominal circumference ratio (TCD/AC). Both the volume of the subcutaneous plane and the size of the liver are reflected by AC. Aim: To measure fetus growth restriction and to choose a cut-off value for TCD/AC to evaluate the reliability …

Evaluation Of Anti-Mullerian Hormone, Follicular Stimulating Hormone, Antral Follicle Count And Ovarian Volume As A Different Predictor For Ovarian Response In Cases Of Polycystic Ovary Syndrome, Mohammed Hanafy Mustafa Saad, Yehia Abdel Salam Wafa, Ismael El Garhy, Mekky Abd El Monem

Al-Azhar International Medical Journal

Background: Anti-mullerian hormone, also referred to as AMH, is a glycoprotein that belongs to the transforming growth factor-B family of proteins. Recent research has suggested that anti-mullerian hormone may be a useful indicator of ovarian follicular development. Its reliability super passes that of inhibin B, Estradiol & Follicular Stimulating Hormone (FSH). It demonstrates 4 biochemical parameters for follicular state that are not shared by the traditional hormone predictors.

Aim of the work: Primary goal of this research is to examine the connection that exists among different parameters (Anti-mullerian hormone, Follicular Stimulating Hormone, antral follicle count (AFC) and size of the …

Comparative Study Between Oral And Vaginal Administration Of Misoprostol In The Induction Of Labour In Cases With Premature Rupture Of Membranes (Prom), Diaa Maged Fakhr, Ismael Talaat El-Garhy, Fahd Abdel-Aal Elomda, Hany Abdelhakim Abdelrahman, Nesreen Ahmed Mostafa Rashed

Al-Azhar International Medical Journal

Background: Cervical ripening is mediated by membrane-bound G-coupled receptor prostaglandins. Boost leukocyte extravasation and collagenase. Biochemical mechanisms alter the distribution of proteoglycan and collagen, allowing cervical effacement and dilatation. The use of PG gel for induction began in the 1980s. Prior to the 1990s, oral PG was avoided for induction of labour due to its unpleasant gastrointestinal effects. Oral route may improve mother satisfaction more than vaginal route. Aim: What is the difference between the effect of oral and vaginal misoprostol for induction of labor in pregnant females with PROM regarding efficacy, safety, maternal and fetal outcomes? Subject and Methods: …

The Efficacy Of Oxytocin Versus Human Chorionic Gonadotrophin As A Trigger For Ovulation: A Randomized Controlled Trial, Abd El-Moneim Mohamed Zakaria, Abd El-Monsef Abd El-Ghaffar, Mohammed Ahmed Ismael Abo-Zeid

Al-Azhar International Medical Journal

Background: The acceleration of endometrial maturation and the inducement of ovulation are both essential components of assisted reproductive technologies (ART). In anovulatory women, the use of oxytocin (OT) to stimulate ovulation is a treatment option worth considering. Oxytocin is a hormone that occurs naturally in the body and is generated by the reproductive organs that include receptors for the hormone.

Aim of the work: Is oxytocin effective as human chorionic gonadotrphins in triggering of ovulation after induction with clomid ?

Patients and methods: This randomized controlled research was performed at Al-Azhar University's Hussein Hospital's Obstetric and Gynecology Outpatient Clinic. 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 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: …