Background: Sonographic fetal weight estimation is an important component of antenatal care. It was found to be more reliable method to establish fetal weight at term and more consistent in various period of gestations. Aim of study: to compare clinical and sonographic methods for assessment of fetal weight regarding sensitivity, specificity and accuracy. Subjects and Methods: The study recruited 100 women scheduled for delivery from ante-natal care clinic with 38 weeks or more of gestation. Fetal weight was assed clinically and by ultrasound. Both techniques were compared and analyzed. Results: Ultrasound assessment of fetal weight showed better performance than the clinical method regarding absolute errors and error percentages. Ultrasound assessment showed better sensitivity and specificity in detecting fetal weight > 3500 gm. Moreover, it showed less bias on Bland–Altman plot analysis. Conclusions: Ultrasound assessment of fetal weight is safe, reliable and sensitive method of fetal weight estimation.

Background: Prevention of the premature birth occurrence remains is considered one of the most tough challenges for obstetricians worldwide, mainly to avoid neonatal prematurity complications leading to short and long term morbidities additionally prematurity prevention will reduce premature neonatal mortality rates which is considered a major health concern of obstetricians, neonatologists and families. Objective: To compare and contrast the efficacy of Sildenafil citrate, Nifedipine and Dydrogesrone in prevention of premature labor in gestations with short cervix. Setting: Obstetrics & Gynecology Departments, Faculties of medicine, south Valley and Al-Azhar (Asyut) Universities, Egypt. Duration: from September 2014 to March 2018. Patients And Methds: the study was conducted on 300 pregnant women who randomly divided into three groups: Group I included 100 cases received Sildenafil citrate (Respatio tablet 20mg twice daily orally), Group II included 100 cases received Nifedipine (Epilat retard tablets 20mg twice daily orally) and Group III included 100 pregnant women received dydrogesreone 10 mg (Duphaston) twice daily orally. Results: incidence of preterm labor was (9.37, 8.51 and 14.28) in (Group I, Group II and Group II) respectively. Mean ± SD of cervical length at 32 weeks of gestation was mildly statistically significant among groups (p value <0.05) but no significance in neonatal outcome (p value >0.05) except birth weight which had a highly statistically significant difference (p value < 0.001). There was a highly statistically significant difference among studied groups as regard to drug side effects in (p value <0.001). Conclusion: Sildenafil citrate was as effective as Nifedipine and better than oral Dydrogesterone on myometrial relaxation and prevention of preterm birth in pregnant women who had short cervix. Recommendation: Sildenafil citrate could be one of the most successful agents in prevention of preterm labor in threatened preterm cases.

Background: Premenstrual dysphoric disorder (PMDD) is a severe form of premenstrual syndrome (PMS). Aim: To examine the effect of selective serotonin reuptake inhibitor (sertraline) on electroencephalographic (EEG) patterns, and clinical manifestations in females with PMS. Materials and Methods: This prospective observational study was conducted on 200 females. Patients will be subdivided into two groups: Group A (control): includes 80 normal females and Group B consists of 120 patients with PMS. Patients with PMS were given sertraline 50 mg/day orally, initiated 14 days before the expected onset of menses and discontinued the day menses began. Results: We found that sertraline has no substantial effects on EEG findings, simply it relieved the clinical symptoms. Conclusions: We recommend use of SSRIs in the treatment of PMS

Introduction: The outpatient hysteroscopy is a minimally invasive technique, well tolerated by the majority of patients. However, the pain appears in a considerable percentage of patients, and this is the leading cause of failure. There are different factors related to pain. The aim of the present study is analyzing the association between emotional status and pain perception during the outpatient hysteroscopy. Material and methods: A retrospective survey. It was composed of 192 patients with sonographic diagnosis of endometrial polyp. An outpatient hysteroscopy was conducted from March 2013 to January 2015. Socio-demographic data and obstetrician history were collected. The intensity of pain during the test was evaluated by means of EVA, as well as the emotional state by means of Hospital Anxiety and Depression Scale (HADS). Results: The average score in VAS was 5.06. Regarding the score in HAD, it was 6.87 in anxiety and 4.25 in depression. For the entire sample, a positive correlation was evidenced between the intensity of pain (VAS) and the level of depressive symptomatology (HAD depression; p=0.001). This correlation was not shown in patients with anxiety symptomatology (p>0.05). The patients who did not succeed during the procedure, a correlation with the pain perception was observed, with a higher punctuation in VAS and depression scale (p<0.05). Conclusion: There are some factors such as the emotional status of the patient which could modulate the perception of the pain, showing a positive correlation between them. This is an important issue to considerer for the success of the ambulatory hysteroscopy.

Aim: To evaluate whether useful treatment unilateral fallopian tube abnormality patients receive spontaneous treatment under primary treatment. Methods: Total of 823 patients with a desire to achieve pregnancy who underwent hysterosalpingography (HSG) were divided into three groups according to their HSG results as follows: normal, unilateral abnormality, and bilateral abnormality. Treatment results (pregnancy rate, spontaneous abortion rate, and multiple pregnancy rate) with or without assisted reproductive technology (ART) were determined and compared. Results: Of the 823 patients, 483 (58.7%) achieved a pregnancy, 95 (19.7%) suffered a spontaneous abortion, 7 (1.4%) had ectopic pregnancies, and 13 (2.7%) had multiple pregnancies. The 483 patients who became pregnant were classified as follows: 432 of 715 (60.4%) in the normal Fallopian tube group; 46 of 90 (51%) in the unilateral abnormality group; and 5 of 18 (28%) in the bilateral abnormality group. No significant difference was found between the groups. Conclusion: There were no significant pregnancy rate differences between the three groups. The study demonstrated that a high pregnancy rate could be achieved with general infertility treatment to unilateral Fallopian tube abnormality patients. Capsule: Women with unilateral fallopian tube abnormality treat prior to spontaneous treatment than assisted reproductive technology as primary treatment option.