Congenital anomalities of the vagina are rare congenital anomalies. Women born with this anomaly present with collection of blood in the uterine cavity or hematometra and pelvic pain. Presented is a case of a 12-year old girl with hypogastric pain and primary amenorrhea complicated by vaginal agenesis. She was managed conservatively by creating a neovagina with the use of bipudental flap or Modified Singapore flap. Management can be non-surgical or surgical but the management of congenital vaginal agenesis remains controversial. The decision to do a conservative surgical procedure or a hysterectomy depends on the clinical profile of the patient, the expertise of the surgeons, the extent of the anomaly, and it's association to other congenital anomalies.

Human ; Female ; Child ; Hematometra ; Vagina, Absence Of ; Amenorrhea ; Vagina ; Hysterectomy ; Pelvic Pain ; Surgeons

Asherman’s syndrome is a global disease with a significant impact on the reproductive career among women. Its exact prevalence is quite difficult to ascertain as there are different methods to diagnose and several classifications being used. Its increasing incidence has been credited to a great number of uterine surgeries and improved accuracy of imaging studies. The clinical manifestations of this condition range from secondary amenorrhea, hypomenorrhea, dysmenorrhea, infertility, and recurrent pregnancy loss. Hysteroscopy played an important role in its diagnosis and management.

Human ; Female ; Adult: 25-44 Yrs Old

Background: Term prelabor rupture of membranes (PROM) increases the risk of maternal and neonatal infections. Objective: To compare rates of positive bacterial growth in placental swab cultures done among women who received ampicillin prophylaxis at different timings after term PROM. Design: Matched cohort study. Setting: Department of Obstetrics and Gynecology at Southern Philippines Medical Center in Davao City, Philippines. Participants: 120 pregnant women aged ≥18 years old, at ≥37 weeks age of gestation, with PROM: 40 women received ampicillin within 6 hours (6H group), 40 within >6 to 12 hours (12H group), and 40 within >12 to 18 hours (18H group) of onset of PROM. Main outcome measures Rates of positive bacterial growth in postpartum placental swab cultures; most common bacterial isolates; and signs of intraamniotic infection (IAI).
Ampicillin ; Specimen Handling