Pregnancy in the no-communicating rudimentary horn of a unicornuate uterus is a rare form of ectopic gestation. these occur through transperitoneal migration of gametes. Variable thickness of rudimentary horn musculature, dysfunctional endometrium and poor distensibility  of the myometrium lead to rupture of the rudimentary horn. This complication is usually seen in the second trimester and can be life-threatening  for the mother, as it results in hemoperitoneum and hemorrhagic shock. Despite advances in technology, early detection of such congenital uterine anomalies remains difficult.  Treatment is usually done through excision of the rudimentary horn or hysterectomy as necessary. Two cases of ruptures rudimentary horn pregnancies in the second trimester are presented. These illustrate the value of early diagnosis and prompt intervention on the welfare of both mother and fetus.

Human ; Female ; Adolescent ; Uterine Anomalies ; Hemoperitoneum ; Myometrium ; Shock, Hemorrhagic ; Urogenital Abnormalities ; Uterus ; Pregnancy, Cornual ; Pregnancy, Ectopic ; Hysterectomy ; Endometrium ; Fetus ; Germ Cells

OBJECTIVE: To determine the risk factors and the current actual incidence of surgical site infection (SSI) following a cesarean delivery in te Philippine General Hospital.

METHODS: In a case-control study, 729 patients admitted at PGH's post-partum clinic, emergency room and obstetrical wards, from November 2007- May 200, were interviewed using a data sheet from that included mother's age, gravidity and parity, body mass index, smoking history, steroid and illicit drug use, previous surgeries, co-morbidities and questions on personal hygiene, as part of the ongoing infection surveillance. Operation-related and obstetric-related variables were documented through review of medical records. Definitions of the Centers of Disease Control of surgical site infection were used.

RESULTS: Thirteen percent of patients developed SSI among 713 patients recruited in the study. Although univariate analysis of risk factors did not show statistically significant results, steroid use , smoking and illicit drug use, previous surgery, anemia prior to operation, longer duration of labor and rupture of membranes and longer duration of operation appear to predispose patients to surgical site infections after cesarean section. The incidence of SSI was significantly lower in patients with hypertensive complications.

Human ; Pregnancy ; Gravidity ; Parity ; Surgical Wound Infection ; Risk Factors ; Maternal Age ; Cesarean Section ; Obstetrics ; Smoking ; Street Drugs ; Anemia ; Hygiene