Amal Muneer Naima Mubarak

Abstract Background: Delivery by caesarean section (CS) is becoming more frequent. Childbirth is an emotion-filled event, and the mother needs to bond with her baby as early as possible. Any intervention that leads to improvement in pain relief is worthy of investigation. Local anaesthetics have been employed as an adjunct to other methods of postoperative pain relief. Objective: To insure the efficacy of infiltration of lidocaine 1% in the surgical site of Cesarean Section, just before incision ,in decreasing postoperative pain , in comparison to other forms of preemptive analgesia that includes central nerve block (spinal anesthesia) , and multi modal parentral analgesia. Patients and Methods: This is a prospective, randomized, controlled trial study in which patients undergoing CS were randomly divided into four groups;- Group A Patients (control plain GA), Group B Patients with multi modal analgesia Group C Patients with local tissue infiltration,Group D Patients with spinal anesthesia . The protocol for induction and maintenance of general anaesthesia was similar for A , B&C groups. Group A control patients (plain GA) without supplementary analgesia. Group B parentral multi modal analgesia(Acetamenophen&Diphene) given IM. just pre operatively , and a Fentanyl 50Mg IV. just after delivery of the baby. Group C patients received 20 ml of 1% Lidocaine infiltration 1-2 minutes before skin incision. Group D have Spinal Anesthesia under Bupivacaine hyperbaric 0.5% 10mg intrathecally. Post-operative pain was evaluated in patients, at 30 min, 2, 4, 6 and 24 hr after surgery by visual analogue score (VAS), while lying still, and with movement. Time of first request for analgesia , and total amount of Pethidine consumed in 24 hr were recorded. Results: The study enrolled a total number of 100 patients, 25 in each group. No side effects were recorded in all groups. The total consumption of opioid (pethidine) after 24 hours was significantly different among the four groups 144.00mg in group A, 134.00mg in group B, 96.00mg in group C and 76.00mg in group D (P ≤ 0.05), SD= 54.619 , 47.258, 37.697, 35.707 for Group A,B,C and D respectively. Higher dose of analgesia was used by Group A&B, whereas lower dose used by Group C&D, so there are significant differences (p≤0.01) between the last two motheds than the former two methods.However the lowest dose was recorded in the spinal anaesthesia. The first request for opioid was statistically different among the four groups .

Abstract: Purpose: Studying some Factors Affecting pregnancy outcome in subfertile couples subjected to intracytoplasmic sperm injection. Method: study performed in fertility center in Al-Sadder teaching hospital in Al-Najaf city during the period between October 2012 and April 2013 , the study include 140 subfertile couples that subjected to intracytoplasmic sperm injection(ICSI). Results: the results show some factors that affect pregnancy outcome like women age, cause and type of infertility .The results revealed that the age of women was significantly affect the pregnancy outcome, also the results show that sperm quality more important than sperm count . Recommendations: studying other hormones releated to fertility like leptin Conclusions: Multiple factors affecting ICSI outcome, the most important one is female age The cause of infertility and its type also affect the outcome , also the results show that sperm quality more important than sperm count . Key Word: ICSI: intracytoplasmic sperm injection, Subfertile: infertile

The present study demonstrates that the hormone E2level can be used as good predictive value in ovarian response in the IVF

Our study shows that there was an increase in PPV when we combine AFI and CL in prediction of time of labor, so women with AFI ≤5 and CL ≤2 had 86.4% risk of delivery within 7 days after PPROM. Furthermore, we found that there was no significant association between GA and parity with the prediction time of labor.

In our study, we observed that homozygous variant was significantly associated with PCOS, on the other hand, the dominant (CT & TT) model was found to be associated with risk of PCOS (Odds ratio= 16.0) indicated that PCOS patients were about 16-fold more likely to have this variant compared to controls.

26th ESGE Annual Congress which will take place in Antalya, Turkey from 18th – 21st October 2017. The congress will be incorporating the Annual Meetings of the Turkish Society for Gynecological Endoscopy (TSGE), the Middle East Society for Gynecological Endoscopy (MESGE) and the International Society for Gynecological Endoscopy (ISGE) and will also take place in cooperation with the Asia-Pacific Association for Gynecologic Endoscopy (APAGE) and the Indian Association of Gynaecological Endoscopists (IAGE).