Trial of labor can be offered to all the women with low-lying placenta except for those accompanied by marginal sinus.

Immunoglobulin G4-related disease (IgG4-RD) is characterized by extensive infiltration of IgG4(+) plasma cells and fibrosis in various organs. However, the involvement of the ovary in IgG4-RD has never been reported. A 59-year-old woman presented with urinary retention. Magnetic resonance imaging and computed tomography revealed a huge multinodular pelvic mass and common iliac/para-aortic lymph node swelling. A laparotomy was performed under the suspicion of advanced ovarian cancer, and the pelvic mass was identified as ovary in origin. Histopathology of the excised tumor revealed massive lymphoplasmacytic infiltration (>90% were IgG4(+) plasma cells), storiform fibrosis, and obliterative phlebitis; thus leading to a diagnosis of IgG4-RD. We conclude that IgG4-RD can present as a bilateral ovarian mass along with lymphadenopathy, therefore mimicking ovarian cancer.

Simple aerobic bacterial culture of the vaginal swab sampled at the time of cerclage could be used as a reliable test to predict subsequent preterm delivery before 34 gestational weeks.

No abstract

Caesarean section of extremely low birth-weight (ELBW) infants is sometimes challenging for obstetricians. To date, there have been no standard types of uterine incision to achieve an atraumatic birth for ELBW fetuses with the placenta covering the whole anterior uterine wall. We present seven cases of transverse fundal uterine incision to avoid incision into the placenta. All the seven cases had successful en caul deliveries (the mean birth weight, 619 ± 213 g), accompanied by good neonatal conditions. Transverse fundal uterine incision may be a safe and feasible caesarean technique in ELBW infants when incision into the placenta is otherwise unavoidable.