Background: Uterine rupture is a life-threatening obstetrical complication whose incidence has been increasing. Case: 27 years old patient, gravida two, para one, at 39w3d, referred from a District Hospital severely ill, Glasgow Coma Scale 10/15, BP: 70/42, Pulse: 134, Sat: 85% on room air and HB: 3,2g/dl. Ultrasound showed Free fluid in abdominal cavity, uterine rupture, fetus out of the uterine cavity, no fetal heart activity seen. The patient was transferred to the theatre, delivered stillborn male baby, weighing 3221gr. There is a fundal uterine rupture that was extended until both uterine cornoas. Total Abdominal Hysterectomy was undertaken by Richardson Technique and the patient was discharged seven days later. Conclusion: Spontaneous uterine rupture is rare in the unscarred uterus. However, can happen any time and in any trimester.

Heterotopic pregnancy (HP) refers to the simultaneous presence of intrauterine pregnancy (IUP) and ectopic pregnancy (EP), which is very rare but a potentially life-threatening condition. HP can be spontaneous or the subsequence of assisted reproductive technology (ART). A 23 years old patient, primigravida who came to the emergency department presenting lower abdominal pains for four days accompanied by moderate dark vaginal bleeding. The sonar reported Heterotopic Pregnancy. Laparotomy was performed and a clinically 13 week's fetus was found in the Pouch of Douglas. The other embryo that showed fetal activity and no other complication was left inside the uterus. The patient was seen in the hospital every month till delivered by cesarean section an alive baby. Heterotopic pregnancy is now more frequent because of reproductive assisted techniques. Doctors should keep a high index of suspicion in patients with intrauterine pregnancies accompanied by abdominal pains.

Prematurity is one of the main causes of neonatal morbidity and mortality and is responsible for a high percentage of infant sequelae, especially in very early gestation ages. Every year an estimated 15 million children are born preterm and this number continues to increase. Approximately 1 million children die each year as a result of the complications of preterm birth. We decide to perform a descriptive and retrospective study of patients admitted to Ángel Arturo Aballí Maternal-Infant Hospital, during the period from July to December 2015. 102 patients who were admitted in this center with symptoms of threatened preterm birth, single fetus and intact membranes. The birth and medical records of mothers and newborns were reviewed, as well the statistics department. For the processing and analysis, the SPSS statistical program was used and the results were expressed in numbers and percentages. Results showed that the average age of the mothers was between 20-25 years, the gestational age between 30-34 weeks, the most frequent cervical modification was the shortening of the cervix and most of the patients were managed to reach 37 weeks gestation. It was concluded that transvaginal ultrasound increases the sensitivity and specificity for the diagnosis of preterm delivery and also the shorter of the cervix increase the risk of preterm delivery.

Chorioamnionitis is a pathology typical of pregnancy, which evidences itself through different symptoms, both in the mother and in the fetus. Is the acute inflammation of the placental membranes (amnion and chorion). Chorioamnionitis continues to be a frequent and extremely dangerous pathology during pregnancy, so it is necessary to work promptly and efficiently.

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