Background: In developed countries, cervical cancer is the second most prevalent cancer between females. When it enters the invasive phase, but outside of all female genital tract cancers, cervical cancer is a deadly disease. If diagnosed in its early stages, it is the only preventable cancer, and the disease is almost 100% curable with accurate screening and early detection. The aim of the work:To determine the effectiveness of both office cervicoscopy and colposcopy-directed biopsy in the assessment of clinically suspicious cervix. Patients and Methods:A prospective randomized controlled study, held on 200 patients randomly selected used closed envelopes with clinically suspicious cervix attending the outpatient clinic of

Background: A healthy foetus requires the normal growth of the placenta during the pregnancy. On the other hand,, any disturbance related to its maturation may have a major effect on the fetal growth and the pregnancy outcome. Aim of the work:To detect the relation between the umbilical artery Doppler, placental thickness, and foetal growing. Patients and methods: This cross-sectional study conducted at the outpatient clinic of the obstetrics and gynecology department, Al-Azhar University hospitals (assuit) and AL_Eman General Hospital. Results: At the first visit, there was a strong positive connection between placental thickness and AC, BPD, and HC (r=1.00, p<0.001). At the second visit, There were a notable positivity correlation between placental thickening and estimated foetal weight and umbilical flow by the Doppler (r=1.00, p<0.001). Conclusion:Estimating the fetal weight is essential in our daily obstetric practice, especially at the third trimester. It helps the obstetricians in making decisions about delivery time and mode of delivery, to protect against the complications of low birth weight and macrosomic babies during labor and puerperium. From the findings of this study we can conclude that, there is measurably critical positive relationship between placental thickness and EFW, BPD, FL, AC and umbilical flow by the Doppler. Estimation of the placental thickness by Ultrasound is a good predictor for foetal growth and birth weight.

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Background: Increasing maternal age is independently associated with specific adverse pregnancy outcome. But, it was noted when patients of advanced maternal age were followed and delivered their infants in modern tertiary care center, no increase in adverse outcome was noted. Objectives: This prospective study in which maternal and perinatal outcome in pregnant women aged 40 years and above compared with those of young women aged 25-35 who delivered in El-Eman General Hospital. Patients and methods: 422 women were divided into 2 groups. The first group contain 211 women whose age ranges from 25-35 years, the second group contain 211 women whose age 40 years and above. Results: There were significant increases in rates of Pregnancy Induced Hypertension among pregnant women aged over 40 years (12.3%) compared to older primigravida aged over 40 years. There was significant increase in the rate of preeclampsia among women aged over 40 years (18.5%). Incidence of preeclampsia increase in grand muliparus women aged ≥ 40 years (18.5%) and among women aged 25-23 years (7.6%). Risk of bad perinatal outcomes increases in relation to medical diseases with pregnancy. Conclusion: Women aged ≥ 40 years have higher risk of Cesarean section than young women. There were statistically significant increases in the rate of NICU referral due to perinatal problems among women with advanced age. The mother's high age can be an independent factor for adverse pregnancy outcomes, complete awareness of pregnancy outcomes in these age groups for midwives and gynecologist is needed to protect health of mothers.

Article information Background: Urinary incontinence [UI] is any urinary leak. It is a common and stressful health condition, which have an impact on patient's quality of life. It is more prevalent among women than men [2:1]. Risk factors include pregnancy, parturition, and menopause. The aim of the work: The work study aimed to assess the value of urodynamics prior to stress incontinence surgery [SUI] with regard to outcome, as well as the costs, in women complaining from SUI. Patients and Methods: This study carried out at the department of Obstetrics and Gynecology, Al-Azhar University Hospital [Assiut Branch]. It included 20 females, 30-40 years old, who were suffering from SUI free from any medical diseases or previous surgeries of urinary tract. All were submitted to urodynamic study before surgical correction by anterior colpourethroraphy [El Hemaly operation] and outcome was documented. Results: The results of filling phase revealed that, the infused and bladder filling were significantly increased, while volume lost through leakage was significantly reduced after intervention than corresponding values before surgery [514.3±155.29, 473.2±174.89 and 55.8±50.96 vs 359.3±193, 238.25±142.59 and 120±68.17, respectively]. Sensation results revealed that, there was statistically significant increase of volume at first sensations, first desire, normal desire, strong desire, urgency and maximum cystometric capacity, when compared to volumes before surgery. Conclusion: Anterior colpourethroraphy [El-Hemaly operation] was an effective option, technically feasible with low complications and consistent patient satisfaction. Urodynamic study remains the most comprehensive method in the assessment of the bladder and urethral function.