BACKGROUND:Female genital tract anomalies including imperforate hymen affect sexual life and fertility.CASE PRESENTATION:In the present case, we describe a pregnant woman diagnosed with imperforate hymen which never had penetrative vaginal sex. A 27–year-old married patient with 2 months of amenorrhea presented in a clinic without any other complications. Her history of difficult intercourse and prolonged menstrual flow were reported, and subsequent vaginal examination confirmed the diagnosis of imperforate hymen even though she claims to made pinhole surgery in hymen during puberty. Her urine pregnancy test was positive, and an ultrasound examination revealed 8.3 weeks pregnant. The pregnancy was followed up to 39.5 weeks when she entered in cesarean delivery in urgency. Due to perioperative complications in our study, a concomitant hymenotomy was successfully performed. The patient was discharged with the baby, and vaginal anatomy was restored.CONCLUSIONS:This case study suggests that even though as microperforated hymen surgery in puberty can permit pregnancy and intervention with cesarean section and hymenotomy is a good option to reduce the resulting perioperative complications which indirectly affect the increase of the fertilisation and improvement of later sexual life.

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Objective: To establish a world-class national research network to carry out high quality obstetric ultrasound research in Ireland. Methods: A partnership of 9 leading fetal medicine physicians from 8 maternity hospitals across Ireland was formed to establish a national obstetric ultrasound research network in Ireland. A proposal was successfully submitted to the Irish Health Research Board (HRB) and a multi-million euro award was made for the establishment and operation of the network. Results: Perinatal Ireland was established through the award and comprises 8 of the leading maternal fetal medicine centres in Ireland. The network provides a collaborative partnership and research infrastructure to carry out large-scale perinatal research projects. Together these 8 centres account for over 50,000 births per annum. The infrastructure includes formalized management structures, dedicated research equipment and personnel at each site and a full-time Programme Manager. As Perinatal Ireland was the first consortium of its kind in Ireland, some difficulties were encountered during its set up. These included difficulties in recruiting sonographers due to the poor supply of trained obstetric ultrasonographers; problems with contractual arrangements regarding their employment and the need to obtain ethical approval at each of the eight sites. Hospitals without existing academic departments, where there was less of a culture of clinical research, experienced greatest difficulty in integration into the consortium and this was reflected in their recruitment performance. Hospitals where a senior clinician had substantial executive authority seemed to facilitate integration. Conclusion: A perinatal research network was successfully established in Ireland. The consortium is currently carrying out multicentre prospective research studies in ultrasound, including evaluating the role of sonographic predictors of restricted growth in twins, and expects to report initial results in 2010. Objective: To establish a consolidated web-based database linking Viewpoint ultrasound databases at 8 sites to facilitate the efficient transfer and consolidation of research data to a central, secure web-based database. Methods: Perinatal Ireland, an 8-centre research consortium, was used as a platform to develop and implement a web-based research database. The approach was 2-fold: to create an extract of ultrasound data at each centre for uploading and to set up a secure website to which data from 8 centres could be uploaded. A merge algorithm ensures all transferred study data is up-to-date and all additional study data is added when a new dataset is uploaded. The data is stored in a common database which is viewable and queryable via specific user logons for pre-authorised IP addresses. P23.10 Establishment of a web-based consolidated ultrasound database Results:The software used to record study data contains a functionality allowing the user to extract and save data to a CSV file with the aid of an SQL-like query. Once logged in the user select...