The US diagnosis of isolated fallopian tube torsion is challenging. A high index of suspicion is necessary to improve its detection, especially when there are possible US signs of torsion in the presence of a normal-appearing ovary.

Postpartum sonographic evaluation of the uterus appears similar after vaginal and cesarean deliveries.

Objectives: Labour induction represents the most frequently conducted interventional procedure to clinical obstetricians. Recently, several studies have shown that induction at term pregnancies could be associated with the maternal and perinatal benefit. The purpose of this study is to critically compare the benefits and risks after labour induction at 39 completed weeks compared to controls expectantly managed. Methods: We conducted a retrospective, observational study of 215 nulliparous women who was admitted to the delivery room at 39 or more weeks of gestation in uncomplicated vertex singleton gestations with intact membranes. We compared the maternal and neonatal benefits and risks of induction group with spontaneous labour group. Results: The 215 women were analysed and among them, the 179 patients delivered vaginally (83.3%). Compared with spontaneous labour group, the induction group at 39 or more weeks of gestation had a similar incidence of Caesarean delivery and blood loss during the delivery (19.4% vs. 16.7%, p=0.099, 1.89±1.27 vs 1.73±1.08 mg/dl in the mean decrement of Hemoglobin, p=0.381, respectively). The maternal length of stay was longer in induction group (3.83±1.42 vs. 4.33±1.52 in days, p=0.03). Regarding neonatal outcomes, both groups had similar Apgar score at 1 and 5 min including less than <7 at 5 min and labour induction was not associated with increased NICU admission rate (15.0% vs. 23.2, p=0.184) or neonatal intubation rate (3.3% vs. 5.8%, p=0.460). In spontaneous labour group, the rate of meconium-stained amniotic fluid was higher, however, which was not statistically significant. Conclusions:This study showed that labour induction at 39 or more weeks of gestations does not increase maternal risks including Caesarean delivery and postpartum blood loss compared to spontaneous labour group. Neonatal adverse events were also comparable outcomes.It may be acceptable to schedule labour induction a few days prior to EDC even when the indication is only relative. Maternity Centre of Tunis, Tunis, TunisiaObjectives: The purpose of this study was:-To determine major risk factors of macrosomia.-To evaluate the accuracy of ultrasound in fetal weight estimation near delivery when macrosomia is clinically suspected.-To correlate biometric features to fetal weight. Methods: It is a prospective study including 91 patients. All patients presented at the department A of the Maternity Centre of Tunis from January to March 2017; The diagnosis of fetal macrosomia was suspected during the delivery day. We included only pregnancies above 37 weeks of gestation. Clinical risk factors were collected. Ultrasound fetal weight estimations was compared to birth weights (BW) for each patient. Estimated fetal weight (EFW) was calculated using Hadlock formula. Results: Mean body mass index (BMI) of included patients was 32 kg/m 2 . Gestational diabetes was present in 77.1% of cases. Mean absolute difference between EFW and BW was 260 grammes. Both predicted and real birth weight increased as the BMI increased. M...