Over a 17-year period, 15 patients with acute puerperal inversion of the uterus were managed at the University Hospital, Kuala Lumpur, an incidence of 1 in 4,836 deliveries. Injudicious traction on the umbilical cord before the uterus was well contracted, was probably the most important causative factor. Haemorrhage was more severe when removal of the placenta was done prior to correction of the inversion. Either the hydrostatic method or manual replacement were used but more often a combination of both techniques was found necessary. With careful management of the third stage of labour, this complication can be avoided.

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No abstract

There were 7 cases of placenta accreta (a frequency of 1 per 12,700 deliveries) at the Aberdeen Maternity Hospital where emergency postpartum hysterectomies were performed on account of uncontrollable postpartum haemorrhage from January, 1977 to May, 1989. There was no maternal death. The presentation and risk factors are discussed.

This paper examines a recently documented time-of-the-month anomaly in five ASEAN equity markets before, during and after the Asian financial crisis. The results show that this anomaly exists in the smaller markets of Indonesia and the Philippines in the pre-crisis period and Indonesia in the post-crisis period. The other bigger markets of Malaysia, Singapore and Thailand do not exhibit such anomaly in any period at all. This anomaly is still observed even when the autocorrelation in stock returns is taken into consideration.