It appears that hysteroscopy is a useful tool in the diagnosis and treatment of the causes of recurrent miscarriage that can be performed safely without anesthesia in most cases. The prevalence of uterine anomalies in patients with recurrent miscarriages is 54.5%, septate uterus is the most common anomaly and for this reason uterine anomalies should be systematically assessed in patients with recurrent miscarriage.

In view of these results, it might be concluded that umbilical cord tightness affecting fetal hemodynamics (expressed by changes in umbilical artery Doppler) might be a determinate factor affecting the intrapartum course.

Our results support previous studies which indicate the presence of meconium can be associated with chronic fetal hypoxia as demonstrated by elevated fetal NRBC levels.

supplies are not that good. So, a specifically-tailored recommendation for extending the pregnancy for more 2 weeks (i.e. till 36 weeks of pregnancy) was advised. This latter recommendation was principally built on senior staff opinions. The goal of the current article was to retrospectively evaluate the neonatal and maternal outcomes of delivery prior to and beyond 34 weeks of pregnancy in women with PPROM. Methods The current retrospective study was conducted at Al-Arish General Hospital over the period between January 2011 and December 2013. The study protocol was in agreement to the Helsinki Declaration of the Principles of Ethical Medical Research [last updated in Korea, 2008]. The study involved singleton pregnant women who were admitted at the casualties or the outpatient antenatal clinic of Al-Arish General Hospital during the above-mentioned period, with a diagnosis of PPROM. Prelabor rupture of the membranes (PROM) was known in women who were not in labor within 24 hours after rupture of the fetal membranes [6]. Preterm PROM (PPROM) was defined when PROM occurred in women at gestation above 26 weeks and before completed 36 weeks of gestation [6]. ROM was established when leaking amniotic fluid was objectively seen whether on sterile vaginal speculum or on vulval pads. Women who had

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