Juniper Publishers Journal of Reproductive Medicine

  GLOBAL JOURNAL OF REPRODUCTIVE MEDICINE -JUNIPER PUBLISHERS Abstract The coexistence of a molar pregnancy with a live fetus is a rare entity of difficult diagnosis and treatment. Continuation of the pregnancy until full-term delivery is possible. We report two cases of twin molar deliveries observed empirically from 2015-2021, in the gynecology-obstetrics department of the Donka national hospital and in the maternity ward of the Jean Paul II hospital in Conakry. The discovery was made on ultrasound of the first trimester of pregnancy and macroscopic examination of the placenta. One of the neonates was alive, a healthy female and the other was polymal formed with facial dysmorphism, omphalocele and sexual ambiguity, fresh stillborn. There was no maternal complication towards a gestational trophoblastic tumor (T.T.G) in both cases. Efforts must be made in the prevention of T.T.G. by screening for twin molar pregnancies with healthy fetuses on transvaginal ultrasound in the first trimes

GLOBAL JOURNAL OF REPRODUCTIVE MEDICINE -JUNIPER PUBLISHERS   Abstract Childbirth is one of the eternal enigmas, the happiest moment in the life of most women, but also the period in which mom and baby are most sensitive. Thanks to the latest scientific knowledge and modern diagnostics, the incidence of birth injuries is decreasing, and currently amounts to approximately 0.7 percent, ie 7 out of 1000 newborns have one or more associated birth injuries. Forces acting during labor and childbirth can sometimes injure a baby. The incidence of neonatal injuries due to difficult or traumatic births is reduced due to increased cesarean section, instead of performing heavy turns, vacuum extractions, or high forceps. Traumatic childbirth is expected when the mother has small pelvic dimensions, when the child appears large for gestational age, or when the child is in a butt position or some other abnormal position, especially in a firstborn. In such circumstances, the course of labor and the con