Background: The osteitis pubis is an inflammatory-noninfectious disease of the pubic symphysis, which is rarely reported in the postpartum period after Normal vaginal Delivery. Misdiagnosis of this disease can leave the patient disabled with a poor quality of life Case report: The case in the present study was a 35-year-old woman, admitted two days after giving birth, due to severe pain in the hypogastric and groin regions. Movement aggravated the pain in a way that disabled the patient. The pelvic radiograph showed pubic symphysis dislocation, and osteitis pubis was clinically diagnosed. Therefore, conservative treatment was prescribed for her, including relative bed rest, nonsteroidal anti-inflammatory drugs (PRN, maximum TDS), physiotherapy, and pelvic binder, for two weeks. After this period, her pain decreased gradually and in the next follow-up, which was one month later, she had no limitation of motion. Conclusion: Though it seems to be a simple disease, osteitis pubis can cause profound motion disability. Early diagnosis and treatment can prevent complications, such as joint stiffness and chronic pain.

INTRODUCTION: There is a controversy about the effect of increasing venous hydration on the duration of Normal Delivery. With respect to the importance of this subject, various studies have been performed. The aim of the present study was determing the effect of overhydration on the duration of Normal Delivery. MATERIALS & METHODS: The statistical popultion included 52 women who referred to obstetric department of Sanandaj Besat hospital for Normal Delivery. These women divided randomly into control and treated groups. The type of study was double blind randomized clinical trial. After the beginning of active phase of labour, 250cc/h ringer lactate in treated group and 125cc/h in control group was administered intravenously by an experiencd midwife and labour process was evaluated. Data was analysed using k2 and t-tests.RESULTS: The results of this study showed no significant difference between the means of active phase time, stage II and III of labour in two groups. The mean of labour time was 232.1 ± 94.8min in treated group and 240.2 ± 108 min in control group.CONCLUSION: According to the results of this study venous hydration does not affect Normal Delivery time. Extensive studies with more samples are recommended.

Introduction: Pelvic inflammatory disease (PID) is defined as an acute and subclinical infection of the upper genital system, including the uterus, fallopian tubes, ovaries, and ligaments. It can lead to various complications, such as salpingitis, endometritis, oophoritis, perihepatitis, peritonitis, and tubo-ovarian abscess (TOA). Case Presentation: In our case, a 22-year-old Afghan woman presented with generalized pain in the abdomen and pelvis, accompanied by vaginal discharge and fever, following 17 days of Normal vaginal Delivery (NVD) and septic shock. She had no previous history of PID. Abdominal ultrasonography revealed a significant amount of free fluid in the paracolic grooves and pelvis, along with a perforated mass on the right adnexa. As a result, she underwent laparotomy and right adnexectomy. A 10-day course of meropenem and vancomycin was prescribed, and the woman was discharged with oral antibiotics. Conclusions: Tubo-ovarian abscess following NVD is a rare condition that can occur in patients with preterm premature rupture of membranes (PPROM) and episiotomy. Therefore, it is essential to prescribe antibiotics in cases involving episiotomy and rupture of the membranous.

Puerperal uterine inversion is a rare obstetric emergency that may cause maternal mortality. We describe a multiparous woman with total uterine inversion after a Normal vaginal Delivery. A 28-years-old, gravid 3, pregnant woman was admitted to the hospital in the first stage of labor. She had a past medical history of curettage due to abNormal vaginal bleeding following her second vaginal Delivery and the present pregnancy proceeded without complications. After the Delivery, due to the history of placental adhesion, umbilical cord traction was avoided and after 20 min, the patient was asked to push hard. During a Valsalva maneuver, the uterus and the placenta were suddenly expelled from the vagina. The placenta was completely adherent to the decidua and the patient displayed no signs of shock. Then manual repositioning of the uterus was performed by a closed fist and a subtotal abdominal hysterectomy was performed. Pathological examination revealed placenta accreta and the placenta was found completely adherent at the fundus. Uterine inversion usually occurs unexpectedly and is unpreventable in some cases. Assessment of the possible risk factors before Delivery may help predict its occurrence. Therefore, in women with a positive history, special measures should be taken in the third stage of labor to manage the possibility of inversion.