Pheochromocytoma is a catecholamine-producing neuroendocrine tumor leading to hypertensive crises in untreated patients. Presentation in pregnancy can mimic gestational hypertension or pre-eclampsia. Physicians need to keep a high index of suspicion to have timely diagnosis and management of pheochromocytoma during pregnancy. We report a 27-year-old female who was diagnosed with pheochromocytoma at 18 weeks of gestation and she underwent laparoscopic adrenalectomy at 22 weeks of gestation with a good pregnancy outcome and with no recurrence over 8 years of follow-up.
Background and Objectives: Despite the controversies that prevail regarding the efficacy of episiotomy, it is still practiced widely around the world in various degrees of prevalence. This study aimed to identify and analyze the prevalence, clinical profile, and complications of episiotomy performed on women who delivered at the Asha’ab Obstetric Emergency Center. Patients and Methods: This was a cross-sectional study that involved women who had undergone vaginal delivery at the Asha’ab Obstetric Emergency Center, in Aden city, Yemen, between October 1, 2021, and March 31, 2022. Permission to conduct the study was obtained from the center’s administrative office. Results: During the study period, 858 women delivered vaginally at our center. Out of these, 443 women had had an episiotomy, representing an episiotomy prevalence of approximately 51.6%. These 443 women were enrolled in this study. The episiotomy was more common among primigravida women (n=362, 81.7%), followed by multiparous women (n=42, 9.5%). The most commonly associated medical disorder was anemia (n=167, 37.7%), followed by hypertension (n=33, 7.4%). Perineal pain (n=51, 11.5%) was the most frequently reported post-episiotomy complication, followed by perineal discomfort (n=32, 7.2%), wound infection (n=27, 6.1%), perineal bleeding (n=18, 4.1), difficulty in walking (n=9, 2.0%), wound dehiscence (n=3, 0.7%), and difficulty in defecation (n=1, 0.2%). Conclusion: The prevalence of episiotomy among women who gave birth at the Asha’ab Obstetric Emergency Center, in Aden city, Yemen, was higher than the World Health Organization recommendation, which is around 10% or less with acceptable obstetric evidence indicating the need. Further prospective large-scale studies are recommended to confirm the findings of this study.
Background: Hyoscine N-butylbromide (HBB; Buscopan) is commonly used in obstetric practice to accelerate labor and facilitate cervical dilation, yet variability in knowledge, attitude, and clinical usage persists among practitioners. This study assessed the knowledge, attitude, and usage patterns of HBB among medical practitioners at Abia State University Teaching Hospital (ABSUTH), Aba, Nigeria. Methods: A descriptive cross-sectional survey was conducted between August 2024 and April 2025 among 102 medical practitioners directly involved in labor care at ABSUTH. A structured, self-administered questionnaire, validated through expert review and pilot testing (Cronbach’s α = 0.78), was used to collect data on demographics, knowledge, attitude, and usage patterns. Descriptive and inferential statistics, including Chi-square tests and Pearson correlations, were performed using SPSS v. 25.0. Significance was set at p < 0.05. Results: Among 102 respondents, 93.1% had heard of HBB, and 70.6% correctly identified it as an antispasmodic. While 69.6% recognized its primary mechanism as cervical relaxation, 48% were aware of contraindications. The majority agreed that it is effective (mean = 4.12) and improves maternal outcomes (mean = 4.01). About 85.3% had administered it during labor, mostly in the active phase (64.7%), with the intravenous route being most preferred (56.9%). Statistically significant associations were observed between knowledge and attitude (χ² = 18.442, p = 0.001), specialty and frequency of use (χ² = 12.695, p = 0.048), and formal training with dosage knowledge (χ² = 15.210, p = 0.002). Knowledge, attitude, and usage scores were significantly correlated (p < 0.01). Conclusions: While the majority of practitioners at ABSUTH are familiar with and frequently use HBB in labor management, knowledge gaps and variations in practice remain. Strengthening formal training and incorporating standardized protocols could improve evidence-based usage and maternal outcomes.