Minimally invasive surgery results in faster recovery. The objective of this study is to identify criteria for the feasibility of 24-hour discharge post laparoscopic ovarian cystectomy. This is a prospective cross-sectional study that was carried out at the Obstetrics and Gynaecology Department in Putrajaya Hospital between 1 January and 31 December, 2016. The inclusion criteria were: age between 15 and 45, no comorbidities, no family history of malignancy, BMI of less than 30, mass size less than 18 weeks, single uninoculated simple cyst and no ascites. The exclusion criteria were post-menopause women, known medical illness, family history of malignancy, mass size more than 18 weeks, multiloculated or bilateral ovarian cyst, presence of solid area within the cyst and ascites. The sample size was calculated to be 14. A total of 16 participants were identified. Results showed that using the Visual Analogue Score (VAS), the mean pain score post operatively in the first six hours, 24 hours, 48 hours, two weeks and three months were 3.67, 2.57, 0.5, 0 and 0, respectively. Two of the subjects experienced post-operative nausea and vomiting, one had urinary tract infection and one had minor bleeding from the surgical site. All the participants were discharged within 24 hours post-operatively. There was no readmission. In conclusion, 24-hour discharge post laparoscopic cystectomy is safe and feasible. Factors determining the success must be adhered to closely to ensure a good and satisfactory outcome. This research did not receive any specific grant from funding agencies in the public, commercial or not-for-profit sectors. � 2018 Universiti Putra Malaysia Press.

Teenage pregnancy is associated with maternal and neonatal morbidity. Some postulate that it is due to biological immaturity, while others postulate that it is due to inadequate antenatal care. The objective of this study is to compare the maternal and neonatal outcome between married and unmarried teenage mothers. A retrospective study was conducted from 2009 to 2012, where mothers aged below 20 year old were included. Maternal and neonatal outcome was assessed. A total of 750 patients aged below 20 year old delivered at Hospital Ampang. The trend of teenage pregnancy decreased from 3.1% in 2009 to 2.2% in 2012. A total of 578 (77.1%) mothers were married, while 172 (22.9%) were unmarried. Being unmarried was significantly associated with unbooked (p<0.001), preterm birth (p= 0.00468), and lower birth weight (p< 0.0001, and unpaired T-Test with 95% CI-0.2607 to-0.0933). However there is no significant difference in the number of mothers with hypertensive disease (p= 0.88428), diabetes in pregnancy (p= 0.39602), mode of delivery (p= 0.055 vaginal delivery, p = 0.4419 caesarean section, and p= 0.9097 instrumental deliveries) and NICU admission (p= 0.3779) between the two groups. Unmarried teenage pregnancy is associated with a lack of antenatal care, preterm birth, and lower birth weight compared to their married counterpart. � 2017 Universiti Putra Malaysia Press.

A 25-year-old gravida 2 para 1 with 12-week amenorrhoea presented a second time for recurrent vomiting in pregnancy. She was diagnosed to have a missed miscarriage following absent fetal heart seen in an early scan. She opted for conservative management. However, on the third presentation, her vomiting continued. Repeated transvaginal ultrasound scan showed a fetus with a crown rump length of 19 mm, which is equivalent to 8 weeks and 4 days, with absence of fetal heart pulsation. Thyroid function tests and ? human chorionic gonadotropin were then requested. Results showed that the patient's serum ? human chorionic gonadotropin level was markedly raised to 147 000. A molar pregnancy was suspected. Her thyroid function tests came back normal. Suction curettage was performed and histopathology confirmed a partial molar pregnancy. On follow-up, the ? human chorionic gonadotropin level was normal by 7 weeks after the curettage. Copyright 2016 BMJ Publishing Group. All rights reserved.