Saudi Med J
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To investigate the relation of episiotomy to third degree perineal tears, and to detect the rate, indications and risk factors of both episiotomy and third degree perineal tears. ⋯ In uncomplicated deliveries, no significant relation between third degree perineal tear and episiotomy was found.
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The increasing prevalence of overweight and obesity is an important public health problem contributing to significant excess in morbidity and mortality. A cross-sectional national epidemiological household survey showed that the prevalence of obesity in female Saudi subjects was among the highest reported. Obesity is a complex multifactorial chronic disease that develops from an interaction of genotype and the environment. ⋯ Weight loss drugs may be used as part of comprehensive weight loss program. Weight loss surgery is an option for carefully selected patients with severe obesity Body Mass Index greater than 40. After successful weight loss, a program consisting of dietary therapy, physical activity, and behavioural therapy, which should be continued indefinitely, enhances the likelihood of weight loss maintenance.