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The latest reported incidence of subarachnoid hemorrhage due to aneurysms and arterio-venous malformations (AVMs) is around 15 per 100,000 pregnancies. It is also the third leading cause of maternal death from non obstetric causes accounting for 12% of total mortality. A pregnant woman with 42 years old G5P4Lch4 had vaginal delivery in 12 Aug 2009. One week after delivery she was visited by General Physician due to headache. She was admitted with signs of dizinous, vomiting projectile and painful stimuli, hospital consciousness level 5 and coma. CT scan was demonstrated a massive bleeding inside the brain. Massive hemorrhage into the ventricle was detected following neurosurgery. She was dead due to cardiac arrest after 10 days. Based on this case report, woman with headache following delivery should be recommended for cerebral aneurysm.

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Background and Objective: Postpartum depression has a negative effect on maternal health and adverse effect on psychological development of newborns. Also patterns and personality traits can also be associated with postpartum depression. This study aimed to determine the role of social support and Personality in the incidence of postpartum depression.
Methods: This descriptive-analytical study was performed on 200 mothers referred to health centers by available sampling method between 6 weeks to 6 months after delivery. Data were collected using a Questionnaire Personal Information, Edinburgh Postnatal Depression Scale (EPDS, 1987), NEO-Five Factor Inventory (NEO-FFI, 1985) and Social Support Questionnaire Philips (1977).
Results: Postpartum depression was observed in 49 (24.5%) of mothers. Neuroticism had the highest relationship with postpartum depression. The correlation coefficient of this variable with postpartum depression was 52% and this variable alone was 27% of the variance. There was a significant negative relationship between postpartum depression and social support (r= -0.027, P<0.01). There was a significant positive correlation between postpartum depression and neuroticism (r= 0.52, P<0.01).
Conclusion: This study showed that personality traits and social support are two important factors in relation to postpartum depression.

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Late postpartum hemorrhage (PPH), as an unpredictable obstetrics emergency, is characterized as a leading cause of mortality and maternal complications worldwide. Uterine artery pseudoaneurysm (UAP) is a rare cause of PPH, which may develop after uncomplicated cesarean and Gynecologic surgeries, including dilatation and curettage, hysterectomy, and myomectomy. Uterine artery embolization has become a popular treatment for postpartum hemorrhage. In this case report, we present a patient with PPH due to UAP who was treated by endovascular embolization of the uterine artery. A 39-years-old woman was admitted 55 days after her third cesarean section due to massive vaginal bleeding resulting in severe hemodynamic derangements. After initial resuscitative measures, diagnostic studies revealed the UAP, and soon after, the coil embolization of the uterine artery was performed. When conservative managements fail to control massive late postpartum hemorrhage, angiography and embolization of the uterine artery can be the modality of choice, rather than hysterectomy (with its potential complications) which preserves the patient's fertility.

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Background and Objective: Near to 30% of women experience some type of anxiety disorder in their life, which this anxiety occurs more often in pregnancy and after delivery. Maternal anxiety reduces secretion of oxytocin and lactation. On the other side, the level of maternal stress and anxiety increasingly increases the incidence of postpartum. This study was carried out to evaluate the prevalence of postpartum anxiety in Gorgan north of Iran during 2018.
Methods: This descriptive-analytical study was performed on 154 women between 15-45 years old and it has passed at least one week to maximum six weeks since their delivery whom referred to obstetrics clinic of Shahid Sayyad Shirazi hospital in Gorgan, North of Iran during 2018. Demographic check list was used to collect the demographic. Data and Spielberg anxiety scale was used to measure anxiety.
Results: Anxiety disorders after childbirth was 41.99%. The overt anxiety score of postpartum women in severe, moderate, mild and little or none level was 8.4%, 44.2%, 27.9%, 19.5%, respectively. The hidden anxiety score of postpartum women in severe, moderate, mild and little or none level was 9.7%, 48.1%, 24.7%, 17.5%, respectively. The overt anxiety score in employee mothers was significantly higher than housewive mothers (P<0.05). The overt anxiety score in women with marital discord was significantly higher than in women without marital discord (P<0.05). Ther was not significant relationship beween overt and hidden anxiety score with the type of delivery, mother's education, mother's residency and familial income.
Conclusion: The prevalency of postpartum anxiety disorders was high in this region and it was related to job and marital discord.