Cervical cancer is one of the commonest cancers in developing countries. For the treatment of cervical precancerous lesions, either ablative or excision methods are used. These procedures can be performed for VIA or HPV-positive women without colposcopic or histological verification (“screen and treat”) in situations where these diagnostic services are not available. Also, the...
Objectives: The present study aims at demonstrating an association between abnormal uterine artery doppler waveform in high risk pregnancies at 18-24 weeks of gestation and subsequent development of adverse pregnancy outcomes. Methods: Uterine artery doppler was performed in high risk pregnant women between 18-24 weeks of gestation attending antenatal OPD at ESIC Medical College...
Objective: Infertility and obesity are problems that have been on the rise in the past two decades. Anti-mullerian hormone (AMH) is a useful marker of ovarian reserve and is frequently estimated while treating infertility patients. Our study aims at evaluating the relationship between serum AMH levels and BMI in infertile patients with and without polycystic ovarian disease...
Objectives: In women with endometriosis who undergo laparoscopic cystectomy and adhesiolysis to compare efficacy of post-operative insertion of LNG IUS in reduction of pelvic pain and menorrhagia. Also, to compare the effect of LNG IUS insertion in improving quality of life score in these patients. Methods: This was a prospective interventional study on 52 women with stage 3 or 4...
Objectives: This prospective study was conducted to evaluate risk factors and histopathological spectrum of patients with ovarian tumors. Methods: This study was conducted in NSCB Medical College, Jabalpur from February 2019 to July 2020 on 120 subjects with ultrasonographically diagnosed ovarian tumors. Relevant history was obtained and all the risk factors for ovarian tumors...
Objectives: To assess the surgical techniques used for caesarean section by obstetricians in North India and review them with respect to the current evidence. To improve the outcomes of caesarean sections through rectification of the surgical techniques, it is imperative to assess the current practices amongst the obstetricians and analyze the rationale behind their surgical...
Objectives: This prospective comparative hospital-based study aimed to assess the postoperative analgesic effectiveness of transversus abdominis plane block compared to wound site local anesthesia infiltration in total abdominal hysterectomy under spinal anesthesia. The primary objectives included comparing the time to the first request for rescue analgesia and the total...
Objectives: To find the seroprevalence of the Chlamydia Trachomatis (CT) infection in women who suffer from infertility, mucopurulent cervicitis and ectopic pregnancy and to investigate the possible role of the Chlamydial serology as a screening test by detection of the anti-Chlamydia IgG antibodies using ELISA. Methods: Over period of two years, total of 160 women who attended...
Objectives: To compare the safety and efficacy of oral misoprostol with intracervical dinoprostone gel in terms of progress of labour, maternal and fetal complications when used for induction of labour at term in primigravida. Materials and method: A prospective randomized study from October 2017 to October 2019 was carried out in which 120 primigravida patients with gestational...
Objectives: To determine the risk factors affecting the mortality rate in women with eclampsia. Methods: This prospective observational cohort included 200 patients who presented with seizures or coma (eclampsia) which could not be attributed to other causes and admitted in the emergency (labour room). The clinical, obstetric examination, and examination pertinent to the signs...
Background: Polyhydramnios, severe oligohydramnios in the published literature are around 1.25% and 1- 5% of the pregnancies respectively. Polyhydramnios causes more maternal and fetal morbidity. Oligohydramnios is associated with fetal morbidities and maternal hypertension. Objectives: The present study was designed to compare the maternal and neonatal outcome in women with...
Background: Ovarian tumors are amongst the common neoplasms affecting the Indian women. The grave nature of these tumors is proved by the highest mortality rates attributed by lack of symptoms in most patients and inaccessible site. The WHO 2014 classification was modified in 2020, keeping in consideration the probable tissue of origin and associated molecular basis. Objectives...
Objectives: To evaluate the clinical utility of the first trimester serum double marker test in their ability to predict subsequent delivery of a fetal growth restriction (FGR) infant. Methods: The association between first trimester double marker test and the incidence of FGR were assessed by comparing the relative incidence at their MoM cut-offs and their sensitivity...
Background: Use of an intrapartum cardiotocography (CTG) has increased in last few decades. Consequently, there is a considerable decrease in the overall perinatal mortality and morbidity. Today CTG is a first line investigation for antepartum and intrapartum foetal assessment and to detect intrauterine hypoxia. Aim: To study various patterns of intrapartum CTG in high risk...
Background: Regular menstruation symbolizes a normal reproductive health of woman; however, all women experience some form of menstrual problem in their lifetime. Medical undergraduates are mostly in the age group of late adolescence and early twenties. Females in this age group frequently experience different menstrual problems that commonly affect their quality of life. These...
Background: Termination of pregnancy in second trimester and more so in women with scarred uterus is a real challenge and leads to three to five times higher risk of maternal morbidity and mortality. Objective: Compare effectiveness of Foley’s catheter balloon and PGE2 vaginal tablet versus Foley’s catheter balloon and extra amniotic instillation of PGF2α in termination of second...
Background: Fetal weight estimation is of key importance in the decision - making process for obstetric planning and management. It provides valuable information which aids the physician or midwife to take informed decisions concerning the timing and route of delivery. Aim: 1) To assess fetal weight by clinical methods using Johnson’s formula and Dare’s formula; 2) To access...
Objectives: To compare the efficacy of Cu T 380 A and Cu 375 in terms of failure rates. To compare side effects, expulsion rates, acceptability and problems experienced while using the two intrauterine devices. Method: A randomized case control study was conducted on 320 postpartum women willing for PPIUCD insertion after normal vaginal delivery.160 women each group A and B were...
Objectives: Polycystic Ovarian syndrome is a lifestyle disease with increasing incidence in the current society. This study intends to evaluate the rise of insulin resistance with increasing ovarian size by utilizing a simple logistical regression model (HOMA 2). Methods: 54 patients who were diagnosed with PCOS were evaluated for ovarian volume by transabdominal sonography...
Objectives: To assess the association of various risk factors enclosed in HDP gestosis score with the development of pregnancy induced hypertension. Methodology: This study was done at Sri Guru Ram Das Institute of Medical sciences and Research on patients who developed PIH (Pregnancy induced hypertension) from January 2020 to December 2020. Patients were analysed according to...
Background: Primary postpartum hemorrhage (PPH) often encountered during caesarean sections and uterine atony itself is the single leading cause in almost 80% of cases. Recent interest on the surgical compression sutures for the treatment of massive atonic PPH has come up in the front line not only for its easy applicability, but also for its uterine salvage and future fertility...
Objectives: This study was conducted to recognize the risk factors particularly the modifiable ones that may be related to the woman, pregnancy or to the technique itself and implementing the strategies to prevent, diagnose and treat infection so that the morbidity and mortality related to the post-surgery sepsis can be reduced. Methods: Present study was a prospective...
Objectives: The objective of this study was to compare the outcome in between two groups, one group receiving a 6 hourly repeat regimen (maximum 2 such) and another group receiving a 12 hourly repeat regimen of prostaglandin E 2 gel (maximum 2 such) for pre-induction cervical ripening. Methods: In this observational cross sectional analytical study, pregnant mothers with...
Background: Pelvic organ prolapse and urinary incontinence are common conditions affecting a large number of females. Many surgical procedures to correct these disorders are available according to the clinical presentation and surgical expertise of the surgeon. Currently there is no definitive gold standard procedure to favour a particular route in the treatment of uterine...
Objectives: The objectives of the study were to assess the rate of caesarean section rate and analysis the caesarean sections using Robson’s TGCS. Methods: A retrospective cohort study was done at CIHSR, Dimapur, Nagaland using total enumerative sampling technique of all caesarean deliveries from 1st January 2019 to 31st December 2019. Results: Of the total 971 deliveries, 299...