Objectives: To study the correlation between fetal kidney length on ultrasonography (USG) and gestational age as well as validated with different biometric parameters of pregnant women presenting third trimester. Methodology: A cross-sectional study was performed among100 antenatal mothers of singleton pregnancies and parity who visited gynaecology and obstetrics OPD at IPGME&R...
Objectives: The study evaluated effect of metformin, oral contraceptive pills (OCP), and their combination on high - sensitivity C- reactive protein (hs-CRP), lipid profile, and anthropometric measurements (body mass index, waist circumference, hip circumference, waist - hip ratio) in Indian women with PCOS (polycystic ovary syndrome). Methods: In this prospective, observational...
Background: Acute viral hepatitis is the most common cause of jaundice in pregnancy. Various criteria have been devised to determine early indices of poor prognosis in patients with fulminant hepatic failure (FHF) but no such criteria exist for pregnancy related liver failure. Aim: To determine the predictors of poor maternal outcome in pregnant women with acute viral hepatitis...
Objectives: This study was done to find the effectiveness of level two anomaly scan in detection of congenital anomalies and also to find the maternal and neonatal factors associated with congenital anomalies. Methods: Pregnant women with gestational age of more than or equal to 18 weeks were included in the study. All participants were recruited when they went into labour. At...
Background: A major side effect of hysterectomy is surgical site infection (SSI). Abdominal hysterectomy has higher infection rates than minimally invasive hysterectomy. The fact that fewer incisions are made as opposed to a significant front abdominal wall incision is reflected in the lower SSI rates. SSI following laparoscopic hysterectomy is prévalentdespite the reduced rates...
COVID-19 outbreak was declared a global pandemic of international concern in March 2020 by the World Health Organization. It has affected millions of people including pregnant women and children across the globe. Severe COVID-19 infection though rare in pregnancy is associated with high chances of maternal and neonatal morbidity and mortalities. The present review briefs the...
Background: Maternal death due to severe preeclampsia and eclampsia has significantly reduced in developed countries due to revolutionary management by magnesium sulphate, but it’s still very high in developing countries including India. Many factors including BMI may have significant role in serum magnesium level in patients getting prophylactic and therapeutic treatment with...
Background: Caesarean delivery is a surgical procedure whose recovery characteristic is unique to it. The Obstetric Quality of Recovery scoring (Obs-QoR-11) tool was developed and validated in United Kingdom for use after elective and emergency caesarean delivery. Subsequently, ObsQoR-11 has been successfully adapted in other languages. As there is no such adaptation in Assamese...
Background: Initial data of COVID 19 in pregnancy from first wave (till first half of 2020) were reassuring but since September 2020, picture changed showing pregnancy as a significant risk factor for severity of illness and adverse feto-maternal outcome. Objectives: The aim of this study is an attempt to compare and contrast the outcomes of two waves in pregnant women from...
Background: Abnormal uterine bleeding (AUB) is a common gynaecological condition. Studies show that there is altered expression of oestrogen receptors (ER) and progesterone receptors (PR) in the endometrium which may have a role in the aetiology of abnormal bleeding. Objectives: To study the histopathological findings of endometrium and expression of oestrogen and progesterone...
Objective: To identify early high risk fetuses by changes in doppler flow velocity waveforms. Methodology: This was an observational, cross-sectional study of 90 singleton pregnancies in the third trimester with pregnancy induced hypertension. The results of last doppler ultrasound within one week of delivery were used for analysis. Adverse perinatal outcome was studied in the...
Aim: To evaluate the efficacy of an intravenous infusion of 1000 mg of paracetamol as intrapartum labour analgesic. Methodology: This was a prospective study carried out in department of Obstetrics and Gynaecology in SMGS Hospital, Government Medical College, Jammu for a period of one year during 2019-2020 on 200 antenatal mother in active labour, after receiving the ethical...
Background: Post-partum hemorrhage (PPH) and its prevention is a major issue globally due to its impact on maternal morbidity and mortality. Active management of the third stage of labour (AMTSL) should be routinely practiced to prevent the risk of PPH. Objectives: Aim of the study was to compare efficacy of intravenous carbetocin and intramuscular oxytocin in management of third...
Objectives: The present study was designed with the primary aim to evaluate the effectiveness of addition of infrared radiation to routine care in comparison to only routine care on episiotomy wound healing among postnatal mothers. Methods: A total of 120 postnatal women complying with study inclusion criteria were included and randomly divided into two groups viz. routine care...
Background: Perinatal and neonatal mortality rates are the major determinants of healthcare system. India is one of the largest contributors in the pool of neonatal death in the world. In India data on causes and predictors of neonatal mortality in referral tertiary units is lacking, therefore analysis of pattern of neonatal mortality is of paramount importance in formulating...
Background: Low birth weight (LBW) is a significant public health problem that affects millions of infants worldwide. The World Health Organisation (WHO) defines LBW as a birth weight of less than 2500 grams. LBW is a global public health problem that affects approximately 15.5% of all births worldwide. LBW is a complex and multifactorial condition that results from a combination...
Objectives: Success rates of intrauterine insemination (IUI) as first-line treatment for subfertile couples depend on various factors including follicular and endometrial blood flow and thickness. This study aimed to evaluate the color doppler indices of endometrial and follicular blood flow to predict pregnancy in IUI cycles. Methods: A prospective observational study was done...
Background: Several countries witnessed a two-wave pattern during coronavirus disease-19 (COVID-19) pandemic, with India being no exception. This epidemic had markedly affected pregnant women also. Objectives: This study aimed to compare fetomaternal outcomes during the first and second waves of COVID-19 in South India. Methods: This retrospective observational comparative study...
Background: Admission cardiotocography (CTG) comprises recording of foetal heart rate and uterine contractions for 20 minutes done at the time of admission to labour room. This test can identify foetuses who are compromised during early labour and are in need for continuous foetal monitoring. Aim: To evaluate the role of admission cardiotocography in predicting the pregnancy...
Background: The prevalence rate of abnormal uterine bleeding (AUB) in India is 17.9% which causes not only psychological and physical discomfort but also has ill effect on health status and quality of life. Objectives: To assess the role of levonorgestrel-IUD (LNG-IUD) in management of abnormal uterine bleeding and satisfaction level among women. Methodology: Observational...
Objectives: This study was conducted tocompare the incidence of post dural puncture headache between two methods of insertion of spinal needle i.e., median approach versus para median approach, and also to compare the incidence of other complications such as hypotension, bradycardia, nausea and vomiting, and rare adverse effects like photophobia.Methods: This was a hospital based...
Objectives: To compare the clinical and sonographic fetal weight estimation at term gestation. Methods: This prospective observational study included 500 antenatal women with singleton pregnancy with gestational age (GA) between 37-41 completed weeks delivering within 24 hours of admission and in labor or booked for elective caesarean section. Estimated fetal weight (EFW) was...
Objective: To correlate umbilical coiling index (UCI) and perinatal outcome. Material & methods: Present prospective study was conducted on 582 antenatal mothers in second trimester with singleton live pregnancy in Kamineni Institute of Medical Sciences, Nalgonda. During growth scan UCI was measured. UCI between 10th - 90th percentile was considered as normocoiled, less than 10th...
Objectives: To evaluate the outcome of PPIUCD insertion and compare them among the two modes of insertion, that is, vaginal insertion with intra caesarean insertion. Materials and methods: Time bound prospective observational hospital based study undertaken from September 2021 to August 2022 at Gauhati Medical College & Hospital. Women who had delivered vaginally or by caesarean...