Objectives: Aims of this study were to determine the caesarean section rate in our rural tertiary health care centre, to perform an audit of decision to delivery interval for emergency caesarean sections, to compare our timings with the recommended DDI (decision to delivery interval), to evaluate the factors contributing to delay in DDI and to analyse the impact of DDI on...
Objectives: To determine fetomaternal outcomes in patients with eclampsia. Methods: This prospective observational cohort study was conducted at Rajendra Institute of Medical Sciences, Ranchi, Department of Obstetrics and Gynaecology from April 2019 to September 2020. 200 patients who came with presence of seizures or coma (eclampsia) which could not be attributed to other causes...
Background: Neonatal sepsis is the most prevalent and significant cause of neonatal morbidity and mortality, requiring prompt diagnosis and treatment. Positive blood culture is the gold standard for diagnosis; the results of which are delayed by 48 hours with only 30-75% positivity rate and a well-equipped laboratory setting is necessary. Emerging studies suggests platelet count...
Objectives: To compare serum LDH level in normal and preeclamptic mothers in antenatal period and to study the correlation of maternal and perinatal outcome with this biomarker in normal and preeclamptic disorder. Methods: A prospective observational study was conducted in the department of obstetrics and gynaecology, Burdwan Medical College, Burdwan for a period of 18 months...
Objectives: The objectives of this study are to determine the obstetric and neonatal outcome in pregnancy with hemoglobinopathy. Methods and materials: A prospective observational study to evaluate maternal and neonatal outcome in pregnant women with hemoglobinopathy. The medical data of the study group attending antenatal OPD/emergency and delivering at Guwahati medical college...
Background: Maternal mortality is a sentinel event to assess the quality of a women’s health care system. As the mortality rates are consistently decreasing the focus is shifted on maternal near miss which describes severe maternal morbidity which shares the common pathway as mortality. Objective: To assess and analyze the incidence of maternal near miss and the mortality...
Aim: To assess impact of early diagnostic laparoscopy and hysteroscopy in cases of primary and secondary infertility on fertility outcome. Methodology: This was a prospective study conducted in the Department of Obstetrics & Gynaecology at KGMU, 175 cases of primary and secondary infertility evaluated by hysteroscopy and laparoscopy, from January 2018 to December 2018 were...
Background: Pre-eclampsia is globally a cause of maternal and fetal morbidity and mortality. Hence, it is important to study the lipid profile and risk factors for prevention, management and prognosis of the disease. Objectives: Present study was conducted to observe differences between normal and preeclampsia lipid profiles. Method and materials: A case control study was...
Objective: In this study we study the association of both labour admission test (LAT) and amniotic fluid index (AFI) in predicting and preventing adverse perinatal outcome in high risks pregnancies. Methods: This is a prospective observational study. A total of 100 high risk pregnant females admitted in labour room with period of gestation ≥37 weeks, in labour. On admission...
Objectives: To evaluate the indications and feto-maternal outcomes of Robson’s group 1cases undergoing caesarean section. Materials and methods: A time bound, prospective and observational study conducted from 1stJuly 2021 to 30th June 2022 at Gauhati Medical College and Hospital. All nulliparous women, singleton pregnancy, cephalic presentation, gestational age of more than or...
Objectives: The present study was conducted to compare ovulation induction by clomiphene citrate and letrozole in women with ovulatory dysfunction. Methodology: In this open label comparative randomized clinical trial, patients aged 20 to 40 years with infertility diagnosed with ovulatory dysfunction were treated with either letrozole or clomiphene citrate in the Obstetrics and...
Background: Abnormal uterine bleeding (AUB) is the commonest symptom for which women seek gynaecologist’s consultation. The excessive blood loss interferes with woman’s social, emotional, physical and material quality of life. Medical treatments are preferred primary intervention though hysterectomy or endometrial ablation is the treatment of choice when medical treatment is...
Objectives: Anemia amounts to a significant health problem in developing countries especially among pregnant women. The present study was carried out to determine prevalence of various types of anaemia and thalassemia in antenatal women. We evaluated various discriminant indices used in diagnosis of beta thalassemia trait. Methods: A prospective observational study was carried...
Ebstein anomaly is a rare congenital cardiac abnormality, with a prevalence of 5.2 per 100,000 live births and accounts for 1% of congenital heart defects. The specific defect involves the abnormal attachment of tricuspid valve leaflets to the valve annulus, with displacement of septal and posterior leaflets, leading to downward displacement of effective orifice and division of...
Uterine malformations consist of a group of miscellaneous congenital anomalies of the female genital system and are seen in around 5% of the general population. A bicornuate uterus is a uterine malformation that occurs as a result of impairment of the fusion of Mullerian ducts. Bicornuate uterus is commonly associated with recurrent abortions and preterm labour. Many of the cases...
Leptospirosis is a rare zoonotic disease caused by spirochaete of the genus Leptospira. About 5-10% of patients manifest as severe disease known as Weil’s disease associated with high fatality. Infection in pregnancy is uncommon and moreover it may mimic viral hepatitis, acute fatty liver in pregnancy (AFLP), pregnancy induced hypertension (PIH) and HELLP (hemolysis, elevated...
Guillain Barre syndrome is a rare neurological complication presenting in pregnancy and post-partum. We present a case of 23 year old gravida 2 para 1 living 1 with 39 weeks of gestation with previous LSCS who presented with nonspecific symptoms in the antenatal period and progressed to develop symmetrical progressive ascending paralysis in the postpartum period with no...
Splenic cysts are uncommon during pregnancy, with very few cases reported in literature. We describe the presentation and successful management of a case with review of the reported cases in the literature.
Objectives: Through this essay, the author intends to carry out a literature review on the topic “vulvodynia, sexuality and couple relationship”, as it is a contemporary subject that is still much discussed by the scientific society due to its uncertain etiopathogenesis and treatment in general of limited effectiveness. Methods: Bibliographical research on MEDLINE - PubMed...
Background: Globally about 10% of pregnancies are complicated by preeclampsia (PE) and other hypertensive disorders of pregnancy. PE is associated with higher near miss maternal morbidity and mortality. PIERS (Preeclampsia Integrated Estimate of Risk Scoring) model was designed for monitoring of women with preeclampsia and to do the risk stratification for improving the...
Background: Cancer of the cervix is the second most common cancer among women worldwide. Although pap test has successfully reduced the incidence of cervical cancer, it is associated with high false positive and high false negative test results. In order to improve the efficacy of screening program, United States cervical cancer screening guidelines recommend use of combined...
Objectives: To study the sensitivity and specificity of various biomarkers in cases diagnosed with sepsis in the obstetric critical care unit and to compare the clinical criteria with the biomarkers in these cases. Methods: A total of 52 patients admitted in the obstetric critical care unit of our institution with the diagnosis of sepsis were enrolled in the study and were...
Objective: To study histopathological characteristics of the placenta in SGA pregnancies and to associate it with neonatal outcomes. Material and methods: A total of 200 placentae were examined.100 from the study group (SGA pregnancies) and 100 from the low-risk control group. After delivery, they were examined for any gross lesions and weighed. They were then sent for...
Objective: To assess the effectiveness of magnesium sulfate as a neuroprotective agent in early preterm labour (28 to 32 weeks). To assess any maternal or fetal adverse effects after giving magnesium sulfate. Methods: Hospital based prospective observational study. Initially 72 pregnant women with preterm labour, planned preterm birth due to maternal or fetal indication between...