Background: Maternal hypotension is a physiological response during cesarean section (CS) with spinal anesthesia (SA) and can cause adverse maternal and fetal outcomes. Aim: The present study aimed at comparing the efficacy and safety of norepinephrine and phenylephrine infusion in a CS under SA. Methods: In a randomized clinical trial, 164 ASA I and II parturients undergoing CS...
Objectives: To compare the effect of delayed cord clamping (DCC) versus physiological cord clamping (PCC) on third stage of labour and fetal outcome. Methodology: This is arandomized controlled trial. Participants were randomly assigned to control group (DCC) receiving cord clamping after 1 minute of delivery of baby and the study group (PCC) receiving cord clamping after...
Objectives: To determine and compare the diagnostic performance of doppler sonography of fetal umbilical artery (UA) and middle cerebral artery (MCA) in prediction of adverse perinatal outcome in suspected intrauterine growth retardation (IUGR). Methodology: One hundred singleton pregnancies between 28 and 40 weeks of gestation complicated by intrauterine growth restriction were...
Objective: To determine the prevalence of meconium stained liquor in women at and beyond expected date of delivery in Indian population. Methods: A retrospective analysis of all women delivered at more than 40 weeks from January 2017 to December 2018 in PGIMER was done. Data was collected from labour room registries. Results: A total of 11,675 women delivered in the labor room at...
Objectives: To evaluate the value of serum uric acid in early pregnancy to predict the development of gestational diabetes mellitus (GDM). Methods: This prospective observational cohort study included 336 women in their first trimester of pregnancy (<13 weeks of gestation). Uric acid was measured using colorimetric assay with a detection limit of 10 mg/dl. GDM was diagnosed using...
Background and aims: Pain is a sensory modality as well as an experience. Both general and regional anaesthesia are used during caesarean sections. Present study was undertaken to compare the analgesic efficacy of intrathecal fentanyl and intrathecal buprenorphine as an adjuvant to bupivacaine in caesarean section under subarachnoid block. Methods: Hundred patients belonging to...
Background: Laparoscopic ovarian drilling (LOD) is a surgical treatment that can stimulate ovulation in women diagnosed with polycystic ovarian syndrome (PCOS) and especially those with resistance to clomiphene citrate (CC). Objective: To observe the effect of LOD on ovulation rate in women with PCOS. Methods: The study included thirty CC resistant PCOS women between 20-35 years...
Aim: This study was conducted to find out the incidence of obstetric hysterectomy and to study and analyze indications, risk factors, complications, morbidity, and mortality in both mother and fetus associated with obstetric hysterectomy. Methods: It is an observational prospective study conducted at Government Medical College & Hospital, Aurangabad, Maharashtra, India with cases...
Objectives: Hypotension is the major side effect of spinal anaesthesia during caesarean section. Since the adverse effects are dosage-dependent, various methods have been tried to prevent spinal anaesthesia induced complications, such as lowering the local anaesthetic dose and combining it with additives like neuraxial opioids, alpha-2 agonist e.g. dexmedetomidine. Here we are...
Objectives: 1) To estimate the frequency of DIC in pregnant women admitted in Vanivilas hospital, 2) To describe the risk factors of DIC, 3) To describe the maternal and perinatal outcome. Methods: This is a prospective study conducted at Vanivilas Hospital, Bangalore, Karnataka, from January 2019 to June 2020 for 18 months. After applying inclusion criteria and DIC scoring from...
Objectives:1)To assess the maternal and perinatal mortality and morbidity in uncomplicated postdated pregnancies in a tertiary care centre. 2) To find out the causes and rates of different modes of delivery in uncomplicated postdated pregnancies in a tertiary care centre. Methodology: A prospective observational study was done in the O&G department of JMCH, Jorhat, Assam from...
Objectives: The present study undertaken to assess the efficacy of technique of reversal of sterilization by macrosurgery with microsurgical principles and use of rail road technique for cornual - isthmic anastomosis and factors truly influencing the success rate. Methodology: The present study is retrospective observational study of 142 women who underwent reversal of...
Background: Suction evacuation is the most common surgical method of first-trimester pregnancy termination and cervical dilatation is the most critical step. Misoprostol is increasingly being used as a cervical priming agent before suction evacuation although the ideal dosage and route of administration is not yet agreed upon. Objective: The present study aimed to compare the...
Background: Polycystic ovary syndrome (PCOS) is a chain of pathological, biochemical and endocrinal events which usually present with complaints like infertility, features of hyperandrogenemia (HA), amenorrhea and signs of metabolic disturbances like impaired glucose tolerance. Aim: To assess clinical, endocrinal and radiological profile of cases with polycystic ovary syndrome in...
Background: On 31st December 2019, the first case of infection with novel pathogenic corona virus (1-6) was detected in Wuhan city of Hubei province of China. Later, on 11th March 2020, it was recognized by WHO as pandemic. Covid-19 infection is common in children and adults but remains uncommon in neonates. Objectives: To identify the clinical presentations and outcome of...
Background: Abdominal hysterectomy is an important part of gynaecological malignancy surgeries. These patients usually have associated comorbidities. Prolonged operating times and post operative complications leave them vulnerable for increased morbidity, mortality and financial burden. By using sealing device for hysterectomy, we have tried to reduce the operating time, blood...
Background: Stress and depression, occurring together during pregnancy, can have seriously adverse outcomes on the mother, the foetus and her newborn. It can lead to low birth weight, preterm births and foetal growth restriction on the one hand and neuro-psychological effects such as anxiety during pregnancy and puerperium on the other. Objectives: This research was aimed at...
Objective: To improve the rate of breast feeding within first hour of caesarean delivery over a period of 3 months through quality improvement process. Methods: Baseline rate of breast feeding within first hourof caesarean delivery was measured.Fish bone analysis and Process flow mapping was done to elicit the possible reasons for delay in initiating breast feeding. A series of...
Background: Abruptio placenta is as an important cause of antepartum hemorrhage (APH) and accounts for 20 – 25% of all cases of APH. It is defined as premature separation of a normally situated placenta before the delivery of the fetus. Abruptio placenta is a serious obstetric condition that increases maternal and neonatal morbidity and mortality. Objectives: This study was...
Objective: The aim of the study was to assess the hygiene practices and knowledge regarding menstruation among adolescent girls and to determine the menstrual related health problems. Methodology: This was a cross-sectional study on 110 adolescent girls, who had attained menarche, selected from 10 schools in urban areas of Barpeta district. Data was collected by interview method...
Objective: This study is a comparative evaluation of early postpartum breast feeding patterns among women undergoing caesarean section & vaginal delivery. Also to study factors affecting initiation of breast feeding in both the group of women. Methods: This was a prospective comparative observational study for 6 monthswhich included 314 women. Women who fulfilled inclusion...
Background: In India prevalence of anemia in pregnancy is 65-75 %. Dietary iron deficiency is responsible for 90-95% of these cases, which is a preventable condition. In India since 1970 oral IFA, through national programme is used to control anemia in pregnancy. But different studies show superiority of IV iron sucrose over oral IFA in improving Hb level in anemia cases...
Objectives: To evaluate the efficacy of hysteroscopy in relation to histopathological examination in women with infertility in diagnosing intrauterine pathology. Methods: This hospital based cross sectional study was carried out at department of Obstetrics and Gynaecology, JMCH, Jorhat over a period of one year. 60 infertile women with either primary or secondary infertility were...
Background: Twin gestation has always fascinated mankind throughout history; and its management is potential challenging for an obstetrician. Increasing maternal age at childbirth, use of ovulation induction drugs and assisted reproductive technologies has increased significantly the incidence of multiple fetal gestations. In India, the estimated incidence of twin pregnancy is 9...
Background: Adolescent is age between 11-19 years, where there are enormous physical, psychological, sexual, emotional and behavioural changes. They constitute 22 % of population in India. Hence, their unique problems need to be addressed. Objectives: 1) To study gynaecological problems and their clinical profile in adolescent girls. 2) To evaluate treatment modalities of...