Objective: To determine the clinical course of critically ill, SARS-CoV-2 positive pregnant women and to critically analyze the circumstances which led to their mortality. Methods: A retrospective review of case records examined to analyze the clinical condition with which critically ill SARS-CoV-2 positive pregnant patients were admitted, the in-patient management protocol...
Objectives: This retrospective study was conducted to assess and compare the efficacy of oral misoprostol and intravenous oxytocin in the induction of labour after PROM. Materials and method: A total of 106 patients with singleton term pregnancy with PROM were included in the misoprostol and oxytocin groups. Misoprostol and oxytocin were administered in the standard doses. Close...
Background: Meconium aspiration syndrome (MAS) is defined as respiratory distress in an infant born through meconium stained amniotic fluid (MSAF) with characteristic radiological changes and whose symptoms cannot be otherwise explained. It forms one of the common causes of respiratory distress in newborn occurring worldwide and has mortality rate as high as up to 40% in the...
Background: Many of the haemostatic abnormalities occur in hypertensive disorders of pregnancy of which thrombocytopenia being the most common complication which accounts for 20% of patients who have pre-eclampsia. Coagulation failure being one of the most dreaded complications of severe preeclampsia and eclampsia. The Platelet count is one of the simple and costeffective means...
Objectives: To study epidemiological aspects of maternal mortality in our centre. To study causes of maternal death and its impact on health care sector. To calculate the maternal mortality rate in our set up and its comparison with national data. To study measures to reduce maternal mortality. Methodology: A retrospective study of all maternal deaths according to definition of...
Aim: To study the incidence, risk factors, maternal, fetal and neonatal outcomes in placenta previa. Methods: This is a retrospective analysis of placenta previa cases who underwent caesarean section at Govt Lady Goschen Hospital, Mangalore from July 2013 to June 2018. Case sheets of patients were reviewed for clinical data. Results: The total number of placenta previa cases were...
Objectives: 1. Categorisation of disease severity in pregnant covid patients, 2. Evaluation of disease progression and severity in different trimesters of pregnancy and 3. Correlation of severity with laboratory parameters, treatment protocol and pregnancy outcome at our tertiary care centre. Methods: This retrospective observational study was carried out at a tertiary care...
Objectives: 1. To analyse the levels of vitamin D in infertile females, 2. To analyse the levels of Anti-Mullerian Hormone (AMH) in infertile females, 3. To correlate the vitamin D deficiency levels and AMH levels in infertile females. Methods: It was a hospital based cross-sectional study among 100 infertile females of the age group 18-40 years presenting at the Gynae OPD of...
Background: Intrahepatic cholestasis of pregnancy (IHCP) is a hepatic disorder associated specifically with pregnancy. It is found to affect both mother and fetus. It requires detailed clinical and biochemical evaluation for optimal feto-maternal outcome. Objectives: To study the demographic profile, clinical features and obstetric outcome in patients with intrahepatic...
Background: Postpartum haemorrhage (PPH) is one of the well known reasons for maternal morbidity and mortality worldwide. Primary PPH occurs within 24 hours postpartum and secondary PPH between 24 hours and six weeks postpartum. The most common obstetric haemorrhage is primary PPH. Objectives: This study was aimed to estimate the prevalence and outcome of PPH in a tertiary care...
Background: Interpregnancy interval (IPI) or birth to pregnancy interval is defined as time interval between live birth and beginning of following pregnancy. Interpregnancy interval has been shown to be an important prognostic marker for perinatal outcome. According to WHO atleast 24 months of interpregnancy interval is optimal. Objective: This study was planned to correlate...
Objective: This study was undertaken to evaluate incidence, etiological factors and fetomaternal outcome in pregnancy with jaundice in a tertiary care teaching hospital. Methods: Antenatal patients with jaundice admitted to Civil hospital, Ahmedabad between January 2018 to January 2020 were included in the study. Results: Incidence of jaundice in pregnancy was found to be 0.65...
Background & objective: Management of breech presentation at term remains an area of controversy in modern obstetrics. Most cases are delivered by cesarean delivery in present practice in the absence of concrete evidence in its favour. A study was conducted to evaluate the route of delivery, maternal and perinatal outcome in cases of singleton breech presentation beyond 34 weeks...
Background: Antepartum haemorrhage (APH) is an obstetric emergency contributing to significant amount of maternal and perinatal morbidity and mortality. It is mainly caused by placenta previa, abruptio placenta, local causes and indeterminate causes. Objective: The objective of this study is to identify the risk factors associated with APH and to study the maternal and perinatal...
Objectives: In our study, we aim to determine: a) Transmission rate of SARS-COV-2 in neonates of SARS-COV-2 positive pregnant women. b) Transmission rate in different modes of delivery. Materials and methodology: A prospective hospital based study was conducted in Gauhati Medical College and Hospital, Guwahati for a period of six months. A total of 292 COVID -19 positive cases...
Background: Abnormal uterine bleeding (AUB) is a common gynecological presentation in outpatient clinic, but is often complex and difficult to diagnose. Objectives: The present study was undertaken to compare the diagnostic efficacy of trans-vaginal sonography (TVS), color doppler, and hysteroscopy with histopathology of endometrium in perimenopuasal bleeding cases. Method: 105...
Background: When patients with biochemically diagnosed pregnancy, presents with pain and or vaginal bleeding, the differential diagnosis between intrauterine pregnancy, missed abortion and ectopic pregnancy is challenging. There is present lack of clinically useful tests for the accurate diagnosis of ectopic pregnancy, unless an early intrauterine pregnancy (IUP) is visible by...
Background: Effective contraceptive methods are necessary to control the exploding population of India for its socioeconomic development. Postpartum intra uterine contraceptive device (PPIUCD) has a huge potential as an effective contraceptive method. The increased institutional deliveries provide women an easy access to immediate PPIUCD services. Aim: To study acceptability rate...
Objectives: To evaluate the screening potential of portable optical device based on the principle of intrinsic fluorescence spectroscopy to detect the fluorescence of FAD molecules in pre-invasive lesions of cervix and its comparison to conventional screening methods. Methods: A prospective cross-sectional study was conducted on 163 patients, who underwent hysterectomy for...
Objectives: To determine the association of low vitamin D levels and the occurrence of uterine fibroids. Methods: A case control study was conducted on 150 women between 20 to 55 years of age with at least one intrauterine fibroid of 2 cm3 in volume or larger in transvaginal ultrasound (TVS) or transabdominal ultrasound (TAS) who were compared with 150 age matched controls...
Background: Covid 19, the global pandemic has made everyone more worrisome with lot of anxiety and fear in both the waves. Changing trends have been observed during the second wave, when compared to the first wave in manifestations of covid -19. The knowledge regarding the effects of covid 19 in pregnancy to the mother and fetus is still in its infancy. Objectives: This study...
Ruptured corpus luteal cyst with hemoperitoneum in patients on anticoagulants for medical condition is a life threatening situation. Management depends on the presentation and hemodynamic stability of the patient. In this case series 5 cases presented with complaints of acute pain abdomen and distention with hemoperitoneum with deranged coagulation profile between day 16 – day 25...
Vulvar sarcomas are one of the rarer female genital tract malignancies, characterized by nonspecific signs and symptoms often leading to clinical misdiagnosis which increases the morbidity and mortality. It presents in 5th to 6th decade of life. Undifferentiated pleomorphic sarcomas (UPS) previously known as malignant fibrous histiocytoma (MFH) are the rarest of vulval sarcomas...
In the reproductive age group among all ovarian germ cell tumors mature cystic teratoma (MCT) is the most common one. Rarely there is malignant transformation (MT) of MCT with an incidence of 1-3 %. The MT of MCT is mostly in the postmenopausal age group. It is extremely rare in women less than 40 years of age. Here we report a case of 35- year old young female who presented with...
Xanthogranulomatous inflammation is an uncommon chronic inflammation in affected organ in which there replacement number of lipid containing macrophages and admixture of lymphocytes, plasma cells and multinucleated giant cells. We report a case of 30 year old female who presented with lower abdominal pain and tenderness since 5 months. She also had difficulty in passing stool...