Objectives: This study aims to find the correlation between anti mullerian hormone (AMH) and follicle stimulating hormone (FSH) and to observe the above mentioned hormones’ relation with antral follicle count (AFC) in patients with primary infertility. Methodology: This is a cross-sectional correlation study in which 60 patients with primary infertility meeting inclusion criteria...
Background: Postnatal period is the most vulnerable time, because the majority of neonatal and maternal death deaths occur during this period, especially within the first month after birth. In spite of its importance, this period is generally neglected. Objectives: To estimate utilization of postnatal care services and to study the factors associated with utilization of postnatal...
Objectives: To evaluate the effect of menopause on the sexual health of middle-aged and older women and to determine the association of sexual dysfunction with menopausal symptoms. Methods: This prospective observational cross-sectional study included 100 married sexually active menopausal women visiting gynaecology OPD or admitted in gynaecology wards of the department during...
Objectives: Lack of basic facilities at ground level in backward areas of country affect the outcome of obstetric emergencies thereby affecting maternal morbidity and mortality. This study was conducted to compare the outcome of term obstetric emergencies referred to tertiary care centre. Method: This prospective observational study was conducted to study the maternal outcome in...
Objectives: To know the demographic profile, different clinical presentations and different modes of management of ectopic pregnancy at our tertiary care centre. Material and methods: It was a prospective observational study for 2 years. All types of ectopic pregnancies and who were willing to participate in the study were included. According to history, findings and...
Background: Pregnant women who request a caesarean section in the absence of obstetric indication are increasing in number. Objectives: The objective of this study is to analyse the responsible factor for maternal requests for a planned or elective caesarean section in western Rajasthan. Methods: A descriptive cross-sectional qualitative study was conducted with semi-structured...
Objectives: The study aimed to find out factors contributing to oligohydramnios in the third trimester of pregnancy, complications associated and its impact on maternal and foetal outcomes. Method: This was a retrospective study of 90 primigravidas at Parul Sevashram Hospital during the year October 2019 to September 2020 in the third trimester of pregnancy with AFI <8 cm and...
Vesicouterine fistulas are rare gynaecological fistulas. Multiple causative factors are known. A trending cause now a days is the increase in rate of lower segment caesarean section. We present a case of 25 year old primipara who presented with cyclical hematuria, amenorrhea and urinary continence, 7 months after her cesarean section. She was diagnosed with vesicouterine fistula...
The incidence of coronavirus disease (COVID-19) is increasing each day worldwide and its clinico-pharmacological dynamics of it are also changing with time. Pregnant women do also get infected though mostly mild to moderate in nature. To date, there is no specific drug against the severe acute respiratory syndrome coronavirus disease-2 (SARS-CoV-2), more so its drug management in...
Tuberculosis is a major health concern in South-East Asia region. The prevalence of genital tuberculosis has increased over the past decade in few Asian countries. Detailed history and clinical examination is required to suspect this disease in women of reproductive age group. Among all types of genital tuberculosis, tuberculosis of cervix is relatively rare. Such patients...
Torsion of gravid uterus is a rare event and most commonly recognised at caesarean section either prior to incision or after delivery of the fetus. Difficulties are reported regarding its in recognition, predisposing factors and etiology. A 31 years old primigravida with history of primary infertility who conceived by IVF-ET was hospitalised for early onset severe hypertension at...
Fibromas were thought to be benign tumours earlier, however recently described cellular fibromas are considered to be of low malignant potential. The behaviour of these tumours is correlated with mitotic activity and degree of anaplasia. We are reporting a case of mitotically active cellular fibroma with Meigs syndrome for its rarity. A 32 years female patient presented with...
Vaginal vault dehiscence after hysterectomy is an uncommon complication which usually happens after 5 – 7 weeks of surgery, delayed vault dehiscence is rare. Abdominal viscera can prolapse through vault dehiscence; the commonest organ is small bowel loops although other organs like omentum, colon, urinary bladder, appendix and even multi-organ prolapse have been reported in the...
Objectives: This study was conducted to compare non-descent vaginal hysterectomy and abdominal hysterectomy with reference to, duration of operation, postoperative complications and postoperative ambulation. Methods: This is a retrospective cohort study for a period of two years April 2017 to March 2019 among 60 patients with uterine size of 14 weeks gestation who underwent...
Thyroid cancer in pregnancy has led to many debates regarding its proper management starting from investigations for early diagnosis, mode of management and follow up after pregnancy. Incidence of thyroid cancer has been increasing in recent years. Nodules detected during pregnancy require follow up with ultrasound and fine needle aspiration cytology. If malignancy is detected...
Background: Pregnancy induced hypertension (PIH) is one of the most common causes of both maternal and neonatal morbidity. A variety of haematological abnormalities may occur in women with PIH of which thrombocytopenia is the most common. Objectives: This study was done to estimate the incidence of thrombocytopenia in pregnant women diagnosed with PIH and to correlate the...
Objective: The purpose of the study was to see the effect of low molecular weight heparin (LMWH) and low dose aspirin (LDA) in recurrent pregnancy losses (RPL) due to antiphospholipid antibody (APLA) / Pre APLA syndrome and hyperhomocysteinemia. Method: A total number of 138 women presenting in pregnancy with previous two or more consecutive pregnancy losses with APLA / Pre APLA...
Objectives: Aim of the study is to assess the prevalence of abnormal pap smear in pregnant women and its associated risk factors. Methods: This is a prospective observational study, 200 pregnant women were recruited who came for regular antenatal visit. Papanicolaou smear was done as per conventional method and reported using 2014 Bethesda system. Results: 53.6% of pregnant women...
Objectives: To compare course of the disease, changes in levels of inflammatory markers, management and outcome of pregnancy in terms of, hospital stay, ICU admission and specific treatment between symptomatic and asymptomatic COVID 19 positive pregnant patients. Methods: Retrospective comparative study was conducted between April 2020 to September 2020 at Sardar Vallabhbhai...
Aim: This study aimed to evaluate the association of serum melatonin levels in term pre-eclampsia (PE) subjects and compare it with normotensive healthy term pregnant women. Methodology: The study was conducted between November 2018 and April 2020. As per sample size calculation, 50 cases and 50 controls were enrolled in the study, matched for age, race and gestational age...
Background: The cervical cancer is one of the leading cause of cancer death among women in developing and developed countries. Screening for cervical cancer is essential as the women are often asymptomatic and it also reduces both the incidence and mortality of the cancer cervix if detected in early stage. Objectives: We aimed to determine sensitivity and specificity of liquid...
Background: The novel coronavirus pandemic has affected the pregnant women and newborns worldwide. It has become necessary to know the effect of mode of delivery on the mother and newborn in Covid-19 pregnancies as very few literature is found regarding this. Objective: To evaluate the association of mode of delivery with maternal and perinatal outcome in SARS CoV2 pregnancies...
Background: With rise in incidence of hypertensive disorders of pregnancy especially pre -eclampsia, there is a need to study its association with other comorbid conditions like thyroid disorder which may have common pathophysiology. Objective: The following case control study was done to know the association between pregnancy induced hypertension and serum thyroid stimulating...
Objectives: This study aimed to compare WHO modified partogram and paperless partogram in the effective management of labor. Methods: This hospital-based prospective observational study included 200 pregnant women. They were randomized into Group A (n=100) who were monitored with paperless partogram during active labor and Group B (n=100) who were monitored with WHO modified...