Pub Date : 2024-02-15DOI: 10.18231/j.ijogr.2024.003
Ishita Pathak, Monika Pathak, Anant Patil
Anemia is a very common condition in pregnancy. It represents one of the most common risk factors for maternal as well as fetal complications. Its early identification, treatment and prevention is necessary to avoid these complications.The objective of this study was to evaluate prevalence of anemia in pregnant women attending outpatient department.In this single center retrospective clinic-based study carried pregnant women attending for their regular ante-natal checkup were included. Demographic details, hemoglobin level and prior obstetric related history was noted. Prevalence of anemia was estimated based on the hemoglobin level. The severity of anemia was categorized as mild (Hb level 10 g/dL to 10.9 g/dL), moderate (Hb level 7 g/dL to 9.99 g/dL), severe (Hb level <7 g/dL).Corelates of anemia were examined based on the demographic parameters. The study included 199 pregnant females with mean (SD) age was 29.6 (4.1) years. Mean (SD) hemoglobin of the study population was 10.6 (1.4) gm. A total of 174 (87.44%) females were house-makers and 165 (82.9%) were from the urban area. Anemia was observed in 76 (38.2%) pregnant females. Mild, moderate and severe anemia was observed in 32 (42.11%), 43 (56.58%) and 1 (1.3%) female respectively. Out of 76 pregnant females with anemia, 66 (86.8%) were housemakers. No significant difference was observed in the mean age (p=0.34) and body weight (p=0.69) of pregnant females with or without anemia. There was no significant difference in the anemia prevalence in rural versus urban pregnant females (p=0.33).Prevalence of anemia in pregnant women was 38.2%. Moderate anemia was more common than mild and severe anemia. There was no significant difference in the mean age or residence of pregnant females with anemia versus without anemia.
{"title":"Prevalence of anemia in pregnant women attending out-patient clinic: A cross-sectional study","authors":"Ishita Pathak, Monika Pathak, Anant Patil","doi":"10.18231/j.ijogr.2024.003","DOIUrl":"https://doi.org/10.18231/j.ijogr.2024.003","url":null,"abstract":"Anemia is a very common condition in pregnancy. It represents one of the most common risk factors for maternal as well as fetal complications. Its early identification, treatment and prevention is necessary to avoid these complications.The objective of this study was to evaluate prevalence of anemia in pregnant women attending outpatient department.In this single center retrospective clinic-based study carried pregnant women attending for their regular ante-natal checkup were included. Demographic details, hemoglobin level and prior obstetric related history was noted. Prevalence of anemia was estimated based on the hemoglobin level. The severity of anemia was categorized as mild (Hb level 10 g/dL to 10.9 g/dL), moderate (Hb level 7 g/dL to 9.99 g/dL), severe (Hb level <7 g/dL).Corelates of anemia were examined based on the demographic parameters. The study included 199 pregnant females with mean (SD) age was 29.6 (4.1) years. Mean (SD) hemoglobin of the study population was 10.6 (1.4) gm. A total of 174 (87.44%) females were house-makers and 165 (82.9%) were from the urban area. Anemia was observed in 76 (38.2%) pregnant females. Mild, moderate and severe anemia was observed in 32 (42.11%), 43 (56.58%) and 1 (1.3%) female respectively. Out of 76 pregnant females with anemia, 66 (86.8%) were housemakers. No significant difference was observed in the mean age (p=0.34) and body weight (p=0.69) of pregnant females with or without anemia. There was no significant difference in the anemia prevalence in rural versus urban pregnant females (p=0.33).Prevalence of anemia in pregnant women was 38.2%. Moderate anemia was more common than mild and severe anemia. There was no significant difference in the mean age or residence of pregnant females with anemia versus without anemia.","PeriodicalId":13288,"journal":{"name":"Indian Journal of Obstetrics and Gynecology Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139963793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-15DOI: 10.18231/j.ijogr.2024.011
Chegondi V Narayana Rao, S. Chegondi, Murali Krishna Kota
Tubal patency significantly impacts female infertility, with a substantial portion of cases linked to tubal damage. This hinders gamete and embryo transfer. While laparoscopic chromo-pertubation is the gold standard, its invasiveness prompts the search for alternatives. Common methods for assessing tubal health are Hysterosalpingography (HSG) and Hysterosalpingo Contrast Sonography (HyCoSy).The objective of this study is to assess and compare the efficacy of a budget-friendly 2D/3D HyCoSy method using a unique contrast agent with traditional HSG for diagnosing tubal patency in women with infertility issues.A prospective observational study was conducted within a single clinical setting over a five-year duration. A total of 117 infertile women underwent assessment using both the 2D/3D HyCoSy and HSG techniques.Participants had a mean age of 27.7 years (standard deviation: 4.2, range: 19-45 years). The diagnostic accuracy of 2D/3D HyCoSy was determined with a sensitivity of 91.86%, specificity of 89.18%, a positive predictive value of 90.40%, and a negative predictive value of 90.82%. Comparative analysis revealed that when evaluating tubal patency in both tubes collectively with HyCoSy, the sensitivity, specificity, and overall accuracy were 91.86%, 89.18%, and 90.59%, respectively. The study findings demonstrated that employing 2D/3D HyCoSy with lignocaine gel proved to be a superior diagnostic approach compared to HSG for assessing tubal patency in women experiencing infertility.
{"title":"Efficacy of 2D/3D HyCoSy with new contrast medium lignocaine and saline comparing with HSG - A single centre prospective study","authors":"Chegondi V Narayana Rao, S. Chegondi, Murali Krishna Kota","doi":"10.18231/j.ijogr.2024.011","DOIUrl":"https://doi.org/10.18231/j.ijogr.2024.011","url":null,"abstract":"Tubal patency significantly impacts female infertility, with a substantial portion of cases linked to tubal damage. This hinders gamete and embryo transfer. While laparoscopic chromo-pertubation is the gold standard, its invasiveness prompts the search for alternatives. Common methods for assessing tubal health are Hysterosalpingography (HSG) and Hysterosalpingo Contrast Sonography (HyCoSy).The objective of this study is to assess and compare the efficacy of a budget-friendly 2D/3D HyCoSy method using a unique contrast agent with traditional HSG for diagnosing tubal patency in women with infertility issues.A prospective observational study was conducted within a single clinical setting over a five-year duration. A total of 117 infertile women underwent assessment using both the 2D/3D HyCoSy and HSG techniques.Participants had a mean age of 27.7 years (standard deviation: 4.2, range: 19-45 years). The diagnostic accuracy of 2D/3D HyCoSy was determined with a sensitivity of 91.86%, specificity of 89.18%, a positive predictive value of 90.40%, and a negative predictive value of 90.82%. Comparative analysis revealed that when evaluating tubal patency in both tubes collectively with HyCoSy, the sensitivity, specificity, and overall accuracy were 91.86%, 89.18%, and 90.59%, respectively. The study findings demonstrated that employing 2D/3D HyCoSy with lignocaine gel proved to be a superior diagnostic approach compared to HSG for assessing tubal patency in women experiencing infertility.","PeriodicalId":13288,"journal":{"name":"Indian Journal of Obstetrics and Gynecology Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139962175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-15DOI: 10.18231/j.ijogr.2024.005
Mridula Patil, Vrinda Patil
: Congenital uterine anomalies are due to mal-development of the mullerian ducts. They can lead to adverse reproductive outcomes like recurrent miscarriage, preterm birth, foetal malpresentation and subfertility. Prevalence of congenital uterine anomalies is 5-7%. To find the frequency and types of congenital uterine anomalies during caesarean section. This is a prospective cohort study done at SDM College of Medical Sciences and Hospital, Dharwad, India from August 2020 to July 2021. 2932 women undergoing caesarean section participated in the study. The uterus was examined thoroughly. The type of uterine anomaly was noted. : There were 22 cases of congenital uterine anomalies (CUAs) during caesarean section. Prevalence of CUA was 0.75%. There was increased incidence of miscarriage(27%), pre-eclampsia (31.8%), foetal malpresentation (31.8%), foetal growth restriction (9%) and preterm caesarean section (40.9%) among women with a uterine anomaly. Commonest type of CUA was unicornuate uterus (31.8%), followed by septate (27.2%), arcuate (22.7%) and bicornuate uterus (18.1%). Poorest outcomes were seen with septate and unicornuate uteri.: Caesarean section provides an opportunity to diagnose congenital uterine anomalies. This information can be used to plan their future reproductive life. Exploring the uterus to look for uterine anomalies after delivery of the fetus and placenta has to be done and documented.
{"title":"Frequency and types of congenital uterine anomalies during caesarean section: A prospective cohort study","authors":"Mridula Patil, Vrinda Patil","doi":"10.18231/j.ijogr.2024.005","DOIUrl":"https://doi.org/10.18231/j.ijogr.2024.005","url":null,"abstract":": Congenital uterine anomalies are due to mal-development of the mullerian ducts. They can lead to adverse reproductive outcomes like recurrent miscarriage, preterm birth, foetal malpresentation and subfertility. Prevalence of congenital uterine anomalies is 5-7%. To find the frequency and types of congenital uterine anomalies during caesarean section. This is a prospective cohort study done at SDM College of Medical Sciences and Hospital, Dharwad, India from August 2020 to July 2021. 2932 women undergoing caesarean section participated in the study. The uterus was examined thoroughly. The type of uterine anomaly was noted. : There were 22 cases of congenital uterine anomalies (CUAs) during caesarean section. Prevalence of CUA was 0.75%. There was increased incidence of miscarriage(27%), pre-eclampsia (31.8%), foetal malpresentation (31.8%), foetal growth restriction (9%) and preterm caesarean section (40.9%) among women with a uterine anomaly. Commonest type of CUA was unicornuate uterus (31.8%), followed by septate (27.2%), arcuate (22.7%) and bicornuate uterus (18.1%). Poorest outcomes were seen with septate and unicornuate uteri.: Caesarean section provides an opportunity to diagnose congenital uterine anomalies. This information can be used to plan their future reproductive life. Exploring the uterus to look for uterine anomalies after delivery of the fetus and placenta has to be done and documented.","PeriodicalId":13288,"journal":{"name":"Indian Journal of Obstetrics and Gynecology Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139963396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-15DOI: 10.18231/j.ijogr.2024.024
Sumedha Gupta, Shalu Solanki, S. Shamsunder, Sana Ahuja, Vinayak Varma
Of all ovarian neoplasms, mature cystic teratomas make up between 10–20%. Malignant transformation accounts for just 0.1-2 percent of cases of adult teratoma. Malignant melanoma is one of the rarest metamorphoses. Here, we describe a postmenopausal woman who complained of abdominal pain. Upon examination, it was discovered that she had an abdominally metastasized mature dermoid cyst that had ruptured. Following an exploratory laparotomy and staging procedures, she had a total abdominal hysterectomy and bilateral salpingo-oophorectomy with removal of melanotic deposits from the pouch of doughlas, bladder peritoneum, mesentric, and omentum, as well as the small and large bowel serosa. Only roughly 45 cases of malignant melanoma originating in mature cystic teratomas in the ovary have been documented since 1901.
{"title":"Malignant melanoma arising in mature teratoma with pugnacious spread: A case report","authors":"Sumedha Gupta, Shalu Solanki, S. Shamsunder, Sana Ahuja, Vinayak Varma","doi":"10.18231/j.ijogr.2024.024","DOIUrl":"https://doi.org/10.18231/j.ijogr.2024.024","url":null,"abstract":"Of all ovarian neoplasms, mature cystic teratomas make up between 10–20%. Malignant transformation accounts for just 0.1-2 percent of cases of adult teratoma. Malignant melanoma is one of the rarest metamorphoses. Here, we describe a postmenopausal woman who complained of abdominal pain. Upon examination, it was discovered that she had an abdominally metastasized mature dermoid cyst that had ruptured. Following an exploratory laparotomy and staging procedures, she had a total abdominal hysterectomy and bilateral salpingo-oophorectomy with removal of melanotic deposits from the pouch of doughlas, bladder peritoneum, mesentric, and omentum, as well as the small and large bowel serosa. Only roughly 45 cases of malignant melanoma originating in mature cystic teratomas in the ovary have been documented since 1901.","PeriodicalId":13288,"journal":{"name":"Indian Journal of Obstetrics and Gynecology Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139963291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-15DOI: 10.18231/j.ijogr.2024.009
Kaavya Mylsamy, M. S. Supriya, Sindhujha Sekar, Nithin Palanisami PS
Massage of the cervical region entails applying light pressure to the cervix to trigger the uterine contractions. Membrane sweeping, often called cervical sweeping or membrane stripping, releases hormones that may start labor by removing the amniotic sac from the uterine wall. Although membrane sweeping is helpful in several clinical trials, no studies have examined how effective cervical massage is when combined with membrane sweeping.This research compared the effectiveness of membrane sweeping and cervical massage as cervical ripening techniques in post-dated pregnancies before labor induction in specialized clinics. A total of 150 low-risk singleton pregnancies with a Modified Bishop Score (MBS) of fewer than five at 38 weeks of gestation were included. The experimental group received membrane sweeping with cervical massage, and the control group, which just received membrane sweeping, was randomly allocated to the participants. 48 hours after the intervention, changes in the MBS were used to gauge cervical favorability. Neonatal morbidity, membrane rupture, intrapartum and postpartum infections, and other complications were assessed.The mean ages and MBS of the primigravidae in the two research groups at induction were similar. After the intervention, the trial group's mean MBS was significantly higher than the control groups. Because of this, primigravidae observed a substantial change in the MBS after the operation. The experimental group's adverse effects and neonatal morbidity were comparable, except cardiotocographic abnormalities were observed more often in the control group.In some cases, when membrane sweeping cannot be conducted because of a closed cervical os, cervical massage combined with membrane sweeping appears successful and secure. A significant choice for obstetric care, this technique may aid cervical softening in post-dated pregnancies.
{"title":"Assessing the effectiveness of membrane sweeping combined with cervical massage for term pre-induction cervical ripening: A single experimental study","authors":"Kaavya Mylsamy, M. S. Supriya, Sindhujha Sekar, Nithin Palanisami PS","doi":"10.18231/j.ijogr.2024.009","DOIUrl":"https://doi.org/10.18231/j.ijogr.2024.009","url":null,"abstract":"Massage of the cervical region entails applying light pressure to the cervix to trigger the uterine contractions. Membrane sweeping, often called cervical sweeping or membrane stripping, releases hormones that may start labor by removing the amniotic sac from the uterine wall. Although membrane sweeping is helpful in several clinical trials, no studies have examined how effective cervical massage is when combined with membrane sweeping.This research compared the effectiveness of membrane sweeping and cervical massage as cervical ripening techniques in post-dated pregnancies before labor induction in specialized clinics. A total of 150 low-risk singleton pregnancies with a Modified Bishop Score (MBS) of fewer than five at 38 weeks of gestation were included. The experimental group received membrane sweeping with cervical massage, and the control group, which just received membrane sweeping, was randomly allocated to the participants. 48 hours after the intervention, changes in the MBS were used to gauge cervical favorability. Neonatal morbidity, membrane rupture, intrapartum and postpartum infections, and other complications were assessed.The mean ages and MBS of the primigravidae in the two research groups at induction were similar. After the intervention, the trial group's mean MBS was significantly higher than the control groups. Because of this, primigravidae observed a substantial change in the MBS after the operation. The experimental group's adverse effects and neonatal morbidity were comparable, except cardiotocographic abnormalities were observed more often in the control group.In some cases, when membrane sweeping cannot be conducted because of a closed cervical os, cervical massage combined with membrane sweeping appears successful and secure. A significant choice for obstetric care, this technique may aid cervical softening in post-dated pregnancies.","PeriodicalId":13288,"journal":{"name":"Indian Journal of Obstetrics and Gynecology Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139962166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-15DOI: 10.18231/j.ijogr.2024.025
Jayshree Kulkarni, Manasvi Milind Kulkarni, S. Burute, Rajkumar Salunke
Mucinous cystadenomas are some of the commonly encountered ovarian tumors, having huge size which causes pain, pressure, distension, genito urinary symptoms etc. Eventually, these tumors are prone to life threatening complications, like hemorrhage or torsion. These cases may remain asymptomatic for a long period of time. For further diagnosis of symptomatic patients clinical examinations and radiological investigations can be used and help the surgeon in deciding management. We hereby report a case involving a very large mucinous cystadenoma, measuring 25 × 24 centimeter with torsion. The data presented here contains details post admission of this patient in casualty to discharge of the patient, such as (a) clinical history (b) physical examination, (c) laboratory reports, (d) radiological investigations, (e) surgical evaluation, (f) histo pathology reports. These Mucinous cystadenomas constitute a comparatively smaller percentage of cases that can present with pain in abdomen due to an ovarian cause. Here, a huge mucinous ovarian cystadenoma had been found pressing on the abdominal contents leading to a variety of symptoms. The aim is to establish the value of detailed diagnosis and timely surgical treatment of these ovarian tumors as well as to signify the potential fatal outcomes.
{"title":"Massive ovarian mucinous cystadenoma with torsion: A surgical wonder","authors":"Jayshree Kulkarni, Manasvi Milind Kulkarni, S. Burute, Rajkumar Salunke","doi":"10.18231/j.ijogr.2024.025","DOIUrl":"https://doi.org/10.18231/j.ijogr.2024.025","url":null,"abstract":"Mucinous cystadenomas are some of the commonly encountered ovarian tumors, having huge size which causes pain, pressure, distension, genito urinary symptoms etc. Eventually, these tumors are prone to life threatening complications, like hemorrhage or torsion. These cases may remain asymptomatic for a long period of time. For further diagnosis of symptomatic patients clinical examinations and radiological investigations can be used and help the surgeon in deciding management. We hereby report a case involving a very large mucinous cystadenoma, measuring 25 × 24 centimeter with torsion. The data presented here contains details post admission of this patient in casualty to discharge of the patient, such as (a) clinical history (b) physical examination, (c) laboratory reports, (d) radiological investigations, (e) surgical evaluation, (f) histo pathology reports. These Mucinous cystadenomas constitute a comparatively smaller percentage of cases that can present with pain in abdomen due to an ovarian cause. Here, a huge mucinous ovarian cystadenoma had been found pressing on the abdominal contents leading to a variety of symptoms. The aim is to establish the value of detailed diagnosis and timely surgical treatment of these ovarian tumors as well as to signify the potential fatal outcomes.","PeriodicalId":13288,"journal":{"name":"Indian Journal of Obstetrics and Gynecology Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139962536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-15DOI: 10.18231/j.ijogr.2024.017
Nikhil Tayal, Gopi Ramu, Rajkumar Gupta
Abdominal pain is a very common complaint during pregnancy, which can be because of a number of causes including surgical, non-surgical and pregnancy related factors. A rare cause of abdominal pain is adrenal haemorrhage, which can be traumatic as well as spontaneous. The exact incidence of spontaneous adrenal haemorrhage in pregnancy is not known, however various autopsy series have shown it to be 0.3-1.8% in general population. We present a case report of 27 year female with pain abdomen. On further evaluation, she was found to have left adrenal lesion for which she underwent left sided adrenalectomy. Common causes of adrenal haemorrhage include trauma, stress like surgery, sepsis, burns, pregnancy, anticoagulation or coagulopathy. Spontaneous adrenal haemorrhage is a rare diagnosis in pregnancy and a high degree of suspicion is needed for diagnosis. A preoperative diagnosis of adrenal hematoma is difficult to make and is usually made postoperatively.
{"title":"Spontaneous adrenal hematoma in pregnancy: A case report","authors":"Nikhil Tayal, Gopi Ramu, Rajkumar Gupta","doi":"10.18231/j.ijogr.2024.017","DOIUrl":"https://doi.org/10.18231/j.ijogr.2024.017","url":null,"abstract":"Abdominal pain is a very common complaint during pregnancy, which can be because of a number of causes including surgical, non-surgical and pregnancy related factors. A rare cause of abdominal pain is adrenal haemorrhage, which can be traumatic as well as spontaneous. The exact incidence of spontaneous adrenal haemorrhage in pregnancy is not known, however various autopsy series have shown it to be 0.3-1.8% in general population. We present a case report of 27 year female with pain abdomen. On further evaluation, she was found to have left adrenal lesion for which she underwent left sided adrenalectomy. Common causes of adrenal haemorrhage include trauma, stress like surgery, sepsis, burns, pregnancy, anticoagulation or coagulopathy. Spontaneous adrenal haemorrhage is a rare diagnosis in pregnancy and a high degree of suspicion is needed for diagnosis. A preoperative diagnosis of adrenal hematoma is difficult to make and is usually made postoperatively.","PeriodicalId":13288,"journal":{"name":"Indian Journal of Obstetrics and Gynecology Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139962543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-15DOI: 10.18231/j.ijogr.2024.001
Yutheeka Chiwhane, A. Chiwhane
The management of obstetric emergencies is a challenge and in most hospital setting the management in intensive care is ill-defined. A multidisciplinary approach to the management of obstetric emergency helps to give favorable outcome. In low resource setting, maternal care can be challenging as it faces lack of infrastructure facilities, specialist trained in intensive care, availability of drugs and equipment. Though early intervention is the need of hour there are delays in seeking healthcare due to lack of awareness, financial constraints, culture and beliefs. This article describes the approach to management of PPH in intensive care, defining clear transition from labor care to intensive care should occur.
{"title":"Role of intensive care in management of post-partum hemorrhage (PPH)","authors":"Yutheeka Chiwhane, A. Chiwhane","doi":"10.18231/j.ijogr.2024.001","DOIUrl":"https://doi.org/10.18231/j.ijogr.2024.001","url":null,"abstract":"The management of obstetric emergencies is a challenge and in most hospital setting the management in intensive care is ill-defined. A multidisciplinary approach to the management of obstetric emergency helps to give favorable outcome. In low resource setting, maternal care can be challenging as it faces lack of infrastructure facilities, specialist trained in intensive care, availability of drugs and equipment. Though early intervention is the need of hour there are delays in seeking healthcare due to lack of awareness, financial constraints, culture and beliefs. This article describes the approach to management of PPH in intensive care, defining clear transition from labor care to intensive care should occur.","PeriodicalId":13288,"journal":{"name":"Indian Journal of Obstetrics and Gynecology Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139963683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-15DOI: 10.18231/j.ijogr.2024.027
Josephine S Christy, A. Parab, Vaibhav Khanna
: To report a case series on corneal trauma induced by forceps assisted vaginal delivery.: Case records of six patients who had clinical features suggestive of corneal trauma induced by forceps delivery were retrospectively reviewed and analysed. Vertical to oblique corneal Descemet’s membrane (DM) tears were noted in all 6 patients which included 2 males and 4 females. Right eye was involved in all patients and one patient had bilateral involvement. The age of presentation ranged from 5 to 39 years. Three patients had visual acuity better than 6/18 and three had worse than 6/18 in their affected eyes. All patients had corneal astigmatism in the range of 1.75 to 8 diopters. : A complicated vaginal delivery should be anticipated at the earliest by the obstetrician and an apt decision on the mode of delivery has to be attempted in order to prevent avoidable ocular trauma, especially in forceps assisted vaginal deliveries. All neonates who are born by forceps assisted vaginal delivery require mandatory referral to an ophthalmologist to rule out any ocular trauma. Early intervention can prevent irreversible vision loss due to amblyopia.
{"title":"Descemet’s membrane tears following forceps delivery","authors":"Josephine S Christy, A. Parab, Vaibhav Khanna","doi":"10.18231/j.ijogr.2024.027","DOIUrl":"https://doi.org/10.18231/j.ijogr.2024.027","url":null,"abstract":": To report a case series on corneal trauma induced by forceps assisted vaginal delivery.: Case records of six patients who had clinical features suggestive of corneal trauma induced by forceps delivery were retrospectively reviewed and analysed. Vertical to oblique corneal Descemet’s membrane (DM) tears were noted in all 6 patients which included 2 males and 4 females. Right eye was involved in all patients and one patient had bilateral involvement. The age of presentation ranged from 5 to 39 years. Three patients had visual acuity better than 6/18 and three had worse than 6/18 in their affected eyes. All patients had corneal astigmatism in the range of 1.75 to 8 diopters. : A complicated vaginal delivery should be anticipated at the earliest by the obstetrician and an apt decision on the mode of delivery has to be attempted in order to prevent avoidable ocular trauma, especially in forceps assisted vaginal deliveries. All neonates who are born by forceps assisted vaginal delivery require mandatory referral to an ophthalmologist to rule out any ocular trauma. Early intervention can prevent irreversible vision loss due to amblyopia.","PeriodicalId":13288,"journal":{"name":"Indian Journal of Obstetrics and Gynecology Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139963723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-15DOI: 10.18231/j.ijogr.2023.098
Yogeshkumar S. Chaudhary, Sachin Shridhar Patil, Varun Ashok Thakur
: Recent advances in molecular genetic techniques have found evidence of the role of genetic factors in the development of CHD. Approximately 30% of CHD is thought to be related to genetic syndromes accompanied by extra-cardiac anomalies. We describe the cases of cardiac anomalies detected on prenatal ultrasound, which helped us in suspecting the genetic abnormality in fetus which were later confirmed by definitive testing.: Prospective evaluation and follow up of 10 cases done which showed cardiac and extracardiac findings suspicious of chromosomal disorder. : Definitive testing showed genetic abnormality in (N = 10) cases. We could detect Trisomy 21 in (N = 3), Trisomy 18 in (N=2), Trisomy 13 in (N=2), Triploidy in (N=1) and Monosomy X (Turners) in (N=2) cases in our series. Detection of abnormal cardiac findings can definitely improve the detection rate of genetic disorders and positive yield of genetic testing.
{"title":"Genetic abnormalities in sonographically detected heart diseases in antenatal period: A case series","authors":"Yogeshkumar S. Chaudhary, Sachin Shridhar Patil, Varun Ashok Thakur","doi":"10.18231/j.ijogr.2023.098","DOIUrl":"https://doi.org/10.18231/j.ijogr.2023.098","url":null,"abstract":": Recent advances in molecular genetic techniques have found evidence of the role of genetic factors in the development of CHD. Approximately 30% of CHD is thought to be related to genetic syndromes accompanied by extra-cardiac anomalies. We describe the cases of cardiac anomalies detected on prenatal ultrasound, which helped us in suspecting the genetic abnormality in fetus which were later confirmed by definitive testing.: Prospective evaluation and follow up of 10 cases done which showed cardiac and extracardiac findings suspicious of chromosomal disorder. : Definitive testing showed genetic abnormality in (N = 10) cases. We could detect Trisomy 21 in (N = 3), Trisomy 18 in (N=2), Trisomy 13 in (N=2), Triploidy in (N=1) and Monosomy X (Turners) in (N=2) cases in our series. Detection of abnormal cardiac findings can definitely improve the detection rate of genetic disorders and positive yield of genetic testing.","PeriodicalId":13288,"journal":{"name":"Indian Journal of Obstetrics and Gynecology Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139272354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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