Pub Date : 2024-05-04DOI: 10.18203/2320-1770.ijrcog20241282
Nimrata Sethi, Sapna Puri, Narita Jamwal
Background: Dysmenorrhea is defined as painful menstrual cramps of uterine origin which is often accompanied by low backache, nausea and vomiting, headache, or diarrhoea. Primary dysmenorrhea defines cyclic menstrual pain without an identifiable associated pathology. Methods: This cross-sectional study was conducted among patients attending gynaecology OPD of ASCOMS and Hospital. Data was collected using a pretested structured self-administered questionnaire. Aim was to study the association of primary dysmenorrhea with socio-economic status and educational status in patients attending gynaecology OPD in ASCOMS and hospital. Results: A total of 584 patients participated in the study with age between 20-40 years. 409 (70%) of the patents suffered from primary dysmenorrhea. Patients who belonged to upper socioeconomic status were 2.71 times more likely to experience primary dysmenorrhea as compared to those who belonged to lower socioeconomic class (AOR 2.71, 95% CI (1.41, 5.16)) and the result was found to be statistically significant. However, the educational status of the patient was not significantly associated with the prevalence of dysmenorrhea. Conclusions: Participants belonging to the upper socioeconomic status were found to be more severly affected with primary dysmenorrhea than those who belonged to the lower socioeconomic status. Thus, we conclude that primary dysmenorrhea can be considered as a psychosomatic disorder. It needs counselling and stress management education as a first line management rather than any pharmacological treatment.
{"title":"Association of primary dysmenorrhea with socio-economic status and education level in patients attending gynaecology OPD in a tertiary care centre: a questionnaire-based study","authors":"Nimrata Sethi, Sapna Puri, Narita Jamwal","doi":"10.18203/2320-1770.ijrcog20241282","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20241282","url":null,"abstract":"Background: Dysmenorrhea is defined as painful menstrual cramps of uterine origin which is often accompanied by low backache, nausea and vomiting, headache, or diarrhoea. Primary dysmenorrhea defines cyclic menstrual pain without an identifiable associated pathology.\u0000Methods: This cross-sectional study was conducted among patients attending gynaecology OPD of ASCOMS and Hospital. Data was collected using a pretested structured self-administered questionnaire. Aim was to study the association of primary dysmenorrhea with socio-economic status and educational status in patients attending gynaecology OPD in ASCOMS and hospital.\u0000Results: A total of 584 patients participated in the study with age between 20-40 years. 409 (70%) of the patents suffered from primary dysmenorrhea. Patients who belonged to upper socioeconomic status were 2.71 times more likely to experience primary dysmenorrhea as compared to those who belonged to lower socioeconomic class (AOR 2.71, 95% CI (1.41, 5.16)) and the result was found to be statistically significant. However, the educational status of the patient was not significantly associated with the prevalence of dysmenorrhea.\u0000Conclusions: Participants belonging to the upper socioeconomic status were found to be more severly affected with primary dysmenorrhea than those who belonged to the lower socioeconomic status. Thus, we conclude that primary dysmenorrhea can be considered as a psychosomatic disorder. It needs counselling and stress management education as a first line management rather than any pharmacological treatment.\u0000 ","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"90 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141014855","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}
Background: Diagnosing and treating abnormal uterine bleeding (AUB) presents special problems during the perimenopausal era, which often need for a thorough study of contributory variables. Comprehending the relationship between perimenopausal AUB and thyroid function has important therapeutic ramifications that might influence customized treatment plans and enhance patient outcomes. Methods: This prospective research sought to determine the significance of thyroid anomalies in perimenopausal AUB. It was carried out at the Department of Obstetrics and Gynecology, Rajashri Chatrapati Shahu Government Medical College, and Chatrapati Pramila Raje hospital. Data was carefully collected over a 6-month period, from April to September 2018, and placed into excel spreadsheets for statistical analysis. The goal of the research is to clarify the connection between perimenopausal AUB and thyroid dysfunction by using the proper statistical tests. Results: Out of 120 individuals with severe menstrual bleeding, 80 had hypothyroidism. Hyperthyroidism affected 45 hypomenorrhea and irregular menstrual cycle individuals. Thyroid issues are commonly ignored, and patients are given estrogen progesterone tablets without thyroid function testing. Conclusions: By providing insights into its complex etiology and opening the door for more focused therapy approaches in this patient population, this study aims to further our understanding of AUB.
{"title":"Role of thyroid abnormality in perimenopausal abnormal uterine bleeding","authors":"Sonali Abhinav Deshmukh, Jyotsna Deshmukh, Athulya Surendran","doi":"10.18203/2320-1770.ijrcog20240939","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240939","url":null,"abstract":"Background: Diagnosing and treating abnormal uterine bleeding (AUB) presents special problems during the perimenopausal era, which often need for a thorough study of contributory variables. Comprehending the relationship between perimenopausal AUB and thyroid function has important therapeutic ramifications that might influence customized treatment plans and enhance patient outcomes.\u0000Methods: This prospective research sought to determine the significance of thyroid anomalies in perimenopausal AUB. It was carried out at the Department of Obstetrics and Gynecology, Rajashri Chatrapati Shahu Government Medical College, and Chatrapati Pramila Raje hospital. Data was carefully collected over a 6-month period, from April to September 2018, and placed into excel spreadsheets for statistical analysis. The goal of the research is to clarify the connection between perimenopausal AUB and thyroid dysfunction by using the proper statistical tests.\u0000Results: Out of 120 individuals with severe menstrual bleeding, 80 had hypothyroidism. Hyperthyroidism affected 45 hypomenorrhea and irregular menstrual cycle individuals. Thyroid issues are commonly ignored, and patients are given estrogen progesterone tablets without thyroid function testing.\u0000Conclusions: By providing insights into its complex etiology and opening the door for more focused therapy approaches in this patient population, this study aims to further our understanding of AUB.\u0000 ","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"8 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140735122","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 : 2024-03-28DOI: 10.18203/2320-1770.ijrcog20240778
Ramadevi G., Sailaja C. H., Anuragamayi Y., Madhuri C. H., Sujatha Ryali
Background: Managing pregnancy with post-dates is becoming a challenging issue due to increasing fetal morbidity and mortality. The study aimed to analyse the maternal and fetal outcomes of post-term pregnancies among Indian women, considering their earlier fetal maturation. Conducted over 18 months with 100 cases, the prospective observational study focused on pregnant mothers at or beyond 40 weeks gestational age, excluding those with certain medical complications. Methods: After obtaining approval from the ethics committee and informed consent from eligible participants, detailed histories and examinations were conducted, with close monitoring until delivery and postnatal care. Inclusive criteria encompassed singleton pregnancies with cephalic presentation, while exclusions included non-cephalic presentation, congenital anomalies, and various medical complications. Results: Revealed a predominance of primigravida women aged 20 to 35 years at 40 to 40 weeks and 6 days gestation. Spontaneous delivery occurred in 58%, with 90% delivering vaginally, while all multigravida births were vaginal post-induction. Cesarean sections were performed in 14%, primarily due to failed induction followed by fetal distress. Meconium-stained liquor was most prevalent at 42 weeks or later, correlating with higher perinatal mortality and NICU admissions in infants born beyond 42 weeks. Conclusions: Vigilant monitoring proved crucial in averting fetal jeopardy, emphasizing the importance of timely interventions to mitigate complications associated with post-term pregnancies. This study sheds light on the unique considerations and outcomes of post-dated pregnancies in the Indian population, contributing valuable insights for maternal and neonatal care in similar settings.
{"title":"Analysis of maternal and foetal outcome of post-dated pregnancy in a tertiary care centre","authors":"Ramadevi G., Sailaja C. H., Anuragamayi Y., Madhuri C. H., Sujatha Ryali","doi":"10.18203/2320-1770.ijrcog20240778","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240778","url":null,"abstract":"Background: Managing pregnancy with post-dates is becoming a challenging issue due to increasing fetal morbidity and mortality. The study aimed to analyse the maternal and fetal outcomes of post-term pregnancies among Indian women, considering their earlier fetal maturation. Conducted over 18 months with 100 cases, the prospective observational study focused on pregnant mothers at or beyond 40 weeks gestational age, excluding those with certain medical complications.\u0000Methods: After obtaining approval from the ethics committee and informed consent from eligible participants, detailed histories and examinations were conducted, with close monitoring until delivery and postnatal care. Inclusive criteria encompassed singleton pregnancies with cephalic presentation, while exclusions included non-cephalic presentation, congenital anomalies, and various medical complications.\u0000Results: Revealed a predominance of primigravida women aged 20 to 35 years at 40 to 40 weeks and 6 days gestation. Spontaneous delivery occurred in 58%, with 90% delivering vaginally, while all multigravida births were vaginal post-induction. Cesarean sections were performed in 14%, primarily due to failed induction followed by fetal distress. Meconium-stained liquor was most prevalent at 42 weeks or later, correlating with higher perinatal mortality and NICU admissions in infants born beyond 42 weeks.\u0000Conclusions: Vigilant monitoring proved crucial in averting fetal jeopardy, emphasizing the importance of timely interventions to mitigate complications associated with post-term pregnancies. This study sheds light on the unique considerations and outcomes of post-dated pregnancies in the Indian population, contributing valuable insights for maternal and neonatal care in similar settings. ","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"113 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140370529","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 : 2024-03-28DOI: 10.18203/2320-1770.ijrcog20240770
Luna Farhana Hoque, Aklima Zakaria Zinan, Suraiya Apsara
Background: Pregnant individuals with polycystic ovarian syndrome (PCOS) seem to face a heightened susceptibility to unfavorable outcomes. This investigation aimed to evaluate the consequences of pregnancies in patients diagnosed with PCOS. Methods: This cross-sectional study involving 115 pregnant patients with PCOS was carried out at the department of obstetrics and gynecology, Dhaka medical college and hospital, Dhaka, Bangladesh, tertiary care facility, from January 2023 to December 2023. Data on the ongoing pregnancy, PCOS, and outcomes were analyzed by SPSS version 20. Results: Average age of participants was 25.07 years. Incidence of premature rupture of membranes (PROM) was 33.91%, low APGAR score at 5 minutes was 12.17%, gestational diabetes (GDM) occurred in 23.47% of cases, miscarriage was reported in 2.1%, preterm delivery in 13.91%, cesarean delivery in 37.39%, low birth weight babies accounted for 2.6%, macrosomia occurred in 0.7%, preterm PROM (PPROM) in 19.52%, perinatal mortality 1.73%. Conclusions: In pregnancy with PCOS, the percentage of GDM, preterm delivery, meconium-stained liquor, small for gestational age (SGA)/intrauterine growth restriction (IUGR), macrosomia, PPROM, perinatal mortality, neonatal intensive care unit (NICU) admission, and congenital anomalies were either comparable or lower. However, a higher percentage of hypertension in pregnancy, PROM, low birth weight babies, and low APGAR score at five minutes was observed in this population.
{"title":"Maternal and perinatal outcomes in women with polycystic ovarian syndrome","authors":"Luna Farhana Hoque, Aklima Zakaria Zinan, Suraiya Apsara","doi":"10.18203/2320-1770.ijrcog20240770","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240770","url":null,"abstract":"Background: Pregnant individuals with polycystic ovarian syndrome (PCOS) seem to face a heightened susceptibility to unfavorable outcomes. This investigation aimed to evaluate the consequences of pregnancies in patients diagnosed with PCOS.\u0000Methods: This cross-sectional study involving 115 pregnant patients with PCOS was carried out at the department of obstetrics and gynecology, Dhaka medical college and hospital, Dhaka, Bangladesh, tertiary care facility, from January 2023 to December 2023. Data on the ongoing pregnancy, PCOS, and outcomes were analyzed by SPSS version 20.\u0000Results: Average age of participants was 25.07 years. Incidence of premature rupture of membranes (PROM) was 33.91%, low APGAR score at 5 minutes was 12.17%, gestational diabetes (GDM) occurred in 23.47% of cases, miscarriage was reported in 2.1%, preterm delivery in 13.91%, cesarean delivery in 37.39%, low birth weight babies accounted for 2.6%, macrosomia occurred in 0.7%, preterm PROM (PPROM) in 19.52%, perinatal mortality 1.73%.\u0000Conclusions: In pregnancy with PCOS, the percentage of GDM, preterm delivery, meconium-stained liquor, small for gestational age (SGA)/intrauterine growth restriction (IUGR), macrosomia, PPROM, perinatal mortality, neonatal intensive care unit (NICU) admission, and congenital anomalies were either comparable or lower. However, a higher percentage of hypertension in pregnancy, PROM, low birth weight babies, and low APGAR score at five minutes was observed in this population.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"101 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140370608","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 : 2024-03-28DOI: 10.18203/2320-1770.ijrcog20240819
A. Prasad, Amrish Kumar
Thirty-seven years old P3A1L3 patient presented to our outpatient department with pain abdomen for 20 days. Thirty-five days back she had taken MTP kit and then after one week, D&C was done at a primary care centre, presuming incomplete abortion. After this, she developed abdominal distension and couldn’t pass motions. Then she went to some other health care centre and few investigations were done, there. USG showed bulky, excessively enlarged uterus with echogenic material in endometrium, Molar pregnancy, Endometrial mass, Left sided grade 2 hydronephrosis. After exploratory laparotomy, left sided salpingectomy was done. Histopathology report was consistent with ectopic pregnancy.
{"title":"An unusual case of chronic ectopic pregnancy","authors":"A. Prasad, Amrish Kumar","doi":"10.18203/2320-1770.ijrcog20240819","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240819","url":null,"abstract":"Thirty-seven years old P3A1L3 patient presented to our outpatient department with pain abdomen for 20 days. Thirty-five days back she had taken MTP kit and then after one week, D&C was done at a primary care centre, presuming incomplete abortion. After this, she developed abdominal distension and couldn’t pass motions. Then she went to some other health care centre and few investigations were done, there. USG showed bulky, excessively enlarged uterus with echogenic material in endometrium, Molar pregnancy, Endometrial mass, Left sided grade 2 hydronephrosis. After exploratory laparotomy, left sided salpingectomy was done. Histopathology report was consistent with ectopic pregnancy.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"114 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140370735","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 : 2024-03-28DOI: 10.18203/2320-1770.ijrcog20240815
Smita Singh, Rakesh Kumar, Divya Jyoti
Leiomyoma is a most frequently occurring benign mesenchymal tumor of monoclonal origin arising from the smooth muscle cells of the uterus. There are different subtypes of leiomyoma based on their morphological features. Lipoleiomyoma is a rare distinct variant of leiomyoma with a heterogenous cut surface comprising soft yellow areas of fatty tissue intermixed with firm rubbery areas of smooth muscle tissue. We report a case of a 35-year-old multipara premenopausal woman who presented with abdominal distension and chronic pelvic pain. Clinical examination gave an initial impression of a teratoma. Multiple large heterogenic cervical masses of varying sizes were noted on ultrasonography. Histopathological examination of the surgical resection specimen revealed multiple mature lipoleiomyomas. This case report is unique due to its occurrence in premenopausal women and its location in the cervix.
{"title":"Multiple lipoleiomyoma of the uterine cervix in premenopausal woman: a case report","authors":"Smita Singh, Rakesh Kumar, Divya Jyoti","doi":"10.18203/2320-1770.ijrcog20240815","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240815","url":null,"abstract":"Leiomyoma is a most frequently occurring benign mesenchymal tumor of monoclonal origin arising from the smooth muscle cells of the uterus. There are different subtypes of leiomyoma based on their morphological features. Lipoleiomyoma is a rare distinct variant of leiomyoma with a heterogenous cut surface comprising soft yellow areas of fatty tissue intermixed with firm rubbery areas of smooth muscle tissue. We report a case of a 35-year-old multipara premenopausal woman who presented with abdominal distension and chronic pelvic pain. Clinical examination gave an initial impression of a teratoma. Multiple large heterogenic cervical masses of varying sizes were noted on ultrasonography. Histopathological examination of the surgical resection specimen revealed multiple mature lipoleiomyomas. This case report is unique due to its occurrence in premenopausal women and its location in the cervix.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"89 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140370878","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 : 2024-03-28DOI: 10.18203/2320-1770.ijrcog20240798
G. Lata, Liza Gupta, M. Walia
Background: Family planning is adopted voluntarily according to the knowledge, awareness and attitude of the individuals and couples. This study aims to assess the level of awareness, knowledge, practice patterns and attitude about family planning methods in a particular area. Methods: A cross sectional descriptive study was done for 1000 married women and data was obtained by means of a questionnaire. Results: Most common encountered age group was 21-34 years (69%) in our study. Most of the women were residing in rural areas (81%) as compared to 19% in urban areas. In our study, total of 630 women (63%) were aware of family planning methods. Most of them were aware of condoms (56%), OCPs (50%), IUD (43%) and sterilization (43%). They had least information about natural methods (37%) and injectables (12%). Source of knowledge was TV and internet in 30%, friends, family and husband in 40 % and health centre and health professionals in 30% females. Majority were using condom (68%). Others were using OCPs (16%), IUD (5%) and sterilisation (2%). After counselling 55% of women agreed to use contraception and 31% were not sure whether they would use or not. Conclusions: Awareness and usage of contraceptives was low in the present study. So, there is need to educate and motivate the couples for using family planning methods.
{"title":"Knowledge, awareness, practice patterns and attitude towards family planning methods in a tertiary centre of North India","authors":"G. Lata, Liza Gupta, M. Walia","doi":"10.18203/2320-1770.ijrcog20240798","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240798","url":null,"abstract":"Background: Family planning is adopted voluntarily according to the knowledge, awareness and attitude of the individuals and couples. This study aims to assess the level of awareness, knowledge, practice patterns and attitude about family planning methods in a particular area.\u0000Methods: A cross sectional descriptive study was done for 1000 married women and data was obtained by means of a questionnaire.\u0000Results: Most common encountered age group was 21-34 years (69%) in our study. Most of the women were residing in rural areas (81%) as compared to 19% in urban areas. In our study, total of 630 women (63%) were aware of family planning methods. Most of them were aware of condoms (56%), OCPs (50%), IUD (43%) and sterilization (43%). They had least information about natural methods (37%) and injectables (12%). Source of knowledge was TV and internet in 30%, friends, family and husband in 40 % and health centre and health professionals in 30% females. Majority were using condom (68%). Others were using OCPs (16%), IUD (5%) and sterilisation (2%). After counselling 55% of women agreed to use contraception and 31% were not sure whether they would use or not.\u0000Conclusions: Awareness and usage of contraceptives was low in the present study. So, there is need to educate and motivate the couples for using family planning methods.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"26 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140372729","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}
The uterus is formed during embryogenesis by the fusion of the two paramesonephric ducts (mullerian ducts). The two mullerian ducts normally fuse to form the single uterine body. A didelphis uterus will have a double cervix and a double vagina. This case report describes the successful removal of retained products of conception following a spontaneous miscarriage in the setting of a bicornuate bicollis anomaly with a non-viable pregnancy using operative hysteroscopy. The successful removal of the retained products of conception is an essential step in the management of a spontaneous miscarriage. Gynaecologists should be aware of the potential complications associated with this condition and refer patients with a diagnosis of uterine didelphys to an expert in gynaecology for further evaluation and management.
{"title":"Operative hysteroscopy assisted evacuation of a non-viable pregnancy in the setting of a congenital uterine anomaly - bicornuate bicollis","authors":"Sonam Simpatwar, Beena Kumari, Avani Bhardwaj, Munazza Afreen","doi":"10.18203/2320-1770.ijrcog20240813","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240813","url":null,"abstract":"The uterus is formed during embryogenesis by the fusion of the two paramesonephric ducts (mullerian ducts). The two mullerian ducts normally fuse to form the single uterine body. A didelphis uterus will have a double cervix and a double vagina. This case report describes the successful removal of retained products of conception following a spontaneous miscarriage in the setting of a bicornuate bicollis anomaly with a non-viable pregnancy using operative hysteroscopy. The successful removal of the retained products of conception is an essential step in the management of a spontaneous miscarriage. Gynaecologists should be aware of the potential complications associated with this condition and refer patients with a diagnosis of uterine didelphys to an expert in gynaecology for further evaluation and management.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"142 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140369066","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}
Background: Preeclampsia, a pregnancy-related condition with heightened blood pressure and organ damage after 20 weeks, prompts concern. Serum ferritin, an iron-storing protein, gauged by blood tests, mirrors iron levels. Investigating link before conception between serum ferritin and preeclampsia could impact how we identify, manage, and treat this condition during pregnancy. Study aimed to assess the association of serum ferritin with preeclampsia and its severity. Methods: This case-control study was conducted in Bangabandhu Sheikh Mujib medical university hospital and Dhaka medical college hospital, Dhaka, Bangladesh from July 2011 to June 2012. A total of 100 pregnant women, comprising 50 cases (Preeclamptic) and 50 controls (Normal pregnant women), were purposively included as study subjects. Data analysis was performed using SPSS version 23.0. Results: In the case group, 64% were with mild and 36% with severe preeclampsia. Mean serum ferritin was significantly higher in cases than in controls (p<0.001); 76% of cases had elevated serum ferritin, compared to 44% in controls (p=0.001). Severe preeclampsia group had a mean serum ferritin of 192.8, mild preeclampsia group had 86.1, and normal pregnant women had 21.7 ng/ml, indicating higher serum ferritin with preeclampsia severity (p<0.001). Conclusions: Preeclamptic cases exhibit significantly elevated serum ferritin levels, with a fourfold increased likelihood compared to normal pregnancies. Furthermore, the severity of preeclampsia is associated with higher serum ferritin concentrations in comparison to uncomplicated pregnancies.
{"title":"The association of serum ferritin with preeclampsia and its severity","authors":"Nasima Akhter, M. Azharur Rahman, Ashik Mahmud, Saima Rahman, Rabab Sultana","doi":"10.18203/2320-1770.ijrcog20240777","DOIUrl":"https://doi.org/10.18203/2320-1770.ijrcog20240777","url":null,"abstract":"Background: Preeclampsia, a pregnancy-related condition with heightened blood pressure and organ damage after 20 weeks, prompts concern. Serum ferritin, an iron-storing protein, gauged by blood tests, mirrors iron levels. Investigating link before conception between serum ferritin and preeclampsia could impact how we identify, manage, and treat this condition during pregnancy. Study aimed to assess the association of serum ferritin with preeclampsia and its severity.\u0000Methods: This case-control study was conducted in Bangabandhu Sheikh Mujib medical university hospital and Dhaka medical college hospital, Dhaka, Bangladesh from July 2011 to June 2012. A total of 100 pregnant women, comprising 50 cases (Preeclamptic) and 50 controls (Normal pregnant women), were purposively included as study subjects. Data analysis was performed using SPSS version 23.0.\u0000Results: In the case group, 64% were with mild and 36% with severe preeclampsia. Mean serum ferritin was significantly higher in cases than in controls (p<0.001); 76% of cases had elevated serum ferritin, compared to 44% in controls (p=0.001). Severe preeclampsia group had a mean serum ferritin of 192.8, mild preeclampsia group had 86.1, and normal pregnant women had 21.7 ng/ml, indicating higher serum ferritin with preeclampsia severity (p<0.001).\u0000Conclusions: Preeclamptic cases exhibit significantly elevated serum ferritin levels, with a fourfold increased likelihood compared to normal pregnancies. Furthermore, the severity of preeclampsia is associated with higher serum ferritin concentrations in comparison to uncomplicated pregnancies.","PeriodicalId":14225,"journal":{"name":"International journal of reproduction, contraception, obstetrics and gynecology","volume":"142 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140369209","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 : 2024-03-28DOI: 10.18203/2320-1770.ijrcog20240790
Syed Basit, Nowsheen Khan, Annum Bano
Background: Epidural analgesia produces analgesia in labour without affecting nervous system, allows the mother to be well oriented, fully conscious and alert throughout labour. The aim of this study is to study the effect of epidural analgesia and intramuscular (IM) tramadol in different stages of labour and compare the effect of epidural analgesia with intramuscular tramadol on progress of labour and its outcome. Methods: Continuous monitoring of the haemodynamic parameters of the mother was done using multiparameter monitors. Foetal monitoring was done using continuous cardiotocography (CTG) monitor. Primigravida in spontaneous labour were randomly divided into two groups. Group I received epidural analgesia and group II received IM tramadol. Results: Duration of Ist stage of labour in group I was 167.0±47.2 min and in group II was 214.4±50.2 min. Mean duration of III stage of labour in the present group I was 7.9 min and 7.5 min in the group II. In the present study, total duration of labour is shortened by 47 min in group I compared to group II. Conclusions: Epidural analgesia during labour is a simple and effective method for painless and safe delivery. Analgesia produced by epidural route is significantly more effective than intramuscular tramadol. Epidural analgesia has favourable effect on the progress of labour. In developing nations where availability of facilities is the main limiting factor, intramuscular tramadol which is a safe and satisfactory drug for relief of labour pain, can be considered as a suitable alternative.
背景：硬膜外镇痛可在不影响神经系统的情况下产生分娩镇痛效果，使产妇在整个分娩过程中保持良好的方向感、完全清醒和警觉。本研究旨在研究硬膜外镇痛和肌肉注射曲马多在不同产程中的效果，并比较硬膜外镇痛和肌肉注射曲马多对产程进展及其结果的影响：方法：使用多参数监护仪对产妇的血流动力学参数进行连续监测。胎儿监测则使用连续心动图（CTG）监测仪进行。自然分娩的初产妇被随机分为两组。第一组接受硬膜外镇痛，第二组接受 IM 曲马多：结果：第一组第一产程持续时间为（167.0±47.2）分钟，第二组第一产程持续时间为（214.4±50.2）分钟。I 组第 III 产程的平均持续时间为 7.9 分钟，II 组为 7.5 分钟。在本研究中，I 组的总产程比 II 组缩短了 47 分钟：结论：分娩时硬膜外镇痛是一种简单有效的无痛安全分娩方法。硬膜外镇痛的效果明显优于肌肉注射曲马多。硬膜外镇痛对产程进展有良好的影响。在发展中国家，设施的可用性是主要的限制因素，而肌肉注射曲马多是一种安全、令人满意的缓解分娩疼痛的药物，因此可作为一种合适的替代方法。
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