Pub Date : 2021-06-30DOI: 10.24321/2454.8642.202104
M. Debnath
Background: COVID-19 causes reactive psychiatric symptoms like anxiety, depression, insomnia etc besides significant inflammatory response. A number of COVID-19 patients are found to present with complex neuropsychiatric syndromes, including the first onset of psychosis, that seem to be directly related to brain damage in the context of COVID-19. Most cases of psychotic disorder in COVID-19 patients are being found in individuals with no personal or family history of mental illness. Case Description: A 33-year-old man presented with acute restlessness, agitation, wandering, vandalizing things, suspiciousness, hallucinatory behaviour, decreased sleep for 3 days duration. There was no past history or family history of any psychiatric illness. There was a history of mild grade fever 7 days before the onset of the psychotic symptoms. The patient was uncooperative, irritable, and had hallucinatory behaviour. Rapid Antigen Test (RAT) was positive. The patient responded to injectable antipsychotic haloperidol which was later changed to Tab Olanzepine 5 mg. The patient developed no COVID symptoms and no psychotic symptoms were seen further. Conclusion: There is a possibility of a psychosis break as a COVID-19 clinical presentation, suggesting potential participation of inflammatory and autoimmunologic phenomena triggered as a response to the coronavirus infection.
{"title":"A Case Report of Non-Reactive Psychosis in a COVID-19 Patient","authors":"M. Debnath","doi":"10.24321/2454.8642.202104","DOIUrl":"https://doi.org/10.24321/2454.8642.202104","url":null,"abstract":"Background: COVID-19 causes reactive psychiatric symptoms like anxiety, depression, insomnia etc besides significant inflammatory response. A number of COVID-19 patients are found to present with complex neuropsychiatric syndromes, including the first onset of psychosis, that seem to be directly related to brain damage in the context of COVID-19. Most cases of psychotic disorder in COVID-19 patients are being found in individuals with no personal or family history of mental illness. Case Description: A 33-year-old man presented with acute restlessness, agitation, wandering, vandalizing things, suspiciousness, hallucinatory behaviour, decreased sleep for 3 days duration. There was no past history or family history of any psychiatric illness. There was a history of mild grade fever 7 days before the onset of the psychotic symptoms. The patient was uncooperative, irritable, and had hallucinatory behaviour. Rapid Antigen Test (RAT) was positive. The patient responded to injectable antipsychotic haloperidol which was later changed to Tab Olanzepine 5 mg. The patient developed no COVID symptoms and no psychotic symptoms were seen further. Conclusion: There is a possibility of a psychosis break as a COVID-19 clinical presentation, suggesting potential participation of inflammatory and autoimmunologic phenomena triggered as a response to the coronavirus infection.","PeriodicalId":20962,"journal":{"name":"Recent Advances in Pathology & Laboratory Medicine","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91073019","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 : 2021-06-30DOI: 10.24321/2454.8642.202103
S. Deb
Introduction: Fractures of the patella constitute almost 1% of all skeletal injuries, resulting from either direct or indirect trauma. Many forms of internal fixation for patellar fractures have been described in the literature but perfect anatomical reduction during surgery has an excellent outcome irrespective of the method of fixation used. The conventional method of patellar tension band wiring is always done with the help of two parallel Kirschner wires. Here, in our study, we intended to see whether the use of 3 parallel Kirschner wires in comparison to conventional one results in a superior functional outcome. Methods: A prospective observational study was carried out in ANIIMS and GB Pant hospital Port Blair from November 2016 to November 2019 on 44 patients of patellar fracture operated by tension band wiring with 22 patients in 2 parallel Kirschner wires and 3 parallel Kirschner wires groups respectively. Results: 44 patients were followed up postoperatively for 1 year and assessed by Lysholm knee score for pain status and working status and other variables. The mean age of the participants was 40.27 years (41.86 in two Kirschner wire group and 38.68 in three Kirschner wire group) in our study. Lysholm knee score, pain status, or working status was not significant throughout the mean follow-up periods for both groups. Conclusions: We found no significant difference between patellar TBW in 3 Kirschner wire and 2 Kirschner wire groups. However small sample size limits our study.
{"title":"Tension Band Wiring for Fracture Patella Outcome with 3 K Wire versus 2 K Wire","authors":"S. Deb","doi":"10.24321/2454.8642.202103","DOIUrl":"https://doi.org/10.24321/2454.8642.202103","url":null,"abstract":"Introduction: Fractures of the patella constitute almost 1% of all skeletal injuries, resulting from either direct or indirect trauma. Many forms of internal fixation for patellar fractures have been described in the literature but perfect anatomical reduction during surgery has an excellent outcome irrespective of the method of fixation used. The conventional method of patellar tension band wiring is always done with the help of two parallel Kirschner wires. Here, in our study, we intended to see whether the use of 3 parallel Kirschner wires in comparison to conventional one results in a superior functional outcome. Methods: A prospective observational study was carried out in ANIIMS and GB Pant hospital Port Blair from November 2016 to November 2019 on 44 patients of patellar fracture operated by tension band wiring with 22 patients in 2 parallel Kirschner wires and 3 parallel Kirschner wires groups respectively. Results: 44 patients were followed up postoperatively for 1 year and assessed by Lysholm knee score for pain status and working status and other variables. The mean age of the participants was 40.27 years (41.86 in two Kirschner wire group and 38.68 in three Kirschner wire group) in our study. Lysholm knee score, pain status, or working status was not significant throughout the mean follow-up periods for both groups. Conclusions: We found no significant difference between patellar TBW in 3 Kirschner wire and 2 Kirschner wire groups. However small sample size limits our study.","PeriodicalId":20962,"journal":{"name":"Recent Advances in Pathology & Laboratory Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86532436","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 : 2021-06-30DOI: 10.24321/2454.8642.202102
M. Debnath
Background: Mephentermine is a sympathomimetic agent derived from methamphetamine. It is a commonly used drug for the treatment of hypotension during anaesthesia. Its abuse has markedly increased especially in the young population due to its stimulant properties and ability to boost performance in competitive sports or bodybuilding. Very few cases of Mephentermine dependence with or without psychosis have been reported from India and worldwide. Case Description: A 24-year-old male presented with a sudden onset of behavioural abnormalities a few hours following the use of Mephentermine. He was very agitated and restless. On physical examination, tachycardia, elevated BP and bilaterally dilated pupils were found. His symptoms remitted within a few hours of using Injection Haloperidol 10 mg with Lorazepam 4 mg once. He was found to have grossly deranged liver and kidney function tests. There was no past and family history of any psychiatric illness. No past history of any physical illness. Conclusion: No previous report of mephentermine induced psychosis with acute kidney and liver injury has been reported in the literature. Cases such as this may be common among the general public. Long term follow-up is required to know the course and outcome in such unusual cases.
{"title":"A Case Report on Mephentermine Induced Psychosis with Acute Liver & Kidney Injury","authors":"M. Debnath","doi":"10.24321/2454.8642.202102","DOIUrl":"https://doi.org/10.24321/2454.8642.202102","url":null,"abstract":"Background: Mephentermine is a sympathomimetic agent derived from methamphetamine. It is a commonly used drug for the treatment of hypotension during anaesthesia. Its abuse has markedly increased especially in the young population due to its stimulant properties and ability to boost performance in competitive sports or bodybuilding. Very few cases of Mephentermine dependence with or without psychosis have been reported from India and worldwide. Case Description: A 24-year-old male presented with a sudden onset of behavioural abnormalities a few hours following the use of Mephentermine. He was very agitated and restless. On physical examination, tachycardia, elevated BP and bilaterally dilated pupils were found. His symptoms remitted within a few hours of using Injection Haloperidol 10 mg with Lorazepam 4 mg once. He was found to have grossly deranged liver and kidney function tests. There was no past and family history of any psychiatric illness. No past history of any physical illness. Conclusion: No previous report of mephentermine induced psychosis with acute kidney and liver injury has been reported in the literature. Cases such as this may be common among the general public. Long term follow-up is required to know the course and outcome in such unusual cases.","PeriodicalId":20962,"journal":{"name":"Recent Advances in Pathology & Laboratory Medicine","volume":"115 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75712146","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 : 2021-06-30DOI: 10.24321/2454.8642.202101
Sampa Choudhury
Giant Cell Reparative Granuloma (GCRG) is an unusual non-neoplastic lesion which most commonly involves maxilla and mandible. We present a case of GCRG of the nasal cavity in a young female presented with the complaint of progressively nasal obstruction. Radiological findings are usually nonspecific in this entity, therefore a good clinical, radiological and pathological correlation is needed for final diagnosis and to differentiate it from other giant cell lesions. Surgical excision is the preferred treatment modality over simple curettage.
{"title":"Giant Cell Reparative Granuloma Presented as Nasal Mass: A Rare Entity","authors":"Sampa Choudhury","doi":"10.24321/2454.8642.202101","DOIUrl":"https://doi.org/10.24321/2454.8642.202101","url":null,"abstract":"Giant Cell Reparative Granuloma (GCRG) is an unusual non-neoplastic lesion which most commonly involves maxilla and mandible. We present a case of GCRG of the nasal cavity in a young female presented with the complaint of progressively nasal obstruction. Radiological findings are usually nonspecific in this entity, therefore a good clinical, radiological and pathological correlation is needed for final diagnosis and to differentiate it from other giant cell lesions. Surgical excision is the preferred treatment modality over simple curettage.","PeriodicalId":20962,"journal":{"name":"Recent Advances in Pathology & Laboratory Medicine","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74999955","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 : 2019-10-11DOI: 10.24321/2454.8642.201914
M. Saha
1Associate Professor, Department of Community Medicine, ANIMS, Port Blair. 2Professor, Department of Obstetrics and Gynaecology, ANIMS, Port Blair. DOI: https://doi.org/10.24321/2454.8642.201914 Background: Female sterilization or tubal ligation is the most accepted method of contraception in India. The most popular method used in female sterilization in India is the laparoscopic tubal occlusion. Sterilization failure may occur, though rates are as low as around 0.10.3%. Objectives: The objectives of the study states to assess the prevalence of ectopic pregnancy and to study the types of ectopic pregnancies. Materials and Methods: This prospective study was conducted between January 2011 to December 2018 in the Obstetrics unit at GB Pant Hospital, ANIMS, Port Blair. Records of cases of post sterilization failure were studied. The results were described in proportions. Results: 76% of the sterilizations were done during interval period. 56% of recurrence occurred after 2-5 years of surgery. 61 % of the pregnancies after sterilisation failure were ectopic pregnancies. Conclusion: The chances of post sterilization failures though minimal, must be explained to the patients and when to seek medical help, to diagnose at the earliest.
{"title":"A Study on Post-Sterilisation Failure in a Tertiary Care Hospital","authors":"M. Saha","doi":"10.24321/2454.8642.201914","DOIUrl":"https://doi.org/10.24321/2454.8642.201914","url":null,"abstract":"1Associate Professor, Department of Community Medicine, ANIMS, Port Blair. 2Professor, Department of Obstetrics and Gynaecology, ANIMS, Port Blair. DOI: https://doi.org/10.24321/2454.8642.201914 Background: Female sterilization or tubal ligation is the most accepted method of contraception in India. The most popular method used in female sterilization in India is the laparoscopic tubal occlusion. Sterilization failure may occur, though rates are as low as around 0.10.3%. Objectives: The objectives of the study states to assess the prevalence of ectopic pregnancy and to study the types of ectopic pregnancies. Materials and Methods: This prospective study was conducted between January 2011 to December 2018 in the Obstetrics unit at GB Pant Hospital, ANIMS, Port Blair. Records of cases of post sterilization failure were studied. The results were described in proportions. Results: 76% of the sterilizations were done during interval period. 56% of recurrence occurred after 2-5 years of surgery. 61 % of the pregnancies after sterilisation failure were ectopic pregnancies. Conclusion: The chances of post sterilization failures though minimal, must be explained to the patients and when to seek medical help, to diagnose at the earliest.","PeriodicalId":20962,"journal":{"name":"Recent Advances in Pathology & Laboratory Medicine","volume":"196 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75525432","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 : 2019-10-11DOI: 10.24321/2454.8642.201916
Dharmendra Kumar
Sachin Patil, Dharmendra Kumar 1Assistant Professor, Department of Anatomy, ANIIMS, Port Blair, Andaman and Nicobar Islands, India. 2Associate Professor & Head, Department of Physical Medicine and Rehabilitation, ANIIMS, Port Blair, Andaman and Nicobar Islands, India. DOI: https://doi.org/10.24321/2454.8642.201916 Introduction: Pterion is useful anatomical landmark for neurosurgeons during operations on frontal lobe tumours, extradural haemorrhage, Roca’s speech area or pathologies of middle cerebral artery. Material and Methods: This study was conducted in the on 120 dry human skulls. On the both side of each skull, the morphology of pterion was examined based on Murphy’s classification. Results: On examining the sutural pattern and types of pterion we found that Sphenoparietal type of pterion was most common type while the least common type was the epipteric type of pterion. Percentage of types was Sphenoparietal type 73.75%, Fronto temporal type 9.08%, stellate type 20% and epipteric type 7.16%. Conclusion: Types of the pterion in normal skulls shows great degree of variations among individuals and different racial groups. Therefore, precise and scientific data ar e required when performing intracranial surgery.
{"title":"Study of Anatomical Types of Pterion for Pterional Surgical Approach","authors":"Dharmendra Kumar","doi":"10.24321/2454.8642.201916","DOIUrl":"https://doi.org/10.24321/2454.8642.201916","url":null,"abstract":"Sachin Patil, Dharmendra Kumar 1Assistant Professor, Department of Anatomy, ANIIMS, Port Blair, Andaman and Nicobar Islands, India. 2Associate Professor & Head, Department of Physical Medicine and Rehabilitation, ANIIMS, Port Blair, Andaman and Nicobar Islands, India. DOI: https://doi.org/10.24321/2454.8642.201916 Introduction: Pterion is useful anatomical landmark for neurosurgeons during operations on frontal lobe tumours, extradural haemorrhage, Roca’s speech area or pathologies of middle cerebral artery. Material and Methods: This study was conducted in the on 120 dry human skulls. On the both side of each skull, the morphology of pterion was examined based on Murphy’s classification. Results: On examining the sutural pattern and types of pterion we found that Sphenoparietal type of pterion was most common type while the least common type was the epipteric type of pterion. Percentage of types was Sphenoparietal type 73.75%, Fronto temporal type 9.08%, stellate type 20% and epipteric type 7.16%. Conclusion: Types of the pterion in normal skulls shows great degree of variations among individuals and different racial groups. Therefore, precise and scientific data ar e required when performing intracranial surgery.","PeriodicalId":20962,"journal":{"name":"Recent Advances in Pathology & Laboratory Medicine","volume":"283 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86561863","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 : 2019-10-11DOI: 10.24321/2454.8642.201918
Sushanta Chakma
Sushanta Chakma, Somshankar Chowdhury, AK Mandal 1,2Department of Pathology, VMMC and Safdarjung Hospital, New Delhi, India. 3Director Professor & HOD, Pathology Department, Dr Baba Sahib Ambedkar Medical College and Hospital, New Delhi. DOI: https://doi.org/10.24321/2454.8642.201918 Superior Mesenteric Artery (SMA) syndrome is an upper gastrointestinal disorder caused by the compression of the third part of the duodenum between Aorta and Superior mesenteric artery. SMA syndrome is a rare pathology with an incidence that ranges between 0.013 and 0.3%. It’s a rare cause of duodenal obstruction which may be complete or partial but is a life-threatening disorder as it poses a diagnostic dilemma. A patient was admitted in the emergency with complaints of subacute intestinal obstruction along with peritonitis. He underwent exploratory laparotomy along with surgical resection of gangrenous segment. Histopathological examination showed gangrenous bowel, however, no specific cause could be identified. CT findings were reviewed for a possible compression/ obstruction aetiology. It revealed features suggestive of superior mesenteric artery syndrome.
Sushanta Chakma, Somshankar Chowdhury, AK Mandal, 1,2印度新德里VMMC和Safdarjung医院病理科。3，新德里Baba Sahib Ambedkar医学院和医院病理科主任，教授和主任。DOI: https://doi.org/10.24321/2454.8642.201918肠系膜上动脉(SMA)综合征是由主动脉和肠系膜上动脉之间的十二指肠第三部分受压引起的上消化道疾病。SMA综合征是一种罕见的病理，发病率在0.013%至0.3%之间。这是一种罕见的十二指肠梗阻，可能是完全或部分的，但它是一种危及生命的疾病，因为它造成了诊断困境。病人因亚急性肠梗阻并发腹膜炎而急诊入院。他接受了探查性剖腹手术并切除坏疽节段。组织病理学检查显示肠坏疽，但没有确定具体原因。我们回顾了CT表现，以确定可能的压迫/阻塞病因。它显示提示肠系膜上动脉综合征的特征。
{"title":"Superior Mesenteric Artery Syndrome: Need for an Awareness","authors":"Sushanta Chakma","doi":"10.24321/2454.8642.201918","DOIUrl":"https://doi.org/10.24321/2454.8642.201918","url":null,"abstract":"Sushanta Chakma, Somshankar Chowdhury, AK Mandal 1,2Department of Pathology, VMMC and Safdarjung Hospital, New Delhi, India. 3Director Professor & HOD, Pathology Department, Dr Baba Sahib Ambedkar Medical College and Hospital, New Delhi. DOI: https://doi.org/10.24321/2454.8642.201918 Superior Mesenteric Artery (SMA) syndrome is an upper gastrointestinal disorder caused by the compression of the third part of the duodenum between Aorta and Superior mesenteric artery. SMA syndrome is a rare pathology with an incidence that ranges between 0.013 and 0.3%. It’s a rare cause of duodenal obstruction which may be complete or partial but is a life-threatening disorder as it poses a diagnostic dilemma. A patient was admitted in the emergency with complaints of subacute intestinal obstruction along with peritonitis. He underwent exploratory laparotomy along with surgical resection of gangrenous segment. Histopathological examination showed gangrenous bowel, however, no specific cause could be identified. CT findings were reviewed for a possible compression/ obstruction aetiology. It revealed features suggestive of superior mesenteric artery syndrome.","PeriodicalId":20962,"journal":{"name":"Recent Advances in Pathology & Laboratory Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83635554","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 : 2019-10-11DOI: 10.24321/2454.8642.201915
S. S. Singh
Abhishek Malakar, Shiv Shankar Singh, Shreya Barik, Dhanisha S Awaradi 1Assistant Professor, 3Senior Resident, 4Internee, Department of Obstetrics and Gynaecology, ANIIMS, Port Blair, India. 2Associate Professor, Department of General Medicine, ANIIMS, Port Blair, India. DOI: https://doi.org/10.24321/2454.8642.201915 Background: Caesarean Section (CS) has become more prevalent over the years due to various factors and is exceeding the specified limit laid down by the WHO. Caesarean section is associated with various maternal and neonatal morbidities. With the alarming rise in Caesarean Section rate, these complications invariably increase. We conducted this study to assess the maternal and neonatal morbidities associated with CS in a tertiary care hospital in Andaman and Nicobar Islands, India. Methods: This was a prospective observational study done over a period of one year from January 2018 to December 2018. Data was collected for all CS performed in this time period and was statistically analysed by MS Excel, frequency distribution tables and SPSS Software. Result: Over the study period of one year, there were total 2646 deliveries with caesarean rate of 38.51% and more than 75% of these were primary caesarean section. Almost three fourth (73.61%) were emergency CS. Intraoperative adhesions and extension of uterine incision were common intraoperative complications whereas PPH was the most common post-operative morbidity. Intra operative complications were more in cases of emergency CS. Conclusion: We found a high CS rate with a high percentage of primary caesarean section along with various complications. With advancement in better maternal and foetal monitoring in labour in a tertiary care centre, it is desirable to be able to provide a safer vaginal delivery to patients that promises a better obstetric future. The decision to perform a Caesarean delivery must be chosen carefully, balancing risks and benefits, and not liberally. This is only possible if standard guidelines and protocols of management are in place at national and institutional levels. Only then the overall primary CS rate and its complications can best be avoided.
{"title":"Caesarean Section: A Necessary Evil?","authors":"S. S. Singh","doi":"10.24321/2454.8642.201915","DOIUrl":"https://doi.org/10.24321/2454.8642.201915","url":null,"abstract":"Abhishek Malakar, Shiv Shankar Singh, Shreya Barik, Dhanisha S Awaradi 1Assistant Professor, 3Senior Resident, 4Internee, Department of Obstetrics and Gynaecology, ANIIMS, Port Blair, India. 2Associate Professor, Department of General Medicine, ANIIMS, Port Blair, India. DOI: https://doi.org/10.24321/2454.8642.201915 Background: Caesarean Section (CS) has become more prevalent over the years due to various factors and is exceeding the specified limit laid down by the WHO. Caesarean section is associated with various maternal and neonatal morbidities. With the alarming rise in Caesarean Section rate, these complications invariably increase. We conducted this study to assess the maternal and neonatal morbidities associated with CS in a tertiary care hospital in Andaman and Nicobar Islands, India. Methods: This was a prospective observational study done over a period of one year from January 2018 to December 2018. Data was collected for all CS performed in this time period and was statistically analysed by MS Excel, frequency distribution tables and SPSS Software. Result: Over the study period of one year, there were total 2646 deliveries with caesarean rate of 38.51% and more than 75% of these were primary caesarean section. Almost three fourth (73.61%) were emergency CS. Intraoperative adhesions and extension of uterine incision were common intraoperative complications whereas PPH was the most common post-operative morbidity. Intra operative complications were more in cases of emergency CS. Conclusion: We found a high CS rate with a high percentage of primary caesarean section along with various complications. With advancement in better maternal and foetal monitoring in labour in a tertiary care centre, it is desirable to be able to provide a safer vaginal delivery to patients that promises a better obstetric future. The decision to perform a Caesarean delivery must be chosen carefully, balancing risks and benefits, and not liberally. This is only possible if standard guidelines and protocols of management are in place at national and institutional levels. Only then the overall primary CS rate and its complications can best be avoided.","PeriodicalId":20962,"journal":{"name":"Recent Advances in Pathology & Laboratory Medicine","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81943502","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 : 2019-10-11DOI: 10.24321/2454.8642.201917
Dharmendra Kumar
{"title":"Study of Craniometric Point as a Landmark in Performing Posterolateral Surgeries on Skull","authors":"Dharmendra Kumar","doi":"10.24321/2454.8642.201917","DOIUrl":"https://doi.org/10.24321/2454.8642.201917","url":null,"abstract":"","PeriodicalId":20962,"journal":{"name":"Recent Advances in Pathology & Laboratory Medicine","volume":"96 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90560299","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 : 2019-10-11DOI: 10.24321/2454.8642.201913
M. Saha
1Associate Professor, Department of Community Medicine, ANIMS, Port Blair. 2Professor, Department of Obstetrics and Gynaecology, ANIMS, Port Blair. DOI: https://doi.org/10.24321/2454.8642.201913 Background: Respectful maternity care plays a major role in maintaining wellbeing of the mother and newborn, and ensures positive cognitive and emotional development of the babies later in life. Objectives: Aim and objective of the study states to evaluate the implementation of respectful maternity Care and to evaluate the implementation of new born care guidelines in laqshay. Materials and Methods: A cross sectional study was designed to meet the objectives on this study between January to April 2019 using a structured questionnaire. Result: 95% of study population were not allowed to walk or change position during labour. Around 56.7% reported that direct pushing was done. Only 22% of mothers were allowed to choose their position of comfort. None were allowed to have a birth companion and all mothers were ensured privacy during labour. Conclusion: Repeated counselling/ reinforcement to the staff members and surprise frequent visits by authorities concerned to the labour room will still improve the respectful maternal care.
{"title":"A Study on Evaluation of Laqshay in Andaman","authors":"M. Saha","doi":"10.24321/2454.8642.201913","DOIUrl":"https://doi.org/10.24321/2454.8642.201913","url":null,"abstract":"1Associate Professor, Department of Community Medicine, ANIMS, Port Blair. 2Professor, Department of Obstetrics and Gynaecology, ANIMS, Port Blair. DOI: https://doi.org/10.24321/2454.8642.201913 Background: Respectful maternity care plays a major role in maintaining wellbeing of the mother and newborn, and ensures positive cognitive and emotional development of the babies later in life. Objectives: Aim and objective of the study states to evaluate the implementation of respectful maternity Care and to evaluate the implementation of new born care guidelines in laqshay. Materials and Methods: A cross sectional study was designed to meet the objectives on this study between January to April 2019 using a structured questionnaire. Result: 95% of study population were not allowed to walk or change position during labour. Around 56.7% reported that direct pushing was done. Only 22% of mothers were allowed to choose their position of comfort. None were allowed to have a birth companion and all mothers were ensured privacy during labour. Conclusion: Repeated counselling/ reinforcement to the staff members and surprise frequent visits by authorities concerned to the labour room will still improve the respectful maternal care.","PeriodicalId":20962,"journal":{"name":"Recent Advances in Pathology & Laboratory Medicine","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82074726","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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