Myomectomy in pregnancy: feasibility and safety

Prevalence of myoma in pregnancy is increasing due to advances in imaging technology. Majority are asymptomatic. Symptomatic myomas are usually large, increase in size during pregnancy and give rise to various obstetrical complications. Myomectomy during pregnancy is controversial. The management of fibroids encountered during pregnancy and caesarean section is a therapeutic dilemma. Myomectomy during pregnancy and caesarean section is discouraged traditionally due to fear of miscarriage, uncontrolled bleeding, failure to obliterate the cavity, and ending in hysterectomy. Recent literature suggests myomectomy during pregnancy and caesarean section is safe in well selected cases with experienced obstetrician in a tertiary care center.

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To study the effectiveness of prophylactic use of ceftriaxone (single dose) in caesarean section in low risk patients in a tertiary care center, Moradabad, India

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20175440 ◽

2017 ◽

Vol 5 (12) ◽

pp. 5278

Author(s):

Ruby Kumari ◽

Arti Sharma ◽

. Sheetal ◽

Pratibha Roy ◽

. Anupriya

Keyword(s):

Single Dose ◽

Caesarean Section ◽

Surgical Site Infection ◽

Care Center ◽

Tertiary Care ◽

Infectious Complications ◽

Low Risk ◽

Tertiary Care Center ◽

Site Infection ◽

Risk Patients

Background: There is increasing incidence of caesarean section throughout the world. As caesarean section is associated with infectious complications which increase the rate of morbidity and mortality of mothers. For prevention of infectious complications antibiotics are used but careless use of antibiotics increasing incidence of antibiotic resistance. Many guidelines and studies recommend single dose antibiotic prophylaxis for women undergoing elective or non-elective caesarean section. The aim of this study was to assess the effectiveness of Ceftriaxone as prophylactic antibiotic (single dose) in caesarean section in low risk patients.Methods: A Prospective single blind study was carried out in the department of obstetrics and gynaecology, TMMC and RC Moradabad, a tertiary care center, in all low risk patients underwent for Elective and Emergency Lower segment caesarean section for 1 year from 1st June 2015 to May 2016 on 110 patients. Data was collected and analyzed by percentage and proportion.Results: Prevalence of caesarean section was maximum in women of 26-35years age group (52.72%),about 67.27% was emergency LSCS, most common indication of caesarean section was Fetal distress (29.09%),refusal for vaginal delivery after caesarean section (10.90%) was one of the cause for increasing rate of repeat caesarean section, 41.81% women in labour,72.27% cases were with intact membrane, in 9.09% cases, antibiotic had to change in post-operative period due to urinary tract infection and surgical site infection, most common post-operative complication was superficial surgical site infection with purulent discharge (2.72%). No major life-threatening complication occurred.Conclusions: Single dose of Ceftriaxone is effective for prevention of post-caesarean infectious complication.

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Hyperglycemia in pregnancy among South Asian women: A single tertiary care center experience from Colombo, Sri Lanka

Diabetes Research and Clinical Practice ◽

10.1016/j.diabres.2018.02.029 ◽

2018 ◽

Vol 145 ◽

pp. 138-145

Author(s):

Asanka Jayawardane ◽

Malitha Patabendige ◽

Dulani Samaranayake ◽

Medini Boteju ◽

Shamalka Dahanayake ◽

...

Keyword(s):

Sri Lanka ◽

South Asian ◽

Care Center ◽

Tertiary Care ◽

Asian Women ◽

Tertiary Care Center ◽

South Asian Women ◽

In Pregnancy

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Neighborhood Income and Caesarean Section Rates at a Tertiary Care Center in Canada [23A]

Obstetrics and Gynecology ◽

10.1097/01.aog.0000559370.88205.43 ◽

2019 ◽

Vol 133 (1) ◽

pp. 16S-16S

Author(s):

Meryl Hodge ◽

Minxue Shen ◽

Ri-hua Xie ◽

Shi-Wu Wen ◽

Mark Walker ◽

...

Keyword(s):

Caesarean Section ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center ◽

Neighborhood Income

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Have we succeeded in controlling anaemia in pregnancy - a prospective study at tertiary care center

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20150413 ◽

2015 ◽

pp. 995-999 ◽

Cited By ~ 1

Author(s):

Neena Gupta ◽

Seema Diwedi ◽

Neetu Singh ◽

G.N. Diwedi ◽

Fatima Usmani ◽

...

Keyword(s):

Prospective Study ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center ◽

Anaemia In Pregnancy ◽

A Prospective Study ◽

In Pregnancy

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Cancer in pregnancy: cross-sectional oncologic imaging utilization at a tertiary care center with an algorithmic approach to imaging

Clinical Imaging ◽

10.1016/j.clinimag.2012.01.017 ◽

2012 ◽

Vol 36 (6) ◽

pp. 780-790 ◽

Cited By ~ 1

Author(s):

Carly S. Gardner ◽

Avinash S. Patil ◽

Chad M. Miller ◽

Andra H. James ◽

Tracy A. Jaffe

Keyword(s):

Care Center ◽

Tertiary Care ◽

Tertiary Care Center ◽

Oncologic Imaging ◽

Cross Sectional ◽

Algorithmic Approach ◽

Cancer In Pregnancy ◽

Imaging Utilization ◽

In Pregnancy

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STUDY OF RATE, TRENDS AND DETERMINANTS OF CAESAREAN SECTION AMONG MOTHERS ATTENDING A TERTIARY CARE CENTER IN AHMEDABAD, GUJARAT, INDIA

International Journal of Integrative Medical Sciences ◽

10.16965/ijims.2018.102 ◽

2018 ◽

Vol 5 (2) ◽

pp. 577-581

Author(s):

Ujjval Parikh ◽

◽

Pradeep R Oza ◽

Keyword(s):

Caesarean Section ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center

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Cardiac diseases in pregnancy: clinical profile and feto-maternal complications

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20175003 ◽

2017 ◽

Vol 6 (11) ◽

pp. 4934

Author(s):

Latika R. Mehta ◽

Jagruti Shah

Keyword(s):

Heart Disease ◽

Cardiac Disease ◽

Care Center ◽

Tertiary Care ◽

Team Approach ◽

Cardiac Diseases ◽

Tertiary Care Center ◽

Maternal Complications ◽

Fetal Complications ◽

In Pregnancy

Background: Pregnancy in woman with heart disease increases the risk of maternal and fetal complications. About 1% of pregnant women have concomitant cardiac disease. The present research was conducted to study the profile of cardiac diseases in pregnancy and its associated complications.Methods: A prospective analysis was carried out of 55 pregnancies of women with cardiac disease from at a tertiary care center. Standard Ante-natal care was furnished to all patients subjective to their requirements. Condition of patient during labour as well as the progress of labour was closely monitored. Fetal and maternal outcome after delivery as well as development of any complication was noted and treated accordingly. Data was analyzed using SPSS software ver. 21.0.Results: In present study, RHD constituted 71% cases while CHD constitutes 11% of all cases of heart disease. Other etiologies were dilated cardiomyopathies (DCM) (12.7%), IHD (3.6%) and arrhythmias (18%). Most common anomaly associated with RHD cases was mitral stenosis (75%) either isolated or along with other valvular pathologies. Most common CHD was atrial septal defect seen in 4 out of 6 cases. A total of 8 patients (16%) developed complications of which, 4 had postpartum hemorrhage, 2 developed pulmonary oedema, 1 had arrhythmia and 1 patient developed septic shock and multi organ failure. A total of 74% babies were healthy while IUGR and intrauterine deaths were seen in 22% cases and 4% cases respectively.Conclusions: Rheumatic heart disease is the predominant type of cardiac disease in pregnancy. Maternal and perinatal outcome can be improved by team approach at tertiary care center. Counselling for contraception and family planning and follow up during subsequent pregnancies is mandatory.

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