Comparative study of maternal and perinatal outcome in pregnancies with and without umbilical cord around foetal neck

Background: Umbilical cord around neck of the foetus is called the nuchal cord. The aims and objectives are to find out the incidence of nuchal cord around foetal neck at delivery, and to compare and evaluate intrapartum and postpartum maternal and foetal outcome in those with or without nuchal cord at delivery.Methods: It is a prospective cross-sectional study conducted at tertiary care hospital for period of 12 months. Of 1380 patients, 934 patients were enrolled in present study after meeting the inclusion and exclusion criteria of which 150 patients were included in study group who delivered with nuchal cord and 784 patients in control group who delivered without nuchal cord.Results: Present study showed 18.84% incidence of nuchal cord at delivery. Duration of labour was 6.51hrs in study group and 6.15hrs in control group and the difference was statistically significant. Rest of the intrapartum and postpartum events were statistically not significant. Mean length of cord was more in patients delivered with loop of cord around foetal neck as compared to another group and it is statistically significant.Conclusions: Nuchal cord is a common finding at the time of delivery. However, it is per-se not an indication of LSCS and it only increases the operative morbidity.

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Pattern of upper gastrointestinal diseases: an audit of 1000 cases based on endoscopic findings from a tertiary care hospital in Mysore

International Surgery Journal ◽

10.18203/2349-2902.isj20182395 ◽

2018 ◽

Vol 5 (7) ◽

pp. 2412

Author(s):

Shashikumar H. B. ◽

Madhu B. S. ◽

Motati Harshini

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Gastrointestinal Symptoms ◽

Gastrointestinal Diseases ◽

Cross Sectional Study ◽

Common Finding ◽

Care Hospital ◽

Cross Sectional ◽

Endoscopic Findings ◽

Upper Gastrointestinal

Background: Fibreoptic endoscopy is a highly efficient diagnostic tool, which is now increasingly being used in the diagnosis of upper gastrointestinal diseases. This study has been carried out to evaluate the distribution of various upper gastrointestinal diseases based on endoscopic findings in a tertiary care hospital in Mysore.Methods: A cross-sectional study was conducted based on data from endoscopic register of 1000 subjects who underwent endoscopy for various upper gastrointestinal symptoms from 1st January 2017 to 31st December 2017(one year).Results: Mean age of the study population was 50.23 years (SD-15.46). Minimum age was 12 years and maximum was 88 years. About 44.7% of the study subjects belonged to 40-60 age group.61.6% of the study subjects were males. Most common indication was pain abdomen (32.1%) followed by dysphagia (22.2%). Of the 1000 study subjects 18.6% had normal findings. Most common finding was Gastritis / Duodenitis /Gastric erosions (28%). Malignant lesions were noted among 11.1%, of which esophagus and stomach are 5.4% and 4.9% respectively.Conclusions: Endoscopic diagnosis is useful for early detection of UGI diseases and helpful for their management.

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A study about urinary tract infection among patients attending tertiary care hospital

International Surgery Journal ◽

10.18203/2349-2902.isj20173399 ◽

2017 ◽

Vol 4 (8) ◽

pp. 2620 ◽

Cited By ~ 2

Author(s):

Arunachalam U. ◽

Ponmudi C. ◽

Prashant V. Solanke ◽

Deepam Das ◽

Vignesh N. ◽

...

Keyword(s):

Tertiary Care ◽

Cross Sectional Study ◽

Study Group ◽

Common Symptom ◽

Care Hospital ◽

Medical Sciences ◽

Cross Sectional ◽

Recurrent Uti ◽

Study Population

Background: UTI is a second most common type of infection, accounting for nearly 25% of all infections. Lower UTIs are much more common in women than in men, particularly in the under 50’s. UTI are common among patients with type 2 diabetes mellitus. Recurrent UTI is a common phenomenon that is observed among women who have experienced uncomplicated UTIs. Usually 5-10 days of antibiotic therapy is done for treating UTI. Successful antimicrobial therapy will usually ameliorate symptoms promptly, with substantial clinical improvement in 48 to 72 hours. The objective is to find out the knowledge and practice about UTI among UTI sufferers.Methods: The study design is cross sectional study. The study period is from July 2016 to February 2017. The study place is Sree Mookambika Institute of Medical Sciences. The sample size is (4PQ/d²) = 31. Systematic random sampling techniques are used. Institutional ethical committee clearance was obtained.Results: In the study 90.3% are women. In the study 32.3% had a recurrent UTI. In the study population about 51.7% take adequate or plenty of water. In this study 35.5% have poor knowledge, 42% have moderate knowledge and 19.5% have a good knowledge about UTI.Conclusions: From the study, it is learnt that UTI is common among the women and recurrence is the most common thing among the asymptomatic UTI group. The common symptom experienced by the study group is dysuria and frequency and most in the study group used to take less than recommended amount of water daily. They believe drinking plenty of water and cleanliness can prevent the UTI. The knowledge about UTI among the group is fairly good.

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A clinicopathological study of rhinosporidiosis in a tertiary care hospital

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20182599 ◽

2018 ◽

Vol 4 (4) ◽

pp. 981

Author(s):

Mudassar A. Shariff

Keyword(s):

Nasal Cavity ◽

Blood Group ◽

Tertiary Care ◽

Young Male ◽

Surgical Excision ◽

Cross Sectional Study ◽

High Risk Group ◽

Study Group ◽

Care Hospital ◽

Cross Sectional

Background: Rhinosporidiosis is a chronic granulomatous infective disorder that is caused by Rhinosporidium seeberi. It usually presents as a soft polypoidal, pedunculated or sessile mass arising from the nasal mucosa. Common sites of occurrence of rhinosporidiosis are nasal cavity and nasopharynx, it can also be found in conjunctiva, larynx and maxillary sinuses.Methods: A cross-sectional study was conducted in the outpatient department of ENT, at Vinayaka Mission’s Medical College and Hospital for a period of 1 year 7 months from October 2011 to April 2013. During the study period, all cases that were diagnosed as rhinosporidiosis by histopathology were included in the study group. The aim of this study is to determine the epidemiology, risk factors, clinical features and evaluation of blood group in patients with rhinosporidiosis in a study group. Results: Majority of patients in our study were young male adults from low socio-economic strata and from rural area. The common sites involved were the nasal cavity and nasopharynx. It showed an association with blood group O type.Conclusions: Rhinosporidiosis is an infective disease which is seen in individuals using surface water sources for daily needs. It requires careful clinical evaluation and diagnosis. Patients in high risk group with suspicion should undergo surgical excision with electrocautery. Careful follow up is essential for early diagnosis of recurrence.

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Bleeding Disorders among women Presenting with Menorrhagia at Tertiary Care Hospital

10.53350/pjmhs211592851 ◽

2021 ◽

Vol 15 (9) ◽

pp. 2851-2853

Author(s):

Muhammad Sarwar Khan ◽

Kiran Aamir ◽

Aamir Ramzan ◽

Aasma Naz ◽

Khalil Ahmed Memon ◽

...

Keyword(s):

Tertiary Care ◽

Cross Sectional Study ◽

Von Willebrand Disease ◽

University Hospital ◽

Common Finding ◽

Initial Contact ◽

Care Hospital ◽

Bleeding Disorders ◽

Cross Sectional ◽

Early Management

Objective: To study the spectrum of bleeding disorders among women, presenting to the study setting with complaints of menorrhagia. Methodology: This observational cross-sectional study was conducted up on 121 women, during a period of 6 months, who were approached via non-probability, consecutive sampling, presenting to the Dept. of Gyneacology & Pathology – Liaquat University Hospital, Hyderabad with menorrhagia. Data obtained from patient interviews and laboratory investigations were recorded into a self-structured questionnaire after taking written informed consent. The data obtained was analyzed using SPSS v. 21.0. Results: The mean age of the women was 28.13 years (±5.21 SD). Among the underlying hemostatic pathologies, VWD was the most common i.e. 21 (65.6%), followed by other platelet dysfunctions (Glanzman Thrombasthenia (n=5, 15.6%) and Berard Soulier Syndrome i.e. n=3, 9.4%) comprised the second most common finding. A cause of hemostatic pathology among a minority of patients remained unidentified i.e. n=3 (9.4%). Conclusion: Keeping in view of hemostatic defects, the study concludes that VWD is the commonest bleeding disorder among women presenting with menorrhagia. A routine screening of females with menorrhagia on their initial contact with the hospital can save years of suffering and lead to early management and probable recovery. Keywords: Von Willebrand Disease, Hemostatic Dysfunction, Bleeding Disorders, Platelet Dysfunction, Menorrhagia & Bleeding Complaints among Women

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Incidence of umbilical cord around the neck and its eﬀects on mode of delivery and fetal outcome at tertiary care hospital

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20205924 ◽

2021 ◽

Author(s):

S. Nandhini ◽

C. R. Anuradha ◽

S. Renuka ◽

K. Vijayalakshmi ◽

R. Sailatha

Keyword(s):

Umbilical Cord ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Mode Of Delivery ◽

Fetal Outcome ◽

Fetal Membranes ◽

Control Group ◽

Care Hospital ◽

Exclusion Criteria ◽

Nuchal Cord

Background: Umbilical cord is one of the fetal membranes. It is developed from the yolk sac. Umbilical cord is tubular structure. Approximate length of the cord is 50 cm. Umbilical cord around the neck is called as the nuchal cord. The aim of the study is to find out the incidence of umbilical cord around the neck at the time of delivery and its fetal outcomes.Methods: It is a retrospective observational study. This study was conducted in the department of obstetrics and gynecology at a tertiary care hospital over a period of 6 months (Feb-Jul 2020). Out of 542 patients, 388 were enrolled in this study after the inclusion and exclusion criteria, of which 101 were delivered with umbilical cord and the remaining were 287 patients in control group.Results: Present study showed 38.4% incidence of umbilical cord at the time of delivery. Incidence is more among the primigravida and it is statistically significant. Both intrapartum and postpartum risks are not related to umbilical cord around the neck. Mean length of the cord in patients delivered with cord around the neck is more when compared to the control group and has significant p value.Conclusions: This study concludes that the presence of umbilical cord, alone is not an indication for caesarean section. Umbilical cord with 3 loops was associated with increased operative delivery and low Apgar score, proper intrapartum surveillance and portogram leads to good fetal outcome.

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Clinico-demographic profile of deceased patients with coronavirus disease in a tertiary care centre of central India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20211777 ◽

2021 ◽

Vol 8 (5) ◽

pp. 2474

Author(s):

Rupali A. Patle ◽

Ashok R. Jadhao ◽

Priya B. Dhengre ◽

Manjusha A. Dhoble

Keyword(s):

Clinical Characteristics ◽

Tertiary Care ◽

Case Fatality ◽

Central India ◽

Cross Sectional Study ◽

Common Symptom ◽

Care Hospital ◽

Tertiary Care Centre ◽

Cross Sectional ◽

The Difference

Background: The covid pandemic started from Hubei, Wuhan in December 2020 then covered many other countries including India. Understanding the demographic and clinical characteristics of deceased COVID-19 patients could inform public health interventions focusing on preventing mortality due to COVID-19. The present study was done with the objective of studying the socio-demographic and clinical profile of deceased patients with coronavirus disease.Methods: This is a hospital based cross-sectional study on 1190 deceased patients of coronavirus disease in a tertiary care hospital of central India which is a dedicated covid hospital from 11 March 2020 to 28 February 2021. Socio-demographic and clinical characteristics of deceased patients were recorded.Results: Overall case fatality rate was 13.24%. Maximum number of deaths occurred in the month of August 2020 and September 2020 were 372 (31.26%) and 477 (40.08%). It was higher in the males 791 (66.47%) as compared to females 399 (33.53%), but the difference was not significant. The most common symptom was fever on hospitalization 924 (77.65%), followed by generalized weakness 771 (64.79%). 352 (29.58%) patients died within 24 hours of the admission to hospital. Hypertension and type 2 diabetes mellitus were the most prevalent morbidity in 557 (46.80%) and 357 (30.00%). It was found that 232 (19.50%) deceased patients had oxygen saturation less than 50% on admission.Conclusions: Higher age and presence of co-morbidities at the time of admission were significantly associated with mortality.

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A cross sectional study to evaluate serum calcium levels among pregnant women and it's association with preeclampsia and delivery outcomes at tertiary care Hospital Bikaner, Rajasthan

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20211532 ◽

2021 ◽

Vol 10 (5) ◽

pp. 2026

Author(s):

Laxmi Poonia ◽

Swati Kochar ◽

Shweta Chaudhary ◽

Priyanka Gaur ◽

Kirti Solanki

Keyword(s):

Pregnant Women ◽

Serum Calcium ◽

Calcium Level ◽

Serum Calcium Level ◽

Tertiary Care ◽

Cross Sectional Study ◽

Control Group ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional

Background: Hypertensive disorders of pregnancy, including preeclampsia complicates about 10% of pregnancies worldwide. Preeclampsia is one of the major cause of maternal and perinatal morbidity and mortality worldwide. According to the National Health Portal of India, the incidence of preeclampsia is reported to be about 8-10% among pregnant women. The present study was aimed to compare mean serum calcium levels in preeclamptic and normotensive pregnant women at third trimester of gestation and assess relationship between maternal serum calcium levels, severity of disease and overall maternal and perinatal outcome.Methods: This was a cross sectional study conducted on 200 females divided into two groups (i.e. Study and Control Group) from 1st November 2019 to 31st October 2020. Informed consent was obtained for subjecting. Detailed history and clinical examination were performed. Serum calcium level was measured in both groups by spectrophotometric method.Results: Mean serum calcium level in study group (preeclamptic) was 7.84+0.74mg/dl while in control group (normotensive) mean serum calcium level was 9.68+0.97mg/dl. Serum calcium level was significantly lower in preeclamptic women than normotensive pregnant women (p<0.001).Serum calcium showed significant negative correlation with systolic and diastolic blood pressure.Conclusions: This study concludes that hypocalcaemia may have a role in aetiology of preeclampsia and adverse maternal and perinatal outcome. Thus intake of calcium supplements may help in reduction of incidence of preeclampsia especially in a population of a developing country.

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PREVALENCE OF PSYCHIATRIC MORBIDITIES AMONG COVID -19 PATIENTS IN A TERTIARY CARE HOSPITAL, CHENNAI, TAMIL NADU.

10.36106/ijsr/4322050 ◽

2021 ◽

pp. 63-64

Author(s):

Anupama Roshan S ◽

Priyasubhashini. M ◽

M Mathivanan

Keyword(s):

Tamil Nadu ◽

Acute Stress ◽

Tertiary Care Hospital ◽

Treatment Options ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Medical College ◽

The Difference

Background: Due the lack of treatment options, isolation guidelines and fear about the disease, the cases with COVID 19 may experience high psychiatric related disorders. Hence this study was conducted to assess the prevalence of psychiatric morbidities among the cases with COVID 19 in a tertiary care hospital. Methods: Cross sectional study in the Department of Psychiatry at Government Medical College , Omandurar Government Estate, Chennai, a tertiary care teaching hospital during the period of April 2020 to September 2020. A total of 11,704 cases with COVID-19 were included in the study. Demographic details and psychiatry related clinical prole were assessed and entered in a proforma. Data was entered and analyzed using Statistical Package for Social Sciences (SPSS) version 20. Results: Overall prevalence of psychiatric morbidities among the COVID 19 cases was reported as 24.4% with signicant difference in prevalence among males and females. Most common psychiatric illness reported was COVID related anxiety (16.5%) followed by COVID related depression (6.6%), insomnia (0.87%), alcohol dependence syndrome (0.3%), acute stress reaction (0.03%), intellectual disability (0.03%), psychosis (0.02%) and hemophobia (0.008%). The difference in proportion of cases with various psychiatric morbidities like insomnia, COVID related anxiety, COVID related depression, and alcohol dependance syndrome among the male and female genders was found to be statistically signicant. Conclusion: Almost one fourth of the COVID cases are suffering from psychiatric morbidities. It can be recommended that all the cases with COVID can undergo screening and counseling for the psychiatric disorders.

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CRANIAL ULTRASOUND IN DETECTION OF NEUROLOGICAL LESIONS IN PRETERM NEONATES IN A TERTIARY CARE HOSPITAL – A PROSPECTIVE OBSERVATIONAL STUDY.

10.36106/ijar/6300996 ◽

2020 ◽

pp. 23-25

Author(s):

Badri kumar Gupta ◽

Nand kishor Gupta ◽

Prem Yaday ◽

Sadan Mukhi

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Common Finding ◽

Preterm Neonates ◽

Cranial Ultrasound ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Cranial Ultrasonography

BACKGROUND: Incomplete formation and maturation of the central nervous system makes it extremely vulnerable to injury, in the case of premature neonates. This can result in a broad range of neurodevelopmental abnormalities. Cranial ultrasound is a sensitive tool for the early detection of these.Preterm neonates, defined as childbirth occurring at less than 37 completed weeks of gestation, is a major determinant of neonatal mortality and morbidity because of their greater risk for intraventricular hemorrhage (IVH) and hypoxic ischemic encephalopathy (HIE). The morbidity associated with preterm birth often extends to later life, resulting in enormous physical, psychological and economic costs. Currently, many imaging modalities are available like Cranial Ultrasonography, Computed Tomography and Magnetic Resonance Imaging to detect the intracranial abnormalities in these neonates. However advantages of Cranial Ultrasonography are easy availability, not expensive, easy to perform, quick, can be done at bedside, repeatable and radiation free. The aims of the study were to identify the severity of brain injuries by grading the neurosonographic findings and to correlate the clinical presentations with the neurosonographic findings. MATERIALS AND METHODS: This study is done in Department of pediatrics in Neonatal Intensive Care Unit in Universal College of Medical Sciences ,a tertiary care hospital, Bhairahawa. This cross-sectional study comprise of 60 preterm neonates, referred to Department of Radio diagnosis for cranial ultrasonogram. Ultrasound examination of the neonatal brain done through anterior fontanelle in coronal and sagittal planes within 1st week using healthcare logiq p6 pro ultrasound machine. RESULTS: In this cross-sectional study of 60 neonates, 46 were male and 14 were female. Among 60 babies, 30 (50%) showed normal study and remaining 30 (50%) showed abnormal scan. Among the cases which were abnormal on scan most common finding was GMH (33.3%) and next commonest was periventricular leucomalacia (PVL- 16.7%) noted in 10 babies. CONCLUSION: Cranial ultrasonography is the best point of care neuroimaging method available for high-risk neonates. It is critical as an investigatory modality in NICU and effectively documents morphology of cerebral damage.

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A cross-sectional study in a tertiary care hospital in China: noise or silence in the operating room

BMJ Open ◽

10.1136/bmjopen-2017-016316 ◽

2017 ◽

Vol 7 (9) ◽

pp. e016316 ◽

Cited By ~ 5

Author(s):

Xiaoxiao Wang ◽

Lin Zeng ◽

Gang Li ◽

Mao Xu ◽

Bin Wei ◽

...

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Noise Levels ◽

Ophthalmic Surgery ◽

Cross Sectional ◽

Noise Data ◽

The Difference ◽

Student’S T

ObjectivesThis study aims to provide a comprehensive description of noise levels in operating rooms (ORs) in a tertiary care hospital in China. Additionally, the study aims to examine the deviation in noise levels from international and internal standards as well as the differences in noise levels by category of surgery and day of the week.MethodsWe monitored noise levels in 23 ORs in a tertiary care hospital in China between August 2015 and March 2016. Dosimeters were used to determine noise levels. The noise data collected in the dosimeter were downloaded to an IBM computer for subsequent analysis. One-way analysis of variance and Student’s t-test were used to examine the differences in noise levels.ResultsThe noise level in the ORs ranged between 59.2 and 72.3 dB(A), with 100% of the measurements exceeding the recommended hospital noise standards. There was substantial similarity in noise levels from Monday to Friday (F=1.404, p=0.234), with a range between 63.7 and 64.5 dB(A). The difference in noise levels by category of surgery was significant (F=3.381, p<0.001). The results of the post hoc analysis suggested that ophthalmic surgery had significantly higher noise levels than otolaryngological surgery or general surgery.ConclusionsOphthalmic surgery had significantly higher noise levels than otolaryngological or general surgeries. High noise levels were identified in all evaluated ORs during weekdays, and these levels consistently exceeded the currently accepted standards. These findings warrant further investigation to determine the harmful effects of noise on both patients and staff in ORs.

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