scholarly journals Post-partum labial adhesion-a case report

Author(s):  
Shamrao Ramji Wakode ◽  
Varsha Narayana Bhat

A 22 years old primipara presented after 1.5 years of uncomplicated normal vaginal delivery with complaints of difficulty during intercourse and inability to conceive. Examination revealed labial adhesion connecting left and right labia minora with only 5 mm pinhole opening at the posterior end. Surgical division under anaesthesia resulted in successful complete recovery.

Author(s):  
Shabnam Ara ◽  
Cimona Lyn Saldanha ◽  
Insha Khan

Background: Anemia is the most common hematological abnormality detected during the pregnancy and forms a major problem in affecting the females especially in the developing countries.Methods: All pregnant females with clinical evidence of anemia without any other co-morbidity attending the antenatal clinic were included in the study. Patients were studied in terms of the age, parity, inter-pregnancy spacing, type of pregnancy, post-partum outcome along with the biochemical tests like peripheral blood picture, hemoglobin estimation, and serum ferritin levels.Results: Total no. of patients was 500, age ≤20 years were 60 and ≥35 years were 107, mild anemia (10-10.9 gm%) 160, moderate anemia (7-10 gm%) 250, severe anemia (<7 gm%) 90. Normal vaginal delivery with medio-lateral episiotomy was done in 385 patients, normal vaginal delivery without medio-lateral episiotomy in 35 while lower-segment caesarean section in 80 patients. Pre-term delivery was done in 95 patients, post-term delivery in 20. 90 babies delivered were low-birth weight (<2500 gm), antepartum hemorrhage was seen in 10 patients while 20 patients had Post-partum hemorrhage.Conclusions: The present study concludes that anemia is still rampant in the society especially in pregnant women. The main cause of anemia-in-pregnancy is still the iron deficiency anemia. The peripheral blood picture, hemoglobin estimation, and serum ferritin levels form the basic pillars in the evaluation of the etiology and type of anemia. The multiple government sponsored facilities are to be made available to each pregnant female and that requires community, government as well as healthcare professional’s participation.


1970 ◽  
Vol 6 (1) ◽  
pp. 51-52
Author(s):  
Nira Singh Shrestha ◽  
Shashi Pande ◽  
Mukunda Joshi ◽  
SM Padhye

A 32 year old, Para 2 with normal vaginal delivery presented with cyclical bleeding from a dark brown painful umbilical nodule for 6 months. The ultra sonogram showed a subcutaneous nodule at the umbilicus without any other abnormality. FNAC of the nodule diagnosed it as a case of umbilical endometriosis. A diagnostic laparosopy ruled out any associated pelvic endometriosis. Umbilectomy was done for the treatment of the condition. Keywords: Endometriosis, Umbilicus, Umbilectomy DOI: http://dx.doi.org/10.3126/njog.v6i1.5253 NJOG 2011; 6(1): 51-52


Author(s):  
Neelotparna Saikia ◽  
Sukalyan Halder ◽  
Punam Jain

Cornual ectopic pregnancy accounts for 2-4% of all the ectopic pregnancies with a mortality rate 6-7 times higher than that of the ectopics in general. It is a diagnostic and therapeutic challenge to the clinician with a significant risk of rupturing and bleeding. As of yet, the incidence of recurrent cornual ectopic pregnancies is unknown. This report described the case of a patient who developed two cornual ectopic pregnancies within a span of 3 years with an intervening full term normal vaginal delivery. The 1st cornual ectopic was successfully managed by laparoscopic resection, which was followed by an uneventful postoperative course. The following contralateral cornual ectopic was managed by laparotomy since the patient presented with large hemoperitoneum.


Author(s):  
Nasim Shokouh ◽  
Zeenat Ghanbari ◽  
Nafiseh Saedi

Uterine prolapse and cervical elongation are rare conditions that can complicate pregnancy, labor, and its management. To minimize complications, proper management of this conditionis necessary. A 26-year-old woman referred to our outpatient clinic with a lump protruding from her vagina. She was 16 weeks pregnant. Physical examination revealed uterine prolapseand cervical elongation, so to prevent the complications of the protruded cervix, a pessary was inserted. She had the pessary during the first stage of labor until the rupture of membranes(at 6 cm cervical dilatation). After removal of the pessary, although the cervix was out of introitus, the active phase of labor initiated and a normal vaginal delivery was done. Newonset prolapse during pregnancy with more probability is due to cervical elongation. During labor and delivery, this condition could be managed with conservative methods, includingpessary placement. and this condition could be managed with conservative methods including pessary placement during pregnancy and labor.


2021 ◽  
Vol 6 (3) ◽  
pp. 1-4
Author(s):  
Oliva C ◽  

Hereby, the case of a low obstetrical risk nulliparous 25-years-old woman, presenting with chest pain and subcutaneous emphysema on face, neck and sternum four hours after spontaneous vaginal delivery has been reported.


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