A study of effectiveness of injection Depot medroxyprogesterone in postpartum women

Background: Depot medroxyprogesterone (DMPA) injection 150 mg intramuscular was used in postpartum women for contraception in this study, once every 3 months. The aim of the study acceptance and compliance of DMPA, observe side effects related to usage of DMPA and establish its effectiveness as a postpartum contraception method.Methods: This is a prospective study carried out at Obstetrics and Gynaecology department over a period of 9 months and follow up was done. Only patients of full term normal delivery and Lower segment caesarean section (LSCS) were included. They were counselled properly and after their willingness for enrolment they were included in study after taken consent.Results: Out of 50 cases selected maximum patients, 48% were in the age group of 26 to 30, 38% were from lower socioeconomic class. Amenorrhoea and irregular spotting were found in 68% and 42%respectively. There was no case of failure of this contraceptive method in this study.Conclusions: DMPA is an effective and safe method of contraception in lactating period. Proper counselling will increase acceptance of DMPA. Awareness in patients regarding its benefits as compared to other contraceptive methods.

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Intra-operative uterine scar condition and fetomaternal outcome in patients of previous lower segment caesarean section (LSCS) with scar tenderness

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20174943 ◽

2017 ◽

Vol 5 (11) ◽

pp. 4911

Author(s):

Nidhi Gupta ◽

Renuka Sinha

Keyword(s):

Signs And Symptoms ◽

Caesarian Section ◽

New Delhi ◽

Lower Segment ◽

Average Hospital ◽

Lower Segment Caesarean Section ◽

Uterine Scar ◽

Nicu Admission ◽

One Year ◽

A Prospective Study

Background: During past few years, there is increasing trend in trial of labor in cases of previous lower segment caesarian section (LSCS). It needs vigilant approach in identifying signs and symptoms of giving way of previous scar. This study is to see the intra-operative uterine scar condition and feto-maternal outcome in patients of previous LSCS with scar tenderness.Methods: This is a prospective study done in Safdarjung hospital, New Delhi. It includes 120 patients of previous lower segment caesarian section with scar tenderness operated as emergency cases over a period of one year. It excludes elective repeat LSCS.Results: During this period repeat emergency LSCS was done in 862 cases and scar tenderness was seen in 120 cases (13.92 %). Out of 120 cases enrolled for the study intra-operative scar was intact in 69 cases (57.5%). Scar was thinned out in 27 cases (22.5%). Scar dehiscence was found in 21 cases (17.5%). Rupture occurred in 3 cases (2.5%) out of which 2 were Fresh still births. NICU admission was done in 11 cases (9.17%). 1 neonatal death occurred. No maternal death was recorded. Average hospital stay was 6 days. Blood transfusion was needed in 23 cases (19.2%).Conclusions: Scar tenderness is a very important tool for predicting scar integrity. All cases of previous LSCS should have institutional delivery.

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Use of various contraceptive methods in postpartum women – A prospective study in south Indian women

MedPulse International Journal of Gynecology ◽

10.26611/10121132 ◽

2019 ◽

Vol 11 (3) ◽

pp. 87-95

Author(s):

Anjum Kehkashan ◽

◽

G Divya Chowdary ◽

Keyword(s):

Prospective Study ◽

Postpartum Women ◽

Contraceptive Methods ◽

Indian Women ◽

South Indian ◽

A Prospective Study

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Effect of previous vaginal delivery on success of trial of labor in women with one previous lower segment caesarean section: a prospective study

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20163198 ◽

2016 ◽

pp. 3330-3335

Author(s):

Ganitha G. ◽

Lavanya G. ◽

Balaji Arumugam

Keyword(s):

Caesarean Section ◽

Prospective Study ◽

Vaginal Delivery ◽

Lower Segment ◽

Lower Segment Caesarean Section ◽

Trial Of Labor ◽

A Prospective Study

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Analysis of labor induction in a tertiary care hospital

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20204823 ◽

2020 ◽

Vol 9 (11) ◽

pp. 4627

Author(s):

Meenakshi Tanwar ◽

Anjali Choudhary ◽

Shweta Mishra

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Fetal Outcome ◽

Health Sciences ◽

Care Hospital ◽

Obstetric Outcome ◽

Lower Segment ◽

Normal Delivery ◽

Lower Segment Caesarean Section ◽

Labour Room

Background: Induction of labour (IOL) is a very common labour room procedure. Although labor is a natural physiological process, deliberate intervention in the form of induction may be required in many instances. It is needed in almost 20% of pregnant women for a variety of indications. The objective is to evaluate indications, different methods, and feto-maternal outcome of induced labour in tertiary care hospital.Methods: This was a retrospective study of IOL conducted in the department of obstetrics and gynecology, Shri Guru Ram Rai institute of medical and health sciences, Dehradun, Uttarakhand. Women who underwent IOL beyond 28 weeks gestation with single cephalic presentation with no contraindication for vaginal birth were included in the study. Statistical analysis was done with Microsoft excel.Results: A total of 1532 women delivered in the hospital during the study period. Among them, 498 women were induced (32.5%). Most common method of induction was misoprostol (40.36%) followed by prostaglandin E2 gel (26.90%). Out of 498 inductions, 377 women delivered vaginally making success of induction around 75.70%. Among them, 335 women had normal delivery (67.26%) and 42 women required instrumental delivery (8.4%) and 121 women underwent lower segment caesarean section (LSCS) (24.29%).Conclusions: Elective inductions of labor in properly selected indications at optimized timings aid in achieving a favorable maternal and fetal outcome. Methods of inductions, timing and intrapartum monitoring plays an important role in influencing obstetric outcome.

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The consequences of fetal reduction for quintuplets after ICSI-ET

Indian Journal of Obstetrics and Gynecology Research ◽

10.18231/j.ijogr.2021.056 ◽

2021 ◽

Vol 8 (2) ◽

pp. 270-272

Author(s):

Paapa Dasari ◽

Ashraf M Ali

Keyword(s):

Postpartum Haemorrhage ◽

Gestational Hypertension ◽

Breech Presentation ◽

Lower Segment ◽

Fetal Reduction ◽

Lower Segment Caesarean Section ◽

Uterine Massage ◽

Intra Cytoplasmic Sperm Injection ◽

Live Fetus

A 30-year-old primigravida who conceived following ICSI (Intra Cytoplasmic Sperm Injection) was admitted at 34 weeks of pregnancy with singleton fetus in breech presentation with Gestational diabetes and Gestational hypertension. To start with Quintuplets were diagnosed and she underwent fetal reduction of 3 foetuses at 14 weeks of pregnancy. Follow up USG revealed only one live fetus after one week. At LSCS (Lower Segment Caesarean Section) performed at 37 weeks, the placenta was found to be adherent and was manually removed. There was profuse bleeding after removal of placenta which was not controlled with uterine massage and uterotonics. Placental examination showed 3 fetus payraeceae. Intrauterine examination revealed an adherent fetus which was removed following which the haemorrhage stopped. In pregnancies following fetal reduction, postpartum haemorrhage can result due to retained fetus papyraceus and hence it is essential to make sure all papyraceae were removed.

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CLINICAL PROFILE OF NEONATES WITH RESPIRATORY DISTRESS

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v5i8.2136 ◽

2021 ◽

Vol 5 (8) ◽

Author(s):

Sandeep Kulhari ◽

Deepak Choudhary

Keyword(s):

Intensive Care Unit ◽

Respiratory Distress ◽

Respiratory Rate ◽

Neonatal Intensive Care ◽

Challenging Problem ◽

Lower Segment ◽

Term Neonates ◽

Lower Segment Caesarean Section ◽

Common Causes ◽

A Prospective Study

Background: Respiratory distress (RD) is a challenging problem and is one of the most common causes of admission in neonatal intensive care unit (NICU). Methods: A prospective study was conducted on 50 cases. Term, pre-term and post-term babies both in-borns and out-borns cases were included in the study. Results: Of the 50 cases admitted with RD, 31 babies (62%) were delivered vaginally and 19 (38%) by lower segment caesarean section (LSCS). There were 33 (66%) males and 17 (34%) females in the study. There were 23 (46%) pre-term babies, 26 (52%) term and 1 (2%) post-term neonates who were admitted with RD. The majority of cases 42 (82%) presented with increased respiratory rate, chest in drawings. 41 (82%) babies had flaring of alae nasi. Conclusion: Increased respiratory rate along with chest in drawing, flaring of alae nasi are the presentation of RD in majority of cases. Keywords: Respiratory distress (RD), Flaring of alae nasi are, Tachypnea.

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