scholarly journals COMPARATIVE STUDY OF DYDROGESTERONE AND NATURAL MICRONISED PROGESTERONE (NMP) IN THREATENED ABORTION

2021 ◽  
pp. 1-2
Author(s):  
Priti Singh ◽  
Krishna Sinha
Keyword(s):  
Observational Study ◽  
Comparative Study ◽  
Spontaneous Abortion ◽  
Fetal Weight ◽  
Major Step ◽  
Serum Progesterone ◽  
Medical College ◽  
Threatened Abortion ◽  
Synthetic Form

Progesterone is also called as propregnacy hormone. Threatened abortion is bleeding that occurs during first twenty weeks of pregnancy. A major step in management includes supplementation of progesterone for continuing pregnancy. It has been suggested that some women who experience spontaneous abortion may not be producing enough progesterone, so by administrating adjuvant progesterone it may be possible to prevent miscarriage. There are several formulations. In this study ,we shall compare the efficacy of two form-the natural micronised progesterone & dydrogestrone, a synthetic form in threatened abortion. An observational study was undertaken in O & G department , JLN medical college , Bhagalpur for a period of one and half year. 50 women presented with either pain or bleeding PV within 12-20 wk of gestation. Each group of 25 given DYDR & NMP. Serum progesterone was measured at one &half month interval up to four& half months. Usg fetal weight monitored on day 0 & 135.

scholarly journals COMPARATIVE STUDY OF CLINICAL VERSUS USG IN DIAGNOSIS OF EARLY TRIMESTER BLEEDING PV

2020 ◽  
pp. 60-62
Author(s):  
Narendra Nath Hait ◽  
Brahmarshi Das ◽  
Ratan Chandra Mandal ◽  
Haricharan Roy ◽  
Debarshi Jana
Keyword(s):  
Statistical Analysis ◽  
Observational Study ◽  
Prospective Observational Study ◽  
Common Cause ◽  
Clinical Method ◽  
Medical College ◽  
Threatened Miscarriage ◽  
Obstetrics And Gynaecology ◽  
Threatened Abortion ◽  
The Difference

Background: Threatened abortion is till most common cause of early trimester bleeding PV and can be diagnosed and managed by early USG diagnosis. Materials and methods: This was a prospective observational study. Place of the study was Department of Obstetrics and Gynaecology and Department of Radiodiagnosis, Midnapore Medical College and Hospital from January 2019 to June 2020. Eighteen months. Result: When the clinical method to diagnose threatened miscarriage was compared to the sonographic method, it was evident that sonographic method was reliable than the clinical method and the difference was statistically significant. Conclusion: In case of missed miscarriage and complete miscarriage, although the percentage of discrepancy was 100%, on further statistical analysis, the discrepancy was not statistically significant. And the cause behind this was probably inadequate sampling.

scholarly journals A PROSPECTIVE AND COMPARATIVE STUDY OF ESTIMATION OF FOETAL BIRTH WEIGHT CLINICALLY AND SONOGRAPHICALLY AND ITS CORRELATION WITH ITS ACTUAL BIRTH WEIGHT

2021 ◽  
pp. 1-3
Author(s):  
Chhote Lal Paswan ◽  
Debarshi Jana
Keyword(s):  
Birth Weight ◽  
Comparative Study ◽  
Large Scale ◽  
Low Cost ◽  
Mode Of Delivery ◽  
Fetal Weight ◽  
Actual Weight ◽  
Medical College ◽  
Increased Risk ◽  
Newborn Complications

Background: Knowledge of fetal weight in utero is vital for the obstetrician in deciding whether to deliver the fetusas well as in fixing the mode of delivery. Both low birth weight and excessive fetal weight at delivery are associated with increased risk of newborn complications during labor and the puerperium. During the last decade, estimated fetal weight has been incorporated into the standard routine antepartum evaluation of high-risk pregnancies and deliveries. Objective of present study was to assess the fetal weight in term pregnancies by Clinical and Sonographic and to compare the methods after knowing the actual weight of the baby after birth. Methods: It is a prospective and comparative study of 100 women at term pregnancy at Obstetrics and Gynaecology Department of Madhubani Medical College and Hospital, Madhubani, Bihar from 20th March 2020 to 31st October 2020. Patients within 7 days from their Expected Date of Delivery were included in the study. The formulas used in this study are: Johnson's formula, Dare’s formula and Hadlock's formula using ultrasound. Results: Results vary in terms of accuracy with various methods employed for estimating the fetal weight. This studyshowed that Dare’s Formula was the best indicator among all other methods assessed followed by Hadlock's formula by ultrasonographic method. Conclusions: SFH measurement continues to be used in many countries on large scale because of its low cost, ease ofuse and need for little training as the setup for ultrasonographic evaluation is not readily available in rural setups.

scholarly journals Comparative Study of Various Methods of Fetal Weight Estimation in Term Pregnancy

2013 ◽  
Vol 5 (1) ◽  
pp. 22-25 ◽  
Author(s):  
Partha Mukherjee ◽  
Sebanti Goswami ◽  
Anupama Kumari
Keyword(s):  
Birth Weight ◽  
Standard Deviation ◽  
Comparative Study ◽  
Fetal Weight ◽  
Average Error ◽  
Weight Estimation ◽  
Term Pregnancy ◽  
Weight Category ◽  
Medical College ◽  
Fetal Weight Estimation

ABSTRACT Objective The goal of this study was to evaluate the various methods of estimating fetal weight in term pregnancy and to determine their relative accuracy in predicting the same in different weight categories. Materials and methods The study was conducted at Department of Obstetrics and Gynecology, Medical College and Hospital, Kolkata from 1st July 2009 to 30th June 2010. It was a prospective cohort type of study covering 500 pregnant women at term. Parameters studied (a) average error (gm) in different birth weight categories, (b) standard deviation of prediction error in each birth weight category. Results Ultrasonography was found to have least standard deviation closely followed by the two clinical methods proposed by Johnson and Dare. The average positive predictive value of different methods in our study was 42.2, 70.9, 80.5 and 76% for Dawn's, Johnson's, Dare's formulas and USG respectively. Conclusion Easily measurable obstetric parameters with simple instruments requiring minimal manpower training are equally accurate as USG in predicting fetal weight. How to cite this article Kumari A, Goswami S, Mukherjee P. Comparative Study of Various Methods of Fetal Weight Estimation in Term Pregnancy. J South Asian Feder Obst Gynae 2013;5(1):22-25.

SIGNIFICANCE OF PLACENTAL HISTOPATHOLOGICAL FINDINGS IN PRETERM/TERM BIRTH

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Monika Kushwaha ◽  
Sanjeev Narang
Keyword(s):  
Preterm Birth ◽  
Comparative Study ◽  
Pregnancy Outcome ◽  
Neonatal Morbidity ◽  
Research Centre ◽  
College Hospital ◽  
Cross Sectional ◽  
Chorionic Villi ◽  
Term Birth ◽  
Medical College

Background: This study is cross-sectional, observational and comparative study, at Index Medical College, Hospital & Research Centre, Indore, Madhya Pradesh from July 2017 to July 2019 with sample size 100 placentae. Method: The placenta received was evaluated blinded of maternal pregnancy outcome. The pattern of morphology was evaluated both qualitatively (type of lesion) and quantitatively (number of lesions). Result: In Present study 79% of the deliveries were term deliveries and 21% were preterm deliveries. On placental macroscopy, placenta weight was significantly low among the neonates of preterm deliveries (370.00±60.49) as compared to term deliveries (440.89±55.22). Preterm placenta had higher number of abnormal placental lesion compared to term pregnancies. Conclusion: The uteroplacental insufficiency defined as placental infarct, fibrosis of chorionic villi, thickening of blood vessels, and poor vascularity of chorionic villi. Placental histopathological lesions are strongly associated with maternal under perfusion and uteroplacental insufficiency. These are the reasons for preterm birth. Thus, knowledge of the etiological factor can be use to reduce maternal and neonatal morbidity and mortility. Keywords: Placenta, Term & Preterm.

Comparative Study Between Clean Intermittent Self-Catheterization (Cisc) and Continuous Indwelling Catheterization (Cidc) in Relieving Acute Refractory Retention of Urine Due to Benign Enlargement of Prostate (Bep)

2020 ◽  
Vol 21 (2) ◽  
pp. 105-110
Author(s):  
Md Shawkat Alam ◽  
Sudip Das Gupta ◽  
Hadi Zia Uddin Ahmed ◽  
Md Saruar Alam ◽  
Sharif Muhammod Wasimuddin
Keyword(s):  
Comparative Study ◽  
Acute Urinary Retention ◽  
Bladder Capacity ◽  
Inclusion Criteria ◽  
College Hospital ◽  
Medical College ◽  
High Incidence ◽  
Group A ◽  
Group B ◽  
Better Than

Objective: To compare the clean intermittent self-catheterization (CISC) with continuous indwelling catheterization (CIDC) in relieving acute urinary retention (AUR) due to benign enlargement of prostate (BEP). Materials and Methods :A total 60 patients attending in urology department of Dhaka Medical college hospital were included according to inclusion criteria ,Patients were randomized by lottery into two groups namely group –A and group –B for CISC and IDC drainage respectively . Thus total 60 patients 30 in each group completed study. Results : Most men can safely be managed as out-patients after AUR due to BPH. The degree of mucosal congestion and inflammation within the bladder was found to be lower in those using CISC and the bladder capacity in these patients was also found higher.Patients with an IDC had a high incidence of UTIs then that of patients with CISC. During the period of catheterization the incidence of UTI was 43.3% in group B in comparison to 40% in group A; before TURP 36% in group B in comparison to 10% incidence in group A.According to patient’s opinion CISC is better than IDC in the management of AUR. Experiencing bladder spasm, reporting blood in urine, management difficulties, incidence and severity of pain were less in CISC group, and the method of CISC was well accepted by patients as well as their family members. Conclusion: From the current study it may be suggested that CISC is better technique for management of AUR patient due to BPH than IDC. It can also be very helpful when surgery must be delayed or avoided due to any reasons in this group of patients. Bangladesh Journal of Urology, Vol. 21, No. 2, July 2018 p.105-110

A COMPARATIVE STUDY OF CERTAIN FACTORS BETWEEN PATIENTS WHO UNDERWENT SUBFASCIAL ENDOSCOPIC PERFORATOR SURGERY [SEPS] VERSUS OPEN PERFORATOR LIGATION [OSPL] IN THE TREATMENT OF GREAT SAPHENOUS VARICOSE VEINS”

2021 ◽  
pp. 71-74
Author(s):  
N. Murugesan ◽  
Muthuraj Muthuraj ◽  
M. S. Viswanathan ◽  
Amudhan Amudhan ◽  
Shunmugasundara m P.N
Keyword(s):  
Comparative Study ◽  
Varicose Veins ◽  
Medical College ◽  
Subfascial Endoscopic Perforator Surgery

This comparative study was conducted from April 2018 for a period of 1 ½ years at ESIC MEDICAL COLLEGE & PGIMSR, K.K.NAGAR, CHENNAI -78 for a total of 50 patients who were diagnosed with Great saphenous varicose veins with perforator incompetence .Patients underwent open subfascial perforator ligation or subfascial endoscopic perforator ligation. The observation and inference is noted in this presentation.

Intracranial Lesions Presenting as Bony Swellings of Scalp – An Observational Study of 13 Cases at King George Hospital, Visakhapatnam, A Tertiary Care Government Hospital

2021 ◽  
Vol 8 (31) ◽  
pp. 2822-2829
Author(s):  
Yarlagadda Srinivas Rao ◽  
Manda Venkata Vijayasekhar ◽  
Patirla Prahalad ◽  
Kadali Satyavaraprasad ◽  
Atla Bhagyalakshmi ◽  
...  
Keyword(s):  
Observational Study ◽  
Tertiary Care ◽  
Neurological Deficits ◽  
Intracranial Tumours ◽  
Medical College ◽  
Long Duration ◽  
Intracranial Lesions ◽  
Histological Characteristics ◽  
Malignant Lesions ◽  
King George Hospital

BACKGROUND The purpose of this study was to evaluate the intracranial lesions eroding the calvarium and presenting as bony swellings of the scalp. This kind of presentation is usually rare. This is because intracranial tumours usually manifest early with focal neurological deficits, seizures or features of raised intracranial pressure. Only a few patients, in whom the intracranial lesions, despite being present for a long duration, do not have neurological manifestations but erode the overlying bone and may present as bony swellings of the scalp. We studied the clinical presentation of such lesions, analysed their radiological and histological characteristics. METHODS This is an observational study from October 2018 to September 2020. A total of thirteen cases were studied in the Department of Neurosurgery, Andhra Medical College, Visakhapatnam, Andhra Pradesh. After clinical examination, an appropriate diagnostic workup was done, and all the cases were taken up for surgery. The clinical behaviour and histopathological features of the lesions were analysed. RESULTS In our study of thirteen cases, the most common cause of an intracranial lesion presenting as bony scalp swelling is meningioma which comprised almost 53.8 %, the second most common lesion is secondaries. Others included fibrous dysplasia and malignant small blue round cell tumour. CONCLUSIONS Intracranial lesions eroding the bone and presenting as scalp swellings are rare. In our study, the spectrum of these scalp swellings has ranged from benign lesions like meningioma to malignant lesions like secondary deposits. KEYWORDS Bony Scalp Lesions, Intracranial Tumours with Bony Erosion, Dumbbell Brain Tumours

A COMPARATIVE STUDY OF EFFICACY, POTENCY AND RECOVERY OF INTRATHECAL 0.5% ROPIVACAINE WITH FENTANYLAND 0.5% LEVOBUPIVACAINE WITH FENTANYL IN LOWER ABDOMINAL SURGERIES IN PATIENTS OF 18-60YEARS OF AGE

2021 ◽  
pp. 74-76
Author(s):  
Payel Mitra ◽  
Archana Roy ◽  
Aamir Huda
Keyword(s):  
Comparative Study ◽  
Motor Block ◽  
Length Of Hospital Stay ◽  
Cost Effective ◽  
Outpatient Setting ◽  
P Value ◽  
Equal Concentration ◽  
Medical College ◽  
Institutional Ethics ◽  
Care Surgery

INTRODUCTION:The recent trend in health care centres everywhere is to provide cost effective care to the patients. There is an increasing trend towards ambulatory day care surgery and rapid discharge of the patients. The operation of inguinal hernia or incisional hernia and even simple ligation surgeries are done without much complexities nowadays and can be completed in 60-90min without much intra or postoperative complications. Hence these have become an ideal procedure for outpatient setting and thereby reducing length of hospital stay. AIMS AND OBJECTIVE:A comparative study of efcacy, potency and recovery of intrathecal 0.5% ropivacaine with fentanyl and 0.5% levobupivacaine with fentanyl in lower abdominal surgeries in patients of 18-60years of age. MATERIALS AND METHOD: This is a prospective, comparative, observational study was conducted on 60 patients undergoing various lower abdominal surgeries under subarachnoid block (SAB) at Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal. This study was conducted over a period of 24-month. Approval of the Institutional Ethics Committee was taken. Awritten informed consent in the local language was taken from every patient. RESULT AND ANALYSIS: In RF 5 patients (17%) had onset at 3min, 17patients (57%) at 6min, 7 patients (23%) at 9min, 1 patient (3%) at 12min. In LBF 8 patients had onset at 0 min, 22 patients had onset at 3min. p value is less than 0.0001 which is statistically signicant. In RF, 23 patients (77%) had duration of motor block for 150min and 7 patients (23%) had for 180min. In LBF, 26 patients (87%) had duration of motor block for 210 min and 4 patients (13%) had for 180min. The p value is less than 0.0001, which is statistically signicant. SUMMARYAND CONCLUSION: This study was to compare potency, efcacy and recovery between the two groups of drugs. A potency of a drug is a measure of drug activity expressed in terms of the amount required to produce an effect of given intensity. Here both the drugs in comparison was given in equal concentration and found that levobupivacaine produced higher effect, reached Bromage 3 in lesser time than ropivacaine. So levobupivacaine was more potent drug. Efcacy is the ability to get a job done satisfactorily

scholarly journals Medical Management of Ectopic Pregnancy: An Observational Study

2016 ◽  
Vol 29 (1) ◽  
pp. 32-36
Author(s):  
Shahana Begum ◽  
Rowshan Akhtar
Keyword(s):  
Single Dose ◽  
Observational Study ◽  
Medical Treatment ◽  
Ectopic Pregnancy ◽  
Medical Management ◽  
Progesterone Level ◽  
Fertility Treatment ◽  
Intrauterine Pregnancy ◽  
College Hospital ◽  
Serum Progesterone

Objectives: The aim of this study was to explore the safety and efficacy of medical management of ectopic pregnancy.Materials and methods: This prospective observational study was conducted between February 2011 to August 2013 in Chittagong Medical College Hospital (CMCH) and in different private clinics of Chittagong city. Twenty-seven patients of ectopic pregnancy conceived by fertility treatment were recruited for medical treatment after proper evaluation. Ectopic pregnancy was diagnosed by serum ?-hCG and progesterone level but missing intrauterine pregnancy by transabdominal sonography (TAS). Serum ?-hCG was repeated after 48 hours to observe doubling of the level. If level was not doubled or increment was not at least 66% and serum progesterone level was less than 15ng/ml then it was considered as ectopic pregnancy. Patients were treated with Injection methotrexate 50 mg intramuscularly either by single dose or two doses. After 4 days of 1st injection ?-hCG was repeated and if level decreased > 15% then patients were assessed weekly till ?-hCG fell to <5lU/L. If drop was <15% after 4 days a second dose of methotrexate was given.Results: Overall success rate was 66.66% . Surgical intervention was needed in 22.22% patients. All patients were treated after hospitalization in CMCH and different private clinics of Chittagong. They got injection methotrexate, antibiotic, antispasmodic and analgesics for abdominal pain. Single dose cured 55.55% patients and 11.11% patients needed second dose, another 11.11% patients were misdiagnosed –later on they were diagnosed as intrauterine pregnancy and medical termination was done. Within one year of treatment 33.33% patients conceived again. There was no side effect or complications of the treatment.Conclusion: This small trial gave a good impression about medical treatment in selective cases. The efficacy should be assessed in a randomized clinical trial with a different set of populationBangladesh J Obstet Gynaecol, 2014; Vol. 29(1) : 32-36

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