scholarly journals Analysis of Preterm Induction of Labour

Author(s):  
Kritika Agrawal ◽  
Shubhangi Mande ◽  
Lakshmi Rachakonda

Worldwide 20-30% of labour cases are induced. We conducted an analysis to evaluate the success of labour induction for indicated preterm birth A prospective observational study was conducted among 50 patients admitted in the Department of OBGY, MGM Medical College and Hospital, Aurangabad from 1st March 2019 to 31st March 2020. There was a total of 50 deliveries during this period. The preterm induction majorly includes 20-34 years as this is the commonest reproductive age group seen in our hospital. More number of Hindus underwent induction. Multigravida requires induction more as compared to primigravida. More number of patients were induced between 32-36 weeks, reason being PPROM, severe preeclampsia, IUD and severe FGR. Vaginal delivery is more likely irrespective of bishop score. Induction of labour remains relevant obstetrics procedure and its outcome will depend on proper choice of patients and close intrapartum monitoring

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Eliza Ranjit ◽  
Bijendra Raj Raghubanshi ◽  
Smrity Maskey ◽  
Pramila Parajuli

Bacterial vaginosis (BV) is an ecological imbalance of the vaginal microbiota affecting mostly women of reproductive age group. This study was carried out among 160 nonpregnant women registered at the Outpatient Department of Gynaecology/Obstetrics of KIST Medical College Teaching Hospital, Imadol, Lalitpur, Nepal, from November 2014 to May 2015. The aim of the study was to assess the association of the risk factors with BV and analyze the type of bacteria associated with BV. Nugent’s scoring method was used for diagnosis of BV in this study. The overall prevalence of BV was 24.4% among symptomatic patients. Douching was statistically related to BV(P=0.015). Also, BV was significantly associated with consistency(P=0.0001), odor(P=0.02), and amount of abnormal vaginal discharge(P=0.09). Contraceptives users on anatomical sites were found more prone to BV than those who did not use contraceptives on anatomical sites.Pseudomonasspp.,Escherichia coli, Acinetobacterspp., Proteusspp., Klebsiellaspp., Neisseria gonorrhoeae, Enterobacterspp., Citrobacterspp., Staphylococcus aureus,Coagulase-Negative Staphylococci (CoNS),andStreptococcus agalactiaewere associated with BV and out of thoseLactobacillusspp. was the predominant organism. The higher prevalence of BV among symptomatic patients indicates interventions should be applied to reduce the incidence of stillbirth, abortion, and sterility.


Author(s):  
Om Prakash Raichandani ◽  
Abhijeet Kadam ◽  
Sapna Raichandani

The study was performed at the Department of Pharmacology in collaboration with Department of Psychiatry, NSCB Medical College, Jabalpur. The maximum numbers of patients in were in reproductive age group that is in between 20 to 49 years. The mean age in Amisulpride group was 33.26(±10.23) years while in Olanzapine group it was 31.25 (±12.22) years. Schizophrenia was more common (80%) in younger (20-49years) age group. In our study the male /female ratio was 1.7. Our study supports the notion that Schizophrenia is more common in Married and Urban population. Only one patient from Olanzapine  Group suffered  Extrapyramidal  symptoms of  moderate severity requiring  withdrawal from study.2  patients  from Olanzapine group and 1 patient from Amisulpride group  had Tremors and Akathesia  of mild severity. There was no emergence of Extrapyramidal symptoms in rest of the patients (p>.05) Keywords: Efficacy, Amisulpride, Olanzapine & Schizophrenia.


2018 ◽  
Vol 9 (1) ◽  
pp. 50-56
Author(s):  
Sazia Huq ◽  
Syed Mohammad Tanjilul Haque ◽  
Md Atiqur Rahman ◽  
Farzana Mahmuda ◽  
Maeda Mahjabein

Background: In Bangladesh the neonatal mortality rate is unacceptably high, at 48.4 per 1,000 live births and it is higher in rural areas while the neonatal mortality rate in Asia is 41 per 1,000 live-births, compared to 7 per 1,000 live-births in developed countries.Materials & Methods: This descriptive type of cross sectional study was carried out among 180 rural mothers of reproductive age in Mymensingh Medical College Hospital, Mymensingh from October 2013 to January 2014. Data were collected on a pretested questionnaire by face to face interview.Results: The study revealed that 50.6% of the respondents were housewife & education wise 42.2% had primary education with mean age 26.28±5.50 years. 61% respondents knew that cord should be cut by sterile blade and 65% respondents mentioned that cord should be cut immediate after delivery. Among them 44.4% knew about initiation of breast feeding within 1st hour of delivery, 71.1% believed the importance of colostrums feeding. Only 30% of the respondents knew about frequency of breast feeding to the baby should be 8-10 times in a day and 58% had knowledge on exclusive breast feeding. Of the respondents 52.2% went for exclusive breast feeding but others did not. 67% respondents immunized their baby whereas 33% did not. More than half of the respondents (59%) cleaned their breast before feeding and 80.6% respondents washed their hands before handling their newborn. A significant association was found between education and knowledge on immunization of newborn (P=0.000), education and exclusive breast feeding (P=0.003).Conclusion: The current study may boost up the awareness among rural mothers of reproductive age group on neonatal care which will further encourage them to be educated and thus neonatal morbidity & mortality may decline in some extent.Anwer Khan Modern Medical College Journal Vol. 9, No. 1: Jan 2018, P 50-56


2017 ◽  
Vol 7 (1) ◽  
pp. 14-19
Author(s):  
Sazia Huq ◽  
Syed Mohammad Tanjilul Haque ◽  
Md Atiqur Rahman ◽  
Farzana Mahmuda ◽  
Maeda Mahjabein

Background: In Bangladesh the neonatal mortality rate is unacceptably high, at 48.4 per 1,000 live births and it is higher in rural areas while the neonatal mortality rate in Asia is 41 per 1,000 live-births, compared to 7 per 1,000 live-births in developed countries.Methodology: This descriptive type of cross sectional study was carried out among 180 rural mothers of reproductive age in Mymensingh Medical College Hospital, Mymensingh from October 2013 to January 2014. Data were collected on a pretested questionnaire by face to face interview. Data were analyzed manually and by using computer.Results: The study revealed that 50.6% of the respondents were housewife & education wise 42.2% had primary education with mean age 26.28 ±5.50 years. 61% respondents knew that cord should be cut by sterile blade and 65% respondents mentioned that cord should be cut immediate after delivery. Among them 44.4% knew about initiation of breast feeding within 1st hour of delivery, 71.1% believed the importance of colostrums feeding. Only 30% of the respondents knew about frequency of breast feeding to the baby should be 8-10 times in a day and 58% had knowledge on exclusive breast feeding. Of the respondents 52.2% went for exclusive breast feeding but others did not. 67% respondents immunized their baby whereas 33% did not. More than half of the respondents (59%) cleaned their breast before feeding and 80.6% respondents washed their hands before handling their newborn. A significant association was found between education and knowledge on immunization of newborn (P=0.000), education and exclusive breast feeding (P=0.003).Conclusion: The current study may boost up the awareness among rural mothers of reproductive age group on neonatal care which will further encourage them to be educated and thus neonatal morbidity & mortality may decline in some extent.Anwer Khan Modern Medical College Journal Vol. 7, No. 1: Jan 2016, P 14-19


Author(s):  
Shiv Lal Solanki ◽  
Bhagraj Coudhary ◽  
Bhagwan Ram Vishnoi ◽  
B. L. Vyas

Background: Anaemia is one of the most important public health problem that persist worldwide, affecting the infants, young children, adolescents, elderly and child bearing women of developing countries. Among the women of reproductive age group the adolescence period is crucial and dynamic for young females as they begin to develop their capacity for empathy, abstract thinking for physical and mental induration with future time perspective of growth and development. The objectives of the study were to assess the prevalence of anaemia in women of reproductive age group; to study the socio-demographic factors among the study subjectsMethods: A cross- sectional purposive study was conducted on 436 females of reproductive age group, residing in the field practice area of urban health training centre of department of community medicine, Geetanjali medical college and hospital, Udaipur. Study period was from May 2015 to April 2016.Results: The prevalence of anaemia among the age group below 18 years were (71.2%), educated (72.4%), nuclear family (73.3%), married (87.1%), socio-economic status group V (79.9%), menarche (75.15%), and severe anaemia was observed in (3.2%) subjects.Conclusions: Nutritional anaemia is one of the most common micronutrient deficiency observed in the world and is the highest in the adolescent females. The study revealed the statistically significant association of anaemia with various socio-demographic factors.


Author(s):  
Priyanka Yadav ◽  
Geetika Arora

Background: Menstrual disorders are a common problem in reproductive age females. These disorders may cause significant anxiety for patients and their families. Thyroid dysfunction is one of the common cause of menstrual irregularities. Aim of the study was to determine the prevalence of hypothyroidism in reproductive age group women (15-45years), describe its various modes of clinical presentation and to assess the menstrual pattern in women with hypothyroidism.Methods: Prospective observational hospital based study during a period of 6 months (January 2020 to June 2020) on patients presenting in OPD in department of obstetrics and gynaecology, SGT medical college, hospital and research institute, Budhera, Gurgaon.Results: Prevalence of hypothyroidism was found to be 52.6% (190 out of total 338 patients) and it increased with increasing age group. 213 patients out of total came with complains of menstrual irregularities. 49.2% with normal menstrual cycle had hypothyroidism while 60.4% presenting with irregular heavy menstrual bleeding had hypothyroidism, p value being 0.019 which was statistically significant.Conclusions: Menstrual irregularities increase with severity of hypothyroidism. So screening for thyroid dysfunction should be included in management plan of menstrual disturbances.


Author(s):  
Ashish R. Kale

Background: Present study was a randomised prospective observational study carried out at Ashakiran Hospital and IVF centre Pune, Maharashtra, India to evaluate the efficacy, safety, and quality of life by using Ulipristal acetate 10 mg and Mifepristone 25 mg daily doses to treat uterine fibroids of two subgroups involving fibroids <3 cm and fibroids 3 to 5 cm all are in reproductive age group with symptomatic in nature over 3 months.Methods: A total number of 40 patients were recruited in the study of which they were divided into two groups according to the size of the fibroid as <3cm and 3-5cm as seen on transvaginal as well as transabdominal ultrasound. Further they were randomly assigned to either mifepristone or ulipristal orally with each category having 10 patients each to assess changes in fibroid size, in symptomatic pain reduction, menorrhagia and in quality of life.Results: The 25-mg dosage of Mifepristone is shown to be a good and effective way of treatment in fibroids less than 3 cm in achieving 40% reduction in size and 50% reduction in menorrhagia as compared to Ulipristal 10 mg which acts better in other subgroup of size 3-5 cm of fibroids.Conclusions: Still larger RCTs are needed to study the long-term benefits of these drugs.


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