scholarly journals Emergency Obstetric Hysterectomies at a Tertiary Referral Shri Vasantrao Naik Government Medical College and Hospital of Tribal of Yavatmal District (Maharashtra): Retrospective Critical Analysis (6 Years Study)

2015 ◽  
Vol 7 (2) ◽  
pp. 55-60
Author(s):  
Archana D Rathod ◽  
Sandhya P Pajai
Keyword(s):  
High Risk ◽  
Antenatal Care ◽  
Critical Analysis ◽  
Fetal Mortality ◽  
Government Medical College ◽  
Tertiary Referral ◽  
Mortality And Morbidity ◽  
Tertiary Referral Center ◽  
Medical College ◽  
High Risk Factors

ABSTRACT Objective To evaluate the demographic profile, high-risk factors, fetomaternal outcome, causes and incidence of emergency peripartum hysterectomies at tertiary referral center Government Medical College and Hospital at Yavatmal. Study design Retrospective analysis. Methodology Review of 14 case records of patient who undergone emergency peripartum hysterectomies during the year January 2007 to December 2012. Results During the study period, there were 39,612 deliveries, out of which 14 patients had undergone emergency peripartum hysterectomy (EPH), having an incidence of 0.35/1000 births. There was 1 (7.14%) maternal death and 5 (35.71%) perinatal deaths. The commonest indications noted were atonic PPH 7 (50%), morbidly adherent placenta 5 (35.71%) and rupture uterus 2 (14.28%). Five (35.71%) of these patients had not received antenatal care prior to their hospitalization. Lack of antenatal care and health education indeed a preventable factor that needs to be addressed to reduce maternal and fetal mortality and morbidity. Identification of high-risk patients, institutional deliveries by expert of risk group and early referral from peripheral health infrastructures are utmost importance in avoiding EPH and reduce maternal and fetal morbidity and mortality. Emergency obstetric hysterectomy still remains as life saving procedure which every obstetrician must be familiar with it. How to cite this article Rathod AD, Pajai SP. Emergency Obstetric Hysterectomies at a Tertiary Referral Shri Vasantrao Naik Government Medical College and Hospital of Tribal of Yavatmal District (Maharashtra): Retrospective Critical Analysis (6 Years Study). J South Asian Feder Obst Gynae 2015;7(2): 55-60.

scholarly journals Emergency obstetric hysterectomy: a lifesaving procedure

2018 ◽  
Vol 7 (5) ◽  
pp. 1876
Author(s):  
Usha Doddamani ◽  
Nirmala Rampure ◽  
Sanyogita Kulkarni ◽  
Shoba Patil ◽  
Neelavati Tambre
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Antenatal Care ◽  
Placenta Previa ◽  
Reproductive Capacity ◽  
Fetal Mortality ◽  
Early Referral ◽  
High Risk Factors ◽  
Scarred Uterus ◽  
Placenta Accrete

Background: Emergency Obstetric Hysterectomy (EOH) is removal of uterus following vaginal delivery, Emergency LSCS or within the puerperium period. Because of increasing caesarean deliveries, the number of scarred uterus is increasing exposing the gravid women to increasing morbidity from uterine rupture, placenta accrete and placenta previa thus increasing the incidence of Emergency obstetric hysterectomy. The aim was to determine the incidence, demographic details, high risk factors and fetomaternal outcome of patients who underwent EOH.Methods: This was a retrospective study where data was collected from the record sheets of patients who underwent Emergency Obstetric Hysterectomy from January 2016 to December 2017 in the department of OBG, GIMS Gulbarga. Maternal age, parity, socioeconomic status, antenatal care, high risk factors and fetomaternal outcome were analysed.Results: During the study period there were 17,820 deliveries out of which 20 cases underwent EOH giving an incidence of 0.12%. Most of patients were uneducated, unbooked, low SES and of rural background and were multiparous. Main cause for EOH were rupture uterus, PPH and morbidly adherent placenta. There were 2 cases of maternal mortality and fetal mortality was 65%.Conclusions: Though EOH is a lifesaving procedure it curtails the reproductive capacity of the women. Proper antenatal care, early referral, timely decision and skill of surgeon in performing this procedure is important.

scholarly journals Perinatal outcome of multiple pregnancy

2017 ◽  
Vol 6 (6) ◽  
pp. 2226
Author(s):  
Susithra Saravanan ◽  
Malarvizhi Loganathan
Keyword(s):  
Birth Weight ◽  
High Risk ◽  
Antenatal Care ◽  
Social Workers ◽  
Perinatal Outcome ◽  
Multiple Pregnancy ◽  
Multiple Pregnancies ◽  
Mortality And Morbidity ◽  
Obstetrics And Gynaecology ◽  
Multi Disciplinary Team

Background: Multifetal gestation in addition to perinatal mortality and morbidity, attributable to preterm delivery they are more vulnerable to unique complications such as, structural malformations and twin- twin transfusion syndrome so that still birth rates are also appreciably increased. The incidence of multifetal gestation following conventional gonadtropin therapy is 16-40% with 75% being twins, with super ovulation it is 25-30%. The incidence of twins and triplets with embryo transfer 22-24% and 26% respectively.Methods: The clinical material taken from institute of Obstetrics and Gynaecology, Egmore Maternity, Chennai. Material for this study consists of 100 multiple pregnancies from May 2001 to April 2002. During this study period 19,617 patients admitted for delivery. There were 99 seats of twins and 1 Triplets.Results: During the period of 1 year, 150 cases were analyzed. During the period 148 cases 2 cases of tripelets studied, no cases of quadruplets were reported during this period.Conclusions: Multifetal gestation is one of the high-risk pregnancies. Hence women with multifetal gestation should ideally receive antenatal care in special twin clinics to meet their special needs. The multi-disciplinary team should be lead by an obstetrician, should include midwives, USG, Neonatologists, social workers and anesthetists. Women followed in twin clinic had significant improvement in women outcome which includes increased mean birth weight, decreased low birth weight and low ICU admissions.

scholarly journals A Critical Analysis of Claims and Their Authenticity in Indian Drug Promotional Advertisements

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Gurpreet Kaur Randhawa ◽  
Navyug Raj Singh ◽  
Jaswant Rai ◽  
Gobindnoor Kaur ◽  
Resham Kashyap
Keyword(s):  
Observational Study ◽  
Critical Analysis ◽  
Drug Information ◽  
Pharmaceutical Companies ◽  
Government Medical College ◽  
Product Characteristics ◽  
Prescribing Pattern ◽  
Medical College ◽  
Drug Advertisement ◽  
True False

Introduction. Drug promotional advertisements (DPAs) form a major marketing technique of pharmaceutical companies for promoting their products and disseminating ambiguous drug information which can affect prescribing pattern of physicians. Drug information includes product characteristics, various marketing claims with references in support to increase its credibility and authenticity.Material and Methods. An observational study was carried out on fifty printed drug advertisement brochures which were collected from different OPDs of Guru Nanak Dev Hospital attached to Government Medical College, Amritsar, India. These advertisements were analyzed and claims were categorized into true, false, exaggerated, vague, and controversial on criteria as reported by Rohraa et al. (2006). References of DPAs in support of the claims were critically analyzed for their retrievability from web and validity pertaining to claims.Results. Out of 209 claims from 50 advertisements, only 46% were found to be true, 21% false, 16% vague, 7% exaggerated, and 10% controversial in nature. Out of 160 references given in support of claims, 49 (30%) of references were irretrievable. Out of 111 (70%) retrievable references, 92 (83%) references were found valid.Conclusion. Drug information provided in the DPAs was biased, incomplete, unauthentic, and unreliable with references exhibiting questionable credibility.

scholarly journals A study of cervical cytology in females above 21 years of age

2019 ◽  
Vol 8 (9) ◽  
pp. 3578
Author(s):  
Nidhi Singh ◽  
Hanslata Gehlot
Keyword(s):  
Developing Countries ◽  
Pap Smear ◽  
Age Groups ◽  
Cervical Cytology ◽  
Socioeconomic Class ◽  
Mortality And Morbidity ◽  
Medical College ◽  
High Risk Factors ◽  
Pap Smear Screening ◽  
Malignant Lesions

 Background: Cancer cervix is the leading cause of mortality and morbidity in developing countries like India most probably due to lack of proper screening facilities or due to the lack of awareness amongst the women of developing countries. Worldwide, cervical cancer is the second most common and 5th deadliest cancer in women. This study was conducted in department of obstetrics and Gynaecology, Umaid hospital, Dr. S. N. Medical College, Jodhpur Rajasthan, India. The objective of this study was to study the various high risk factors involved in premalignant and malignant lesions of cervix. To study the incidence of different epithelial abnormalities of cervix in females above 21 years of age. To study premalignant and malignant lesions of the cervix in relation to the presenting complaintMethods: The study was conducted in 500 females above 21 years of age and who were not pregnant, who had been attending Umaid Hospital, Jodhpur for various gynaecological complaints, of different parity, residential status and socioeconomic class. Detailed history was taken and thorough examination was done. Pap smear was prepared and all smears were reported as per the Bethesda system.Results: Maximum numbers of patients were in the age group of 21-40 years (70.2%). Majority of patients were from rural area (52.4%) and from lower socioeconomic class (30.2%). Most of women were found to have duration of marriage between 10 to 30 years (63.4%). Most of the women in our study had age at marriage between 17 to 19 years (49.4%). Multiparity was seen in 84.2% of cases. The commonest presenting complaint was white discharge (46.8%). On Pap smear, maximum cases were of inflammatory smear (91.4%), 1.4% had ASCUS, 1.2% AGC, 1.4% LSIL, 1% HSIL and 0.4% had SCC.Conclusions: Cervical cytology is an important tool for early detection of premalignant and malignant lesions of cervix. Regular pap smear screening should be conducted in vulnerable age groups.

Trends in Maternal Mortality in Medical College Jabalpur, India in the last 15 Years

2017 ◽  
Vol 9 (3) ◽  
pp. 239-244
Author(s):  
Bharti Sahu ◽  
Priyadarshini Tiwari ◽  
Pooja Saraogi ◽  
Poorva Badkur ◽  
Varsha R Choudhary
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Causes Of Death ◽  
Care Center ◽  
Tertiary Care ◽  
The State ◽  
Care Needs ◽  
Tertiary Referral Center ◽  
Medical College ◽  
The Impact

ABSTRACT Aim The aim of our article was to study the causes of maternal deaths in our institution from the year 2001 to 2015 and to see whether there has been any decline in the preventable causes of death and if our results are comparable with the statistics of the state. Materials and methods The data pertaining to maternal mortality from 2001 to 2016 were entered in Excel sheets, and data analysis was done in Excel software. The impact of government schemes on mortality and antenatal care was evaluated and the problems at the tertiary care center were analyzed. Results Eclampsia and anemia, which are largely preventable causes of death, were and still continue to be the leading causes of mortality in our institution which is the tertiary referral center for a large tribal belt. Though data differ, the maternal mortality in our institution rose at the time of implementation of government schemes to fall to previous levels by 2015. Conclusion There has been a definite reduction in the maternal mortality of the state. In spite of various government schemes for promoting hospital deliveries and registering antenatal patients for care, the preventable causes of death still appear to be leading in maternal mortality. Our antenatal care needs further improvement and so does our tertiary level care. Clinical significance Government schemes have helped in getting critical referrals to tertiary care centers. Further reduction in mortality can be achieved only if our antenatal care and tertiary care can be improved. How to cite this article Tiwari P, Badkur P, Sahu B, Saraogi P, Choudhary VR. Trends in Maternal Mortality in Medical College Jabalpur, India in the last 15 Years. J South Asian Feder Obst Gynae 2017;9(3):239-244.

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