{"title":"Adolescent Pregnancy of Maternal and Perinatal Outcome in A Tertiary Centre in Bangladesh","authors":"Swapna Rani Roy, Jubaida Sultana, Syeda Nazmatul Hasnat, Mst. Fancy Khatun","doi":"10.33545/26648393.2024.v6.i1a.26","DOIUrl":"https://doi.org/10.33545/26648393.2024.v6.i1a.26","url":null,"abstract":"","PeriodicalId":475151,"journal":{"name":"International Journal of Gynaecology Sciences","volume":"28 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140518680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.33545/26648393.2024.v6.i1a.25
Sultana Jahan Hema, Rowshon Ara Ahmed, Tahmina Akter, B. H. Ara, Dilruba Akter, F. A. Haque, Mst Hazera Khatun, Md. Monzorull Islam
{"title":"Association of serum ferritin level with Gestational Diabetes Mellitus: A case control study","authors":"Sultana Jahan Hema, Rowshon Ara Ahmed, Tahmina Akter, B. H. Ara, Dilruba Akter, F. A. Haque, Mst Hazera Khatun, Md. Monzorull Islam","doi":"10.33545/26648393.2024.v6.i1a.25","DOIUrl":"https://doi.org/10.33545/26648393.2024.v6.i1a.25","url":null,"abstract":"","PeriodicalId":475151,"journal":{"name":"International Journal of Gynaecology Sciences","volume":"82 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140522338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.33545/26648393.2024.v6.i1a.24
Dr. Rachna Chaudhary, Dr. Nancy Yadav, Dr. Shakun Singh, Dr. Vandana Dhama, Dr. Komal Rastogi
Background: Caesarean section (CS) is one of the most common surgical interventions worldwide. In the past few decades, the rate of CS surgeries has increased across the whole world. For patients whose spontaneous vaginal delivery (SVD) is contraindicated or not possible, CS is carried out to protect the lives of both foetus and the mother. However, in reality, CS is also being performed without following standard indications or based on vague indications like obstructed labour with intact membranes. Although CSs are known to be life-saving procedures, various risks have been found attached to CS concerning present or future pregnancies. Aims and Objectives: The aims and objectives of this study are the following: Classifying women undergoing CS as per the Robson criteria, analysing the CS rate using the Robson criteria, determining the groups which contribute the most to CS, identifying commonalities among these groups, and studying the foeto-maternal outcomes in CS patients. Methods: Prospective observational studies of all CSs conducted at Lala Lajpat Rai Memorial LLRM Medical College, Meerut were classified using RTGCS. The duration of the study period was one year, and all of the patients who delivered via CS at LLRM Medical College during the said period were included in the study. Results: Out of the total 3,343 deliveries, 2,059 deliveries were by CS. The analysis by applying Robson’s classification revealed that approximately 37.9% of the patients belonged to Robson group 5, followed by 25.2% that belonged to Robson group 10 and then Robson groups 1, 2 and 3 followed. Of the various indications of CS, previous LSCS with scar tenderness was the most common indication (30.8%). Conclusion: Robson classification helps analyse the trend of increasing CS rate and provides an outlook on how to reduce this increasing trend. Good labour monitoring, proper ANC care regarding methods of delivery and encouraging TOLAC and DOULA (birth companion) can help to reduce CS rate.
{"title":"Analysis of caesarean section through Robson classification system: An emerging concept to audit the increasing caesarean section rate","authors":"Dr. Rachna Chaudhary, Dr. Nancy Yadav, Dr. Shakun Singh, Dr. Vandana Dhama, Dr. Komal Rastogi","doi":"10.33545/26648393.2024.v6.i1a.24","DOIUrl":"https://doi.org/10.33545/26648393.2024.v6.i1a.24","url":null,"abstract":"Background: Caesarean section (CS) is one of the most common surgical interventions worldwide. In the past few decades, the rate of CS surgeries has increased across the whole world. For patients whose spontaneous vaginal delivery (SVD) is contraindicated or not possible, CS is carried out to protect the lives of both foetus and the mother. However, in reality, CS is also being performed without following standard indications or based on vague indications like obstructed labour with intact membranes. Although CSs are known to be life-saving procedures, various risks have been found attached to CS concerning present or future pregnancies. Aims and Objectives: The aims and objectives of this study are the following: Classifying women undergoing CS as per the Robson criteria, analysing the CS rate using the Robson criteria, determining the groups which contribute the most to CS, identifying commonalities among these groups, and studying the foeto-maternal outcomes in CS patients. Methods: Prospective observational studies of all CSs conducted at Lala Lajpat Rai Memorial LLRM Medical College, Meerut were classified using RTGCS. The duration of the study period was one year, and all of the patients who delivered via CS at LLRM Medical College during the said period were included in the study. Results: Out of the total 3,343 deliveries, 2,059 deliveries were by CS. The analysis by applying Robson’s classification revealed that approximately 37.9% of the patients belonged to Robson group 5, followed by 25.2% that belonged to Robson group 10 and then Robson groups 1, 2 and 3 followed. Of the various indications of CS, previous LSCS with scar tenderness was the most common indication (30.8%). Conclusion: Robson classification helps analyse the trend of increasing CS rate and provides an outlook on how to reduce this increasing trend. Good labour monitoring, proper ANC care regarding methods of delivery and encouraging TOLAC and DOULA (birth companion) can help to reduce CS rate.","PeriodicalId":475151,"journal":{"name":"International Journal of Gynaecology Sciences","volume":"78 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140525330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Pre-eclampsia is considered as a major cause of maternal and fetal morbidity and mortality. When a pre-eclamptic women develops associated hyperuricemia, fetal outcome may become worse. Raised serum uric acid in pre-eclamptic mother affects maternal and fetal condition which in turn give rise to poor maternal and fetal outcome. Objective: To find out the effect of serum uric acid on outcome of pre eclamptic patient. Study design: It was analytic type of cross sectional study. Study setting and period: The study was done in Dhaka Medical College Hospital. The study period was March 2016 to September, 2016. Participants: Among all patients who fulfilled the inclusion criteria during the study period and who gave consent were selected. Methodology: The study was performed on 50 women with pre- eclampsia. The study was performed on two groups; the first group (n=25) with serum uric acid > 6 mg/dl (hyperuricemia group-A) was compared to the second group (n=25) with serum uric acid 6) was 27.8±7.0% and in normal uric acid group (uric acid-6) was 26.6±7.7%. There was no statistically significant differenc of Mean±SD of age between two groups. Most of the participants were primi. In hyperuricemic group, 15(60%) were primi and in normal uric acid group, 13(52%) were primi. Mean±SD of systolic blood pressure of both group had non-significant difference (p-0.760). Mean±SD of diastolic pressure was 114.40±115.57 mmHg in hyperuricemic group and 105.40±13.06 mmHg in normal uric acid group. The difference of diastolic pressure between two groups were significant (p-0.032). In hyperuricemic group, Mean±SD of uric acid was 7.66±1.59 mg/dl and Mean±SD of uric acid was 4.71±0.85 mg/dl in normal uric acid group. Mean±SD of Uric acid of both groups had significant difference (p-0.001). Termination was needed earlier in hyperuricemic group than normal uric acid group although Mean±SD of gestational weeks of both groups had non-significant difference (p-0.84). Hyperuricemic group had 7(28.0%) eclampsia, 1(4.0%) acute renal failure, 2(8.0%) HELLP, 2(8.0%) pulmonary edema and 3(12.0%) PPH but normal uric acid group had 2(8.3%) eclampsia, acute renal failure 0(0.0%), HELLP 0(0.0%), pulmonary edema 0(0%), PPH 0(0.0%). Mean±SD of maternal complications of both groups had significant difference (p-0.001). In hyperuricemic group, 5(20.8%) birth asphaxia, 7(29.2%) preterm baby, 6(25.0%) still birth, 2(8.3%) perinatal death. In normal uric acid group, 1(4.0%) birth asphaxia, 9(36.0%) preterm baby, 0(0.0%) still birth,0(0.0%) perinatal death. Mean±SD of fetal complications between two groups were statistically significant (p-0.003). Moreover, the complications either maternal or fetal was more in hyperuricemic group than normal uric acid group. Conclusion: As there are some limitation the result will not reflect cent percent of the real picture among Bangladeshi population. This study identifies association of hyperuricemia with maternal and fetal outcome in pre-ec
{"title":"Effect of Serum Uric Acid Level on Outcome of Pregnancy in Pre-Eclampsia","authors":"Rumnaz Akhanda, Taufiqua Hossain Tuli, Afrina Begum, Gul-A-Anar ., Farhana Islam, Jubair Mahmud Parvez, Muslima Haque, Tania Akter, Nishat Anan","doi":"10.33545/26648393.2023.v5.i2a.22","DOIUrl":"https://doi.org/10.33545/26648393.2023.v5.i2a.22","url":null,"abstract":"Introduction: Pre-eclampsia is considered as a major cause of maternal and fetal morbidity and mortality. When a pre-eclamptic women develops associated hyperuricemia, fetal outcome may become worse. Raised serum uric acid in pre-eclamptic mother affects maternal and fetal condition which in turn give rise to poor maternal and fetal outcome. Objective: To find out the effect of serum uric acid on outcome of pre eclamptic patient. Study design: It was analytic type of cross sectional study. Study setting and period: The study was done in Dhaka Medical College Hospital. The study period was March 2016 to September, 2016. Participants: Among all patients who fulfilled the inclusion criteria during the study period and who gave consent were selected. Methodology: The study was performed on 50 women with pre- eclampsia. The study was performed on two groups; the first group (n=25) with serum uric acid > 6 mg/dl (hyperuricemia group-A) was compared to the second group (n=25) with serum uric acid 6) was 27.8±7.0% and in normal uric acid group (uric acid-6) was 26.6±7.7%. There was no statistically significant differenc of Mean±SD of age between two groups. Most of the participants were primi. In hyperuricemic group, 15(60%) were primi and in normal uric acid group, 13(52%) were primi. Mean±SD of systolic blood pressure of both group had non-significant difference (p-0.760). Mean±SD of diastolic pressure was 114.40±115.57 mmHg in hyperuricemic group and 105.40±13.06 mmHg in normal uric acid group. The difference of diastolic pressure between two groups were significant (p-0.032). In hyperuricemic group, Mean±SD of uric acid was 7.66±1.59 mg/dl and Mean±SD of uric acid was 4.71±0.85 mg/dl in normal uric acid group. Mean±SD of Uric acid of both groups had significant difference (p-0.001). Termination was needed earlier in hyperuricemic group than normal uric acid group although Mean±SD of gestational weeks of both groups had non-significant difference (p-0.84). Hyperuricemic group had 7(28.0%) eclampsia, 1(4.0%) acute renal failure, 2(8.0%) HELLP, 2(8.0%) pulmonary edema and 3(12.0%) PPH but normal uric acid group had 2(8.3%) eclampsia, acute renal failure 0(0.0%), HELLP 0(0.0%), pulmonary edema 0(0%), PPH 0(0.0%). Mean±SD of maternal complications of both groups had significant difference (p-0.001). In hyperuricemic group, 5(20.8%) birth asphaxia, 7(29.2%) preterm baby, 6(25.0%) still birth, 2(8.3%) perinatal death. In normal uric acid group, 1(4.0%) birth asphaxia, 9(36.0%) preterm baby, 0(0.0%) still birth,0(0.0%) perinatal death. Mean±SD of fetal complications between two groups were statistically significant (p-0.003). Moreover, the complications either maternal or fetal was more in hyperuricemic group than normal uric acid group. Conclusion: As there are some limitation the result will not reflect cent percent of the real picture among Bangladeshi population. This study identifies association of hyperuricemia with maternal and fetal outcome in pre-ec","PeriodicalId":475151,"journal":{"name":"International Journal of Gynaecology Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135052021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.33545/26648393.2023.v5.i2a.23
Meher Sultana, Tahmina Khan Shammi, Farhana Ahmed Nancy, Minara Sikder
{"title":"Study of the Knowledge of Women about Prevention of Carcinoma Cervix by Vaccination","authors":"Meher Sultana, Tahmina Khan Shammi, Farhana Ahmed Nancy, Minara Sikder","doi":"10.33545/26648393.2023.v5.i2a.23","DOIUrl":"https://doi.org/10.33545/26648393.2023.v5.i2a.23","url":null,"abstract":"","PeriodicalId":475151,"journal":{"name":"International Journal of Gynaecology Sciences","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134882813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.33545/26648393.2023.v5.i2a.21
Dr. Sara Guleria, Dr. Suman Thakur, Dr. Kushla Pathania
Peripartum cardiomyopathy is an idiopathic heart failure occurring in the absence of any determinable heart disease during the last month of pregnancy or the first 5 months postpartum. The differential diagnosis includes pre-existing cardiomyopathy, such as familial dilated cardiomyopathy, previous myocarditis, and drug or toxin induced cardiomyopathy; valvular disease, congenital heart disease, such as shunt lesions; and pulmonary arterial hypertension. Common complications with PPCM include thromboembolism, arrhythmias and heart failure. A multidisciplinary approach is required to handle the pregnancy as well as its associated complications.
{"title":"Peripartum cardiomyopathy: A case report","authors":"Dr. Sara Guleria, Dr. Suman Thakur, Dr. Kushla Pathania","doi":"10.33545/26648393.2023.v5.i2a.21","DOIUrl":"https://doi.org/10.33545/26648393.2023.v5.i2a.21","url":null,"abstract":"Peripartum cardiomyopathy is an idiopathic heart failure occurring in the absence of any determinable heart disease during the last month of pregnancy or the first 5 months postpartum. The differential diagnosis includes pre-existing cardiomyopathy, such as familial dilated cardiomyopathy, previous myocarditis, and drug or toxin induced cardiomyopathy; valvular disease, congenital heart disease, such as shunt lesions; and pulmonary arterial hypertension. Common complications with PPCM include thromboembolism, arrhythmias and heart failure. A multidisciplinary approach is required to handle the pregnancy as well as its associated complications.","PeriodicalId":475151,"journal":{"name":"International Journal of Gynaecology Sciences","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134888716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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