7 research outputs found

    Maternal and perinatal outcome in eclampsia and factors affecting the outcome: a study in North Indian population

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    Background: Worldwide eclampsia is a leading cause of maternal and perinatal mortality and morbidity. Hence the importance of continued efforts in reviewing each women with eclampsia and to analyze factors affecting the outcome. Aims of the study were to evaluate maternal and fetal outcome in patients of eclampsia and factors affecting the outcome.Methods: A retrospective epidemiological study was undertaken in the department of obstetrics and gynaecology, VMMC & Safdarjung hospital, New Delhi during the period ‘January to December 2010’. Women who presented as eclampsia or developed eclampsia during hospital stay were included in the study. Data analysed included various maternal parameters and fetal parameters and the outcome of the pregnancy. Pearson Chi-square test was used to see association between two parameters.Results: During the defined period incidence of Eclampsia was 3.2 per 1000 deliveries. Maternal death occurred in 8.4% of patients and still birth in 18.8%. Inadequate & delayed initiation of treatment and preterm deliveries was found to be associated with poor maternal and fetal outcome. As the time interval between ‘onset of fit and delivery’ increased, chances of adverse outcome also increased. However, age, parity, onset of seizures before, during or after delivery was not found to have any effect on maternal and fetal outcome.Conclusions: It can be concluded that better antenatal care, early recognition of disease, timely referral, early initiation of treatment and termination of eclamptic patients improves outcome. Management of eclamptic patients should be performed at tertiary care centres, where ICU facilities, NICU facilities and multidisciplinary units are available

    Analysis of caesarean sections using Robson’s classification system in a tertiary care centre in Northern India: an emerging concept to audit the increasing caesarean section rate

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    Background: There has been an increase in rate of caesarean section over last five decades. This is a matter of international public health concern as it increases the caesarean section related maternal morbidity. The aim of the present study was to evaluate that in a new medical college which clinical situation contributed and led to caesarean deliveries as per Robson’s classification system and to audit the increasing rate of caesarean section.Methods: This study was performed in Government Medical College Kathua in the Union territory of Jammu and Kashmir from November 2020 to April 2021. In the present study, all cases delivered by caesarean section during the period of six months were recorded and classified according to Robson's 10 group classification system.Results: Out of total 1366 women delivered, 630 underwent CS (46.12%). It was observed that majority of caesarean sections belonged to group 2 and group 5 of Robson criteria. Group 5 comprised of patients with one or more previous caesarean section with cephalic presentation according to Robson criteria and maximum number of caesarean sections done in the present study belonged to this group that is 40.3%. Group 2 that is nulliparous singleton cephalic >37 week induced labour or caesarean section before labour comprised 29.2%. Breech pregnancies (groups 6 and 7) had >90% caesarean rates.Conclusions: Women with a previous caesarean delivery represent an increasing proportion of caesarean deliveries. Use of the Robson criteria allows standardized comparisons of data and identifies clinical scenarios driving changes in caesarean rates. Hospitals and health organizations can use the Robson 10-Group Classification System to evaluate quality and processes associated with caesarean delivery

    Ascites and Adnexal Mass with Raised CA125: How Arduous can be the Path of Diagnosis

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    Ascites, adnexal mass and elevated CA125 levels almost always suggest advanced ovarian carcinoma. We present a case of a 37 years old multiparous lady who presented with such a classical picture. Radiological picture was suggestive of ovarian carcinoma with peritoneal metastasis. However ascitic fluid cytology was negative for malignant cells. A differential diagnosis of tubercular mass was made. Ascitic fluid was sent for adenosine deaminase test that was negative. Fine needle aspiration cytology failed to reveal any sufficient sample for evaluation. Open laparotomy and biopsy was done that showed granulomas suggestive of tuberculosis. Category one anti tubercular treatment was started and symptoms resolved within one month.  Keywords: Adenosine Deaminase; Ovarian carcinoma; Pelvic tuberculosis. | PubMe

    Ascites and Adnexal Mass with Raised CA125: How Arduous can be the Path of Diagnosis

    No full text
    Ascites, adnexal mass and elevated CA125 levels almost always suggest advanced ovarian carcinoma. We present a case of a 37 years old multiparous lady who presented with such a classical picture. Radiological picture was suggestive of ovarian carcinoma with peritoneal metastasis. However ascitic fluid cytology was negative for malignant cells. A differential diagnosis of tubercular mass was made. Ascitic fluid was sent for adenosine deaminase test that was negative. Fine needle aspiration cytology failed to reveal any sufficient sample for evaluation. Open laparotomy and biopsy was done that showed granulomas suggestive of tuberculosis. Category one anti tubercular treatment was started and symptoms resolved within one month. Keywords: Adenosine Deaminase; Ovarian carcinoma; Pelvic tuberculosis. | PubMe

    Complete Bilateral Calcified Psoas Abscess- Rare Sequelae of Untreated Pott’s Spine

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    Although rare in the western world; psoas abscess is a frequent finding in Indian sub continent associated with Pott’s spine. Untreated Pott’s spine may lead to various sequelae like destruction of vertebra, kyphosis, paraplageia etc which in modern world is amenable to anti-tubercular drugs and surgical management. We report a case of untreated Pott’s spine with bilateral calcified psoas abscess with kyphosis. To the best of our knowledge no such case of complete bilateral calcified psoas abscesses has been reported earlier. We want to discuss this case with relevant literature review and its influence on treatment plan. 
 Keywords: aminoglycoside; antistaphylococcal; psoas

    Complete Bilateral Calcified Psoas Abscess- Rare Sequelae of Untreated Pott’s Spine

    No full text
    Although rare in the western world; psoas abscess is a frequent finding in Indian sub continent associated with Pott’s spine. Untreated Pott’s spine may lead to various sequelae like destruction of vertebra, kyphosis, paraplageia etc which in modern world is amenable to anti-tubercular drugs and surgical management. We report a case of untreated Pott’s spine with bilateral calcified psoas abscess with kyphosis. To the best of our knowledge no such case of complete bilateral calcified psoas abscesses has been reported earlier. We want to discuss this case with relevant literature review and its influence on treatment plan. Keywords: aminoglycoside; antistaphylococcal; psoas
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