A study of fetomaternal outcomes in cases of jaundice at a tertiary care centre

Background: Jaundice in pregnancy is affects a small percentage of pregnant women yet takes a major toll on the health of both the mother and the foetus. The distribution of jaundice in pregnancy varies throughout the world but is seen comparatively more in the developing countries. The course and outcome of liver disorders in pregnancy is altered due to the various hemodynamic, immunological and hormonal changes of pregnancy.Methods: This is a retrospective study conducted in the department of obstetrics and gynecology at Seth G.S. medical college and KEM hospital, Mumbai, Maharashtra, India over one year from January to December 2015. Data of 55 women diagnosed to have jaundice from clinical and biochemical evidences as per records was collected.Results: There were 6780 deliveries; the incidence of jaundice being 0.81%. Most common cause identified was viral hepatitis 34 cases (62%), 24 cases being hepatitis E, followed by cholestasis of pregnancy 13 cases (23.6%) and the rest 8 cases were due to other causes like leptospirosis, malaria, HELLP syndrome, drug induced and chronic liver disease due to portal hypertension.72.7% belonged from the rural set up. 45 patients were referred from peripheral hospitals. Maximum patients were primigravidas and were between the age group 25-29 years of age. 70% babies were low birth weight. 50% babies had intrauterine growth restriction. There were 12 maternal deaths,7 due to hepatitis E. Total vaginal deliveries were 37, 9 patients underwent lower segment caesarean section and 1 patient had instrumental (vacuum) delivery. Most common maternal complication was DIC and postpartum haemorrhage. 18 patients required ICU care, out of which 13 patients were Hepatitis E positive. Ventilator support was required in 73% of the patients admitted to the intensive care unit.Conclusions: Prompt diagnosis, accurate evaluation and a multidisciplinary approach is needed to tackle this high risk pregnancy as it leads to a poor maternal and perinatal outcome

Conservative management of a complex ovarian cyst in a case of Glanzmann’s thrombasthenia

Complex ovarian cyst has many causes one of them being haemorrhagic cyst. Most of the haemorrhagic ovarian cyst present as an emergency, detailed clinical history is important before deciding the management. Reporting an interesting case of conservative management in a young patient of reproductive age group with variant Glanzmann’s Thrombasthenia which led to a very large ovarian haemorrhagic cyst and presented as a case of torsion of the ovarian cyst. This case highlights the importance of thorough history taking and evaluation prior to embarking on surgical interference in such cases of coagulation disorders. Glanzmann's thrombasthenia (GT) is a genetic disorder which is characterized by a defect in platelet aggregation resulting in bleeding due to absence or dysfunction of the platelet glycoprotein IIb/IIIa complex. It is a rare genetic disorder that follows autosomal recessive type of inheritance

Research on efficacy of webinars organized for faculty during lockdown of COVID-19

Online Faculty Development Programs/Webinars are the two buzzing words, which have become viral next to corona among the teaching fraternity during the lockdown period of pandemic situation caused by COVID-19. This work intends to throw light on, the reason for the outbreak of FDPs/ Webinars, their efficiency and the attitude of the participating faculty during the lockdown period from 16th March to 15th June 20. Information is gathered through an online survey having 31 research questions answered by 683 participants across India. The new found tool of online teaching has become the accepted norm and the urge to lead the bandwagon by each and every stakeholder in the education sector resulted in a sudden spurt of webinars and FDPs in such a short period. Study observed that global reach at no cost plus freedom of working from home spurred many faculty to experiment this mode and 40% from them have been found to be juggling with many courses simultaneously for certificate sake only, 45.1% attended on mandatory instructions and 38% have not even initiated the work. Quizzes and Polls during sessions besides assignments were found to be suitable active learning mechanisms to improve the efficacy of the online knowledge transfer methods

Conservative management of a complex ovarian cyst in a case of Glanzmann's thrombasthenia

Complex ovarian cyst has many causes one of them being haemorrhagic cyst. Most of the haemorrhagic ovarian cyst present as an emergency, detailed clinical history is important before deciding the management. Reporting an interesting case of conservative management in a young patient of reproductive age group with variant Glanzmann’s Thrombasthenia which led to a very large ovarian haemorrhagic cyst and presented as a case of torsion of the ovarian cyst. This case highlights the importance of thorough history taking and evaluation prior to embarking on surgical interference in such cases of coagulation disorders. Glanzmann's thrombasthenia (GT) is a genetic disorder which is characterized by a defect in platelet aggregation resulting in bleeding due to absence or dysfunction of the platelet glycoprotein IIb/IIIa complex. It is a rare genetic disorder that follows autosomal recessive type of inheritance