Comparative assessment of fetomaternal outcome in twin pregnancy with singleton pregnancy at tertiary care centre

Background: Multiple pregnancy remains one of the highest risk situations for the mother, foetus and neonate despite recent advances in obstetrics, perinatal and neonatal care. Twin pregnancies have increased rates of obstetric and perinatal complications compared to singletons Objective of present study was comparative assessment of fetomaternal outcome in twin pregnancy with singleton pregnancy in Obstetrics and Gynaecology Department of S.M.S. Medical College, Jaipur.Methods: This was a hospital based, prospective observational study done in the Department of Obstetrics and Gynaecology. S.M.S. Medical College, Jaipur from April 2015 to March 2016. 150 women with twin pregnancy and 150 women with singleton pregnancies at gestation age of 28 weeks and above coming for delivery and consented for the study were included in the study. Women with chronic medical disorder or chronic hypertension were excluded from the study. Maternal and neonatal outcome recorded and analysed.Results: Occurrence of twin in our study was 2.82%. Risk of preterm labour was about nine times higher in twin pregnancies than the singleton (OR: 2.74, 95% CI; 1.4494-5.1884, P value 0.001). The risk of premature rupture of membrane was increased by 2.74 times in twin pregnancies (OR:2.74; 95% CI: 1.4494-5.1884, p value .001). There was 3-time increased risk of malpresentation (OR 3.14; CI:1.7184-5.7480, p value .00002) and 2.28 times increase in hypertensive disorder (OR 2.28; 95% CI: 1.0727-4.8823, p value .03) in twin pregnancies. The risk of asphyxia and septicaemia was 2.5 times more in twins.Conclusions: Twin pregnancy is a high-risk pregnancy with more complications in mother and foetus and is a great challenge for obstetrician. So, it should be managed carefully at tertiary care centre to reduce the maternal and perinatal mortality and morbidity

Differential prey capture success in ant lions (Myrmeleon immaculatus).

The predatory behavior of the ant lion larvae, Myrmeleon immaculatus was investigated using three different sizes of prey. Relationships between ant lion body size and pit structure, capture success and prey size, and capture time and prey size were investigated. A statistically significant relationship exists between ant lion body size and pit structure. In addition, small ant lions and large ant lions were found to differ signficantly in the sizes of prey they captured. However, the amount of time small and large ant lions spent capturing similar size prey did not differ. The results of this study indicate that although small and large ant lions invest the same amount of effort into prey capture, they do not receive equal energy return.http://deepblue.lib.umich.edu/bitstream/2027.42/54799/1/3240.pdfDescription of 3240.pdf : Access restricted to on-site users at the U-M Biological Station

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Not AvailableSoft rot is a devastating disease of aloe and the infected plants developed symptoms of rotting tissues from collar region upwards. Aloe plants artificially inoculated with a Dickeya spp. (reported earlier as the causal agent) at the root zone but did not develop the disease symptoms, eliminating the possibility of pathogen to entering through roots. Besides, a Fusarium spp. was repeatedly isolated from collar regions of the naturally infected plants. Further, it was established that lesions produced due to fungal infection predisposed the subsequent infection of the bacterial pathogen. Sequencing results and phylogenetic analysis based on three partial genes of bacteria (dnaX, icdA and mdh) and fungus (ITS, TEF-1α and RPB-2) confirmed the identity of pathogens as Dickeya zeae and Fusarium falciforme, respectively. An artificial inoculation technique was developed for quick screening of aloe germplasm for resistance of bacterium. Among 40 accessions screened, none was found resistant, however, F. falciforme failed to produce lesion on two accessions (Guj4 and Raj3), consequently making them resistant to soft rot disease upon combined inoculation with both the pathogens. Besides the genetic constituent, rapid rotting was observed at 35 ◦C but not at and below the 15 ◦C temperature. In planta, the bacterium concentration increased gradually with the rise of incubation temperature between 15 and 35 ◦C. The present study suggests possible management aspects of the problem through (i) exploiting host resistance and (ii) escaping post–harvest decay by storing and transporting aloe leaves at temperatures ≤ 15 ◦C and (iii) avoidance of water stagnation in field.Not Availabl

Analysis of Abnormal Epithelial Lesions in Cervical Papsmears: Tertiary Care Hospital

Introduction: Pap smear is a simple, convenient, cost effective and reliable test for early screening of cervical lesions. This test not only plays a crucial role in the detection of cervical cancer and its precursor lesions but also aids in interpretation of various physiological changes as well such infective conditions.Methods: Present study consists of 730 pap smears received at Pathology Department, Medical College, Baroda from January 2019 to December 2020. The smears were reported according to ‘The Bethesda system of reporting cervical cytology (2014)’. Results: Mean age was 39.13 year. Maximum number of patients (272/730 = 37.26%) were in the age group of 31–40 years. Out of total 730 cases, there were 82 (11.23%) unsatisfactory smears and 648(88.77%) adequate/satisfactory smears. Among satisfactory cases, 570 cases showed NILM while 78 cases showed Epithelial cell abnormality (ECA).Conclusion: Pap smear is highly effective screening tool for early detection of premalignant and malignant lesions of the cervix, thus helping in prompt treatment at an early stage and reducing the mortality and morbidity associated with cervical malignancy

ISSN 2347-954X (Print) To Study the Fetomaternal Outcome and Progress of Labour among Induced versus Spontaneous Labour in Nulliparous Women (Using Modified WHO Partograph)

Abstract: The objective of this study was to compare the progress and outcome of induced versus spontaneous labour among nulliparous women using the modified WHO partograph. It was a study comparing nulliparous women with induced labour and those with spontaneous onset of labour, monitored by using modified WHO partograph. 145 women with term singleton pregnancy were included in each group. Outcome measures were the mean duration of labour, mode of delivery and the feto-maternal outcomes. There was no difference in the mean age in two groups. More women had spontaneous vaginal delivery among those with spontaneous labour (88.96% versus 80%) (p=0.0396). The mean duration of second stage of labour was significantly more in induced labour (16.34 minutes) than in spontaneous labour (14.72 minutes) (p=0.0212). The mean duration of latent phase was significantly reduced in induced (5.34 hours) as compared to spontaneous group (6.82 hours) (p=0.00). The mean APGAR scores were comparable in two groups. Induced labour is comparable to spontaneous labour regarding fetomaternal outcomes but with increased rate of caesarean deliveries