A study evaluating third trimester haemoglobin level as a predictor of feto-maternal outcome in pregnancy induced hypertension cases

Background: The aim of this study is to assess whether third trimester haemoglobin level can be used as a predictor of feto-maternal adverse outcomes in pregnancies complicated with PIH.Methods: This is an observational study in the Obstetrics and Gynaecology Department of IMS and SUM hospital, SOA university from July 2015 to December 2017. Institutional ethical committee permission obtained. All singleton pregnancies delivered during this period with PIH were included in the study. PIH and eclampsia was diagnosed as per ISSHP criteria. All chronic hypertension cases excluded. All were evaluated with haemoglobin level. They were divided into 3 groups depending upon haemoglobin level; low ( 13gm%) considering the WHO standard. Maternal complications observed were incidence of eclampsia, abruptio placentae, HELLP syndrome, PPH, neurological complications, ICU admissions and death. Fetal outcomes studied were NICU admission, stillbirth, incidence of prematurity and low birth weight. All these parameters were compared among 3 groups. Statistical analysis was done with SPSS 20 software using Yate’s corrected chi square test.Results: Incidence of eclampsia was significantly greater with both high (p13gm% in third trimester is associated with worst feto-maternal outcome whereas normal haemoglobin level (11-13gm%) is associated with least feto-maternal complications

Caesarean myomectomy: a descriptive study of clinical outcome

Background: The objective was to analyse the clinical outcome of caesarean myomectomy and to evaluate the safety of performing the procedure.Methods: A total of 23 cases of caesarean myomectomy, conducted in Institute of Medical Science and Sum Hospital Odisha, between January 2008 to December 2012 were analysed.Results: In this study, out of 23 cases one case needed hysterectomy and another one required relaparotomy. Puerperal pyrexia and sepsis was found in 8.6% cases and 60.8% cases had post-operative anaemia. Intra operative haemorrhage was more than 1000 ml in 82.6% cases though only30.4% cases required blood transfusion. Hospital stay in all patients was on average 8 days post-operatively. There was no maternal or perinatal mortality.Conclusion: Myomectomy is relatively safe during caesarean section in selected cases with expert hand

Effect of Early versus Delayed Cord Clamping on Hematological Parameters of Term Neonates: Pengaruh Penjepitan Tali Pusat Dini Dibandingkan dengan Tertunda pada Parameter Hematologi Neonatus Aterm

Objectives : To compare the serum bilirubin, hemoglobin, and hematocrit in term infants undergoing delayed cord clamping with early cord clamping after normal and caesarean delivery.Methods : This is a prospective observational study. The neonates in which cord clamping was done within 15 seconds were considered in early cord clamping (ECC) group and where cord clamping was done after 1 minute was considered in delayed cord clamping (DCC) group. The PCV, Hb, serum bilirubin were observed after 48 hours in both the groups and compared.Results : There was statistically significant difference in means of Hb level (p = 0.001) and PCV level (p = 0.001) between DCC and ECC group whereas no statistically significant difference was present in total serum bilirubin level (p = 0.359).Conclusion: There was no significant increase in risk of polycythaemia and hyperbilirubinemia between delayed cord clamping and early cord clamping group rather has beneficial effects in increasing the haemoglobin and haematocrit in the infants.Keywords : delayed cord clamping, early cord clamping, hematocrit, hemoglobin, serum bilirubin, hyperbilirubinemia. Abstrak Tujuan: Untuk membandingkan bilirubin serum, hemoglobin, dan hematoklit pada bayi aterm yang dilakukan delayed cord clamping dan early cord clamping setelah persalinan normal dan seksio sesarea.Metode: Studi ini merupakan studi prospektif. Neonatus yang dilakukan cord clamping dalam 15 detik dikelompokkan pada delayed cord clamping (DCC). PCV, Hb, bilirubin serum diobservasi dalam 48 jam pada kedua kelompok, kemudian dibandingkan.Hasil: Terdapat perbedaan signifikan antara kadar Hb (p = 0,001) dan PCV (p = 0,0010 antara kelompok DCC dan ECC, sedangkan tidak terdapat perbedaan signifikan pada kadar bilirubin serum total (p = 0,3590Kesimpulan: Tidak terdapat peningkatan signifikan polisitemia dan hyperbilirubinemia antara DCC dan ECC.Kata kunci: delayed cord clamping, early cord clapming, hematokrit, hemoglobin, serum bilirubin, hyperbilirubinemi

Original Article Section: Obstetrics & Gynaecology Epidemiology of Intrauterine Fetal Deaths: A Retrospective Observational Study

ABSTRACT Background: Intrauterine fetal death is a very tragic event for the parents and a great challenge to the obstetrician. It contributes to perinatal mortality and detail analysis of it may help to reduce the still birth rate in India. The aims and objectives of the study is to find out the prevalence, socio-demography, maternal risk factor and fetal characteristics of intrauterine fetal demise cases. Methods: This is a retrospective observational study carried out in Institute of Medical Science and SUM Hospital Bhubaneswar from October 2014 to April 2015. Ante partum events leading to fetal demise were recorded, socio-demographic and clinical characters were noted and analysed. Results: There were 2899 deliveries and 90 fetal deaths in this period. The incidence of IUFD was 31.04/1000 live births in our study. Conclusion: Pregnancy induced hypertension, severe anaemia; abruption of placenta, congenital malformation of the fetus is the main cause of fetal demise. All the main causes of fetal death observed here is preventable. Proper preconceptional counselling, antenatal care is mandatory to reduce the still birth rate by 2030

Original Article Total Laparoscopic Hysterectomy -A Retrospective Observational Study in a Teaching Hospital

ABSTRACT Background: Hysterectomy is a frequently performed operation for the benign conditions of uterus, but the route of hysterectomy is always a matter of discussion .Laparoscopic hysterectomy has been criticised many a time regarding its complication and duration of surgery. But availability of newer machines and techniques has popularised it recently. Most of the studies regarding this have been done by the single surgeon with expert hand .This study has been conducted in a university teaching hospital where there are many surgeons with different expertise along with the beginners. Methods: It is a retrospective observational study conducted in IMS and SUM hospital Bhubaneswar which is an university teaching hospital.286 Total laparoscopic hysterectomy patients between July 2014 to June 2015 were analysed regarding the demography, indication of operation ,duration of operation, intra operative blood loss and perioperative complication along with duration of hospital stay. Result: Major indication of surgery was fibroid uterus accounting for 40.20% followed by AUB 28.32%. Mean time of surgery in TLH is 2.34±0.67hrs and average blood loss is 150.9±58.8ml. 4.54% cases had major intra operative complications; minor post operative complications were in 14.68% cases. The conversion to laparotomy rate was 1.39% and 0.68% cases had urinary tract injury. Mean duration of hospital stay was 2.58± 1.98days. Conclusion: TLH is a safe procedure with minimal blood loss and shorter duration of hospital stay with surgical expertise .we can never ignore the machine behind the man

Phosphorus sorption behaviour of the largest brackish water lagoon, South Asia

Not AvailableThe Chilika Lagoon is the largest brackish water ecosystem in the Asian continent and is a Ramsar site. Here, the sorption–desorption study was standardized simulating the environmental condition of the Chilika, to ascertain whether phosphorus (P) is the source or sink for sediments of the coastal ecosystem. The sorption behaviour of sediment phosphorus was better fitting into the modified Langmuir model. The effects of salinity, pH, and temperature on phosphorus sorption were found to be better understood by nonlinear relationships. The sorption was recorded to increase at its lower concentrations with increasing of mentioned parameters, when it decreased beyond some threshold values. The maximum phosphorus sorption capacity (Qmax) was more (258 mg/kg) in the freshwater stretch of the lagoon; Northern Sector compared to the relatively saline stretches, i.e., Outer Channel (219 mg/kg) and Southern Sector (237 mg/kg) (p < 0.05). This study will help to control eutrophication by increasing P sorption.Not Availabl