ABSTRACT Aims: To assess the psychological status of infertile women using the Fertility Problem Inventory and to identify any relationship between characteristics of infertility and the psychological problems. Methods: A prospective, quantitative, descriptive, questionnaire- based study with institutional ethics committee clearance was conducted for two months, on women undergoing infertility treatment. Fertility Problem Inventory Questionnaire was applied and stress levels analyzed. Data were tabulated into Microsoft Excel and statistical analysis was performed in terms of percentages and students t tests for categorical variables. Results: Thirty-two patients were studied in the time period with an average of 30.15 years. Seventy-five percent of the patients were found to be suffering from a moderately severe level of infertility-related stress. The remaining were suffering from a moderate level of infertility-related stress. The duration of marriage was found to have a significant correlation with the stress. Conclusions: Majority (two-thirds) of the study group were suffering from a serious psychological morbidity. Psychological evaluation of people seeking infertility treatment could be considered
Aim: To report a case of a pregnant patient with unconsciousness who was presented with features of obstetric hemorrhage but was diagnosed with diabetes ketoacidosis. Background: Gestational diabetes mellitus can cause many complications. Of these, diabetic ketoacidosis (DKA) is one. The clinical features of DKA include nausea, vomiting, mild abdominal discomfort, tachycardia, elevated random blood sugars, despite a normal or near normal HbA 1 c, and presence of urinary ketones. Case description: G2P1L1 with 28 weeks period of gestation who presented clinically similar to abruptio placenta, underwent cesarean section, but had coexisting DKA. Conclusion: When a patient presents with unconsciousness, the tendency of an obstetrician is to consider an obstetric diagnosis, whereas a coexisting metabolic condition which should not be neglected.
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