Background: To study the correlation between maternal body mass index (BMI) with maternal and perinatal outcome in women admitted to labour ward in Department of OBG, VIMS, Ballari.Methods: This observation study was conducted in Department of OBG, VIMS, Ballari for a period of one year between 1st October 2014 to 30th September 2015. All women admitted to labour ward with full term singleton pregnancy were included in the study. The cases were classified into four groups as under-weight (BMI <20kg/m2), normal (BMI 20-24.9kg/m2), over-weight (BMI 25-29.9kg/m2) and obese (BMI >30kg/m2). The maternal and perinatal outcome noted and studied in the above groups.Results: A total of 500 cases were included during the study period of one year, out of which 15% were under-weight, 68% were normal BMI, 12% were over-weight and 5% cases were obese(BMI >30kg/m2). The patients with low BMI had higher incidence of low birth weight (40%) and perinatal deaths. Increased BMI category was associated with higher incidence of PIH (25-28%), operative deliveries (50-68%), PPH (12%), microsomal babies (32%), low APGAR (24%) and perinatal deaths (12%).Conclusions: Adverse maternal and perinatal outcomes are significantly related to extremes of BMI categories and least complications were seen in normal BMI group.
Objectives: To assess the maternal and fetal outcomes using new screening criteria with upper serum thyroid stimulating hormone (TSH) cut off as >3mIU/L, for diagnosing hypothyroidism in pregnancy. Materials and Methods: This study was a cross sectional study, carried out in the department of Obstetrics and Gynaecology. During one year of study period from February 2016 to January 2017, pregnant women with ≤ 20 weeks gestation, attending antenatal OPD were included in the study and they were followed till delivery. On the basis of serum TSH level, women were divided into study group with serum TSH level between 3.1 to 6 mIU/L, (new range to be studied) and an equal number of ages and parity matched control group with serum TSH levels between 0.4 to 3 mIU/L. The maternal and fetal outcomes were compared between study and control groups. Results: During the study period, in study group 96 women had serum TSH between 3.1-6 mIU/L. Maternal and fetal outcomes in both the groups were comparable. Study did not find any difference in the rate of spontaneous abortion between women in study and control group [p > 0.99]. There was no significant difference in the maternal complications like preeclampsia, gestational diabetes and placental abruption in the study and control group. Vaginal delivery and caesarean section were similar in both the groups. Study shows no significant difference of foetal outcome in study and control group [p > 0.05]. Conclusion: As compared to pregnant women with serum TSH levels <3mIU/L, women with serum TSH levels between 3.1-6.0mIU/L had no significant adverse fetomaternal outcome.
Background: Intrauterine fetal demise (IUFD) is the most undesirable consequence of pregnancy which causes psychological distress to mother and family. It also carries risk of infection and DIC. In literature, various methods have been described to manage the cases of IUFD. Practically prostaglandin analogues are routinely used for induction of labour in cases of IUFD. The objectives of this study were to assess the effectiveness and safety of vaginal misoprostol for induction of labour in IUFD.Methods: In this prospective study, consecutive series of 100 women with IUFD ≥ 28 weeks of gestation are studied. Detailed clinical history, physical examination and investigations are recorded. All selected cases were induced with vaginal misoprostol 50 μg and the doses are repeated every 6th hourly depending on uterine contractions and Bishop’s score changes.Results: The average induction to delivery interval is 14.68 hours. All women delivered within 40 hours of administration of first dose of misoprostol with 47%, 86% and 100% delivering within 12 hours, 24 hours and 40 hours respectively. There was significant correlation between mean induction delivery interval and maternal age, parity and Bishop’s score. Minor side effects like chills and fever were noted in 5% of patients and retained placenta and atonic PPH was seen in 2% each.Conclusions: The low dose vaginal misoprostol for induction of labour in IUFD is a safe, effective and cost effective regimen.
Objectives: The aim of the study was to evaluate the effects of oligohydramnios on maternal and fetal outcome at term pregnancy. Methodology: A case control study on pregnancy outcome in 100 women with AFI<5cm after 37 completed weeks of pregnancy compared with 100 controls with no oligohydramnios with matched age and parity. Results: Non stress test (NST) was non-reactive in 38% of oligohydramnios and 20% of controls and was statistically significant (P<0.05). Ominous fetal heart patterns were seen in 60% of oligohydramnios and 30% of controls but it was statistically not significant. Thick meconium stained amniotic fluid was seen in 48% of oligohydramnios and 20% of the controls and was significant (P<0.001). In oligohydramnios, 54% were induced whereas in controls, only 24% and was significant (P<0.002). For fetal distress, 88% of oligohydramnios and 90% of controls underwent LSCS and was not significant. APGAR score <7 was insignificant between the two groups. LBW and NICU admission were more in oligohydramnios and was significant (P<0.05, <0.01). Perinatal mortality was not significant between the two groups. Conclusion: Oligohydramnios (AFI<5) is valuable for predicting fetal distress in labour requiring caesarean section, used as an adjunct to other fetal surveillance methods. Oligohydramnios (AFI < 5cm) detected after 37 weeks of gestation is an indicator of poor pregnancy outcome.
Background: Mullerian agenesis is a challenge to reconstructive surgeons. In order to create a new vagina that mimic the normal one in size, lining and appearance, multiple techniques have been designed; among these techniques Mc Indoe’s vaginoplasty represents the simplest one with good results. Mc Indoe’s operation which involves the creation of a space between bladder and rectum, insertion of a mould covered with split-thickness skin graft into that neo-vaginal space, and use of postoperative vaginal mould for dilation and to avoid stenosis. However, many modifications have been introduced in time in an attempt to increase the success rates. The purpose of vaginal agencies treatment is to create an adequate passage for penetration during sexual intercourse.Methods: Between Jan 2010 to June 2017, ten patients with vaginal agenesis were admitted to Dept of Obstetrics and Gynaecology, VIMS Ballari for vaginal reconstruction. All cases underwent a modified Mc Indoe’s technique, and follow up was done for one year.Results: All ten cases of vaginal agenesis underwent vaginal reconstruction by modified Mc Indoe's technique. Post-operative vaginal length varied from 5 to 7 cm in patients who used mould regularly. Successful skin graft take was achieved in 6 cases. one case of perforation of rectum and one case of vaginal stricture was noted.Conclusions: To optimize sexual comfort, the clinical management of women with vaginal agenesis must be multidisciplinary and individually tailored. Our findings suggest that the modified Mc Indoe’s technique is a simple, effective procedure for the treatment of vaginal agenesis, but proper mould usage after surgery remains the cornerstone of the treatment.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.