Its impact on pregnant women is not yet clear owing to limited data and the knowledge is evolving in several aspects. Based on the available evidences, various clinical guidelines for management of COVID-19 have been formulated. This article intends to compile and summarise guidelines from esteemed organisations, along with their implication in the Indian scenario, and offers an easy tool for clinicians managing pregnant women in times of COVID-19.
PURPOSE- Cervical cancer is a leading cause of cancer death in low and middle-income countries (LMICs). Loop Electrosurgical Excision Procedure (LEEP) is a valuable diagnostic and therapeutic tool for Cervical Intraepithelial Neoplasia Grade 2 or 3 (collectively referred to as CIN2+) lesions on outpatient visits. However, removing a part of the cervix during the procedure might affect a woman’s perception of sexual function This study was planned to assess the effect of LEEP on overall sexual satisfaction and other specific aspects of sexual function in women who are subjected to LEEP as a part of cervical dysplasia management. METHODS- All patients attending OPD at the Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Rishikesh, India, between October 2020 to March 2021, diagnosed with CIN 2 and CIN 3 lesions and planned for LEEP; were enrolled in our study after taking consent. Women were interviewed regarding their sexual function before the LEEP procedure and after six months while on follow-up with self- structured pre- and post-procedural sexual function questionnaire. RESULTS- 61 sexually active women who underwent LEEP for high-grade CIN2+ lesions were enrolled in the present study. There was significant improvement in pain during vaginal penetration, post coital bleeding, level of anxiety related to sexual life, and overall sexual satisfaction post LEEP procedure. CONCLUSION- The present study concluded that LEEP poses no long-term effect on women's sexuality, with a reduction in dyspareunia and postcoital bleeding, along with improvement in overall sexual function, although small but statistically significant.
With better medical care the mortality and morbidity associated with spina bifida are improving and more such patients are reaching reproductive age. Significant problems may be encountered in the management of pregnancy in spina bifida, especially in patients with previous abdominal operations for the management of neuropathic bladder dysfunction. We report successful pregnancy outcomes in 2 such patients, both with urinary diversions, with combined obstetric and urological care. We also review the existing literature on the subject.
Introduction/Background* Secondary prevention of cervical cancer should remain a key priority for women's health globally for decades to come, especially in developing countries. A
BackgroundBlood-borne viruses form the basis of enormous research on universal precautions. A paucity of research is noted regarding labor progression in seropositive women. Women testing positive for human immunodeficiency virus (HIV)/hepatitis B surface antigen (HBsAg)/hepatitis C virus (HCV) are often denied obstetric care and referred. Their need for safe delivery conditions propelled us to undertake this study to establish whether seropositive status affects labor progression or not.
MethodsWomen in early labor (<4 cm cervical dilation) testing positive for HIV/HBV/HCV and delivering vaginally during the study period at All India Institute of Medical Sciences (AIIMS), Rishikesh, India, were included as Group A (n=36). The authors recruited an equal number of women with seronegative status with comparable age, parity, admission at or before 4 cm, body mass index (BMI) characteristics as Group B. They were compared in terms of effacement at 4 cm dilatation and time from 4 cm dilatation till delivery.
ResultsThe authors report a significant difference (p <0.05) between time to delivery between the two groups (2 hours vs. 2.43 hours in nulligravidas and multigravidas, respectively). Thirty-two (32) of 36 cases were already 70%-80% effaced at 4 cm dilation while only 25% of controls had similar findings. The present study suggests that seropositive women progress significantly faster in labor and need vigilant monitoring. We report such findings for the first time and aim to encourage similar research worldwide.
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