Objective: to study systolic parameters with echocardiography in pre-eclampsia. Pre-eclampsia is a multisystem disorder of unknown etiology. The underlying pathophysiological mechanism is to be impaired torphoblastic invasion of spiral arteries with placental hypoperfusion and hypoxia. Methods: This was a hospital based prospective case control study carried out in Department of Obstetrics & Gynaecology in SMS Medical College, Jaipur during the period of June 2018 to Aug 2019. 60 women enrolled inthe study after applying inclusion and exclusion criteria. All women underwent 2D-echocardiography. Cardiac systolic parameters were recorded and compared. Results: 2D-echocardiography revealed impairment in form of mean LVESV in pre-eclamptic women was 35.73 ± 0.70 mL, mean stroke volume was 63.50 ± 13.26 mL when compared to normotensive women LVESV 33.40 ± 0.63 ml (p = 0.04) and stroke volume was 53.96 ± 9.46 mL (p = 0.02). Conclusion: To identifying pre-eclamptic patients who are at higher risk of developing cardiovascular complication later in life by non-invasive 2D-echocardiography. Keywords: Echocardiography, Systolic parameters, Stroke volume, Left ventricular end systolic
Background: Aim-The success of labor induction depends on the cervical status at the time of induction. Objective- For effective cervical ripening both foley catheter and a dinoprostone gel are used. The aim of this study was to compare the efficacy and safety of the intracervical Foleys catheter and dinoprostone gel in cervical ripening for successful induction of labor. Methods: It was a randomized controlled study conducted in the obstetrics department at SMS Medical College, Jaipur. 100 Women were enrolled with a bishops score <5with various indication for induction of labour. They intracervical Foleys catheter insertion and group B received Dinoprostone gel 0.5mg instilleted intracervical. Maximum of 2 doses dinoprostone gel could be administered 6 hours apart. Primary efficacy parameter was change in Bishops score as compared to baseline. Results: The groups were comparable with respect to maternal age, gestation age, indication of induction and initial Bishop's score. Both the groups showed significant change in the Bishop's score at 12 hr,8.02 ± 3.22 and 7.1 ± 4.48 in Foleys catheter and Dinoprostone gel, respectively, But p value was not statistically significant(0.242). Conclusion- This study shows that both Foleys catheter and Dinoprostone are equally effective in cervical ripening.
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