Background: Preeclampsia, the most common of hypertensive disorders of pregnancy is an idiopathic multisystem disorder affecting 2 – 10% of all pregnancies and together they form one member of the deadly triad, along with hemorrhage and infection that contribute greatly to the maternal morbidity and mortality rates. The identification of this clinical entity and effective management play a significant role in the outcome of pregnancy. Platelet count is emphasized to play a significant role in hemostasis mechanism of preeclampsia and the degree of thrombocytopenia increases with severity of preeclampsia. This study was conducted to find correlation of platelet count in severe preeclampsia, mild preeclampsia and normal subjects.Methods: Total 140 subjects, 70 control and 70 cases were enrolled in the study. Samples for platelet count were collected and estimation was carried out by the auto-analyzers. The statistical evaluation is done using SPSS version 22 along with Anova and student t-test.Results: The mean platelet count was significantly lower (p <0.05) in mild and severe preeclampsia than that in the normal pregnancy. Decreased platelet count in severe preeclampsia was significant compared to that in mild preeclampsia.Conclusions: The frequency of thrombocytopenia was found to be directly related with the severity of disease, so platelet count can be used as a simple and cost effective tool to monitor the progression of preeclampsia, thereby preventing complications to develop during the gestational period.
Background: Cesarean scar pregnancy is one of the rarest forms of ectopic pregnancy in which implantation occurs in the scar of a previous cesarean section. Due to increased incidence of cesarean section and first-trimester scan worldwide, more and more cases are diagnosed and reported nowadays.Case report: A 25 years G3P2A0L2 patient with previous two LSCS was referred and admitted in an emergency with chief complaints of one and half months amenorrhea followed by bleeding per vaginum for 2 days preceded by intake of MTP pills 8 days back. Her general condition was fair. The patient was investigated with routine investigations, transvaginal ultrasound, Doppler and beta hCG. Ultrasonography (USG) and color Doppler findings were suggestive of cesarean scar pregnancy. Conservative management with methotrexate was done with strict follow-up. The GSAC completely resolved by 72nd and day of diagnosis. Second look scopy at the time of tubal ligation reaffirmed the diagnosis and resolution of the scar pregnancy.
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