Aim: This study is aimed to evaluate and validate the qualitative human chorionic gonadotropin β subunit (β-hCG) test of the vaginal uid washings of pregnant women with premature rupture of fetal membranes (PROM). Materials & Methodology: A total of 60 pregnant women between 26- and 36-weeks' gestation had participated in this study. The patients with leaking from the vagina were designated Group A, the patients with no leaking from the vagina were Group B. After administering 5 cc of normal saline to posterior fornix by sterile injector, a total of 5 cc washing uid was collected. human chorionic gonadotropin were examined on the same day on collected uid and both groups were compared statistically. Result: In the current study 53.4% patients in group 1 and 60.0% patients from control group were between 19-25 years of age group. Majority of patients were unbooked in both groups. 46.6% patients in PROM group and 56.6% patients in control group presents before 34 weeks of gestation. There is no statistical signicance between two groups in terms of demographic data. Beta -HCG values in vaginal uid of Group 1 was signicantly higher than values in Group 2 with cut off value of Beta -HCG as 50mIU/dL. 83.4% patients from Group 1 (PROM Group) shows Beta -HCG value more than 50Miu/dL.
Incidence of mecoium stained amniotic Fluid ranges from 7-22% and is an alarming sign of fetal compromise. It is associated with poor perinatal outcome. Intrapartum amnioinfusion has been a method to reduce the risk of mecoium aspiration. Aims and Objectives: To determine the fetal outcome in meconium stained liquor. Material and methods: This is a Prospective Case Control Study which was conducted in Department of Obstetrics and Gynaecology, National Institute of Medical Sciences and Research, Jaipur in the study period of 18 months. A total of 242 patients were included in the study and Were randomly divided into 2 groups and were compared for fetal outcome. Results: Amnioinfusion group(study group) had higher incidence of vaginal delivery and better neonatal outcome. Conclusion: Intrapartum amnioinfusion decreases rate of caesarean section and meconium aspiration syndrome.
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