Background: Pre-eclampsia is one of the major causes of maternal and perinatal morbidity and mortality. There are various parameters to evaluate pre-eclampsia. S.uric acid levels is one of the important biochemical markers in pre-eclampsia. The objective of current study is to compare the levels of S.uric acid in pre-eclamptic patients and normotensive patients.Methods: A total of 256 antenatal patients, consisting of two groups, 128 patients in each group diagnosed with pre-eclampsia (either earlier or during examination) and 128 control antenatal patients in their third trimester were considered. Both the groups were compared in relation to age, parity, socio economic status and geographical variations. Blood sample (venous blood) of about 5ml was drawn from the ante cubital vein of the patient under all aseptic precautions to estimate S.uric acid levels.Results: The observation of present study shows that the level of serum uric acid is significantly higher in the cases of pre-eclampsia. The value of S.uric acid increases with the severity of pre-eclampsia.Conclusions: It is concluded from this study that high levels of uric acid are found in the serum of pre-eclamptic cases as compared to normotensive cases of the study population. The levels of uric acid are higher in severe cases as compared to the levels in mild and moderate cases.
Preterm labour is defined as commencement of labour pains starting at any time before 37 completed weeks of gestation and is associated with many complications. Thus its early detection and prevention is of paramount importance to the obstetrician. This study highlights the importance of cervical length measurement by ultrasound as a predictor of preterm labour and importance of its serial estimation in both 1 st and 2 nd trimester. Materials and Methods: This study was a Prospective Observational type of a study done in Dr. D.Y. Patil Medical College, Pune including all the pregnant women attending the OPD in the study period. Total 304 cases studied during the observation period. Results: The detection of short cervix is having a statistically significant predictive value for pre-term labour. When we combine 1st and 2nd trimester cervical length's relation with term and pre term delivery we can say that short cervix (1st & 2nd) trimester has a significant percentage of predictive value for preterm delivery. Conclusion:Our study showed the importance of cervical length estimation as a predictor of preterm labour and its assessment for risk stratification in patients to reduce morbidity.
The aim of this study was to clarify the role of simultaneous combined diagnostic approach using laparoscopy and hysteroscopy in the primary evaluation of female infertility. Also to study its significance in etiopathology of primary and secondary infertility. Materials and Methods: In a prospective study of 100 infertile female, patient were thoroughly examined, evaluated & underwent Hysterolaparoscopy as a primary work up. Patient divided into 2 categories 50 patient of primary infertility & 50 patients as 2 0 infertility Results: In this study it was found that tuberculosis (TB) were present in 7 patients of primary (1 0 ) & 2 patients of secondary (2 0 ) infertility. Pelvic adhesions were found in 7 patients of 1 0 & 5 patients of 2 0 infertility. Bilateral tubal black seen in 4 patients of 1 0 , none of the patient of 2 0 infertility were found to have bilateral tubal block. Unilateral tubal blockseen in 4 patients of 1 0 & 2 patients of 2 0 infertility Also on hysteroscopy uterine anomalies were present in 3 patients of 1 0 & 5 patient of 2 0 which includes Arcuate, Bicarnuate, unicornuate, Septate uterus. Submucous fibroid were found in 1 patient of 1 0 & 3 patient of 2 0 infertility. Hysterolaparoscopy plays very important role as diagnostic tool in the infertile women. Also, diagnostic hysteroscopy has significant role in the evaluation of the cause of female infertility both primary & secondary. Furthermore hysterolaparoscopy can be used simultaneously for treatment of any pathological condition like septal resection, polycystic ovary drilling, fimbrial block & many more. However, one can rarely expect to find the definite underlying reason for infertility in all other methods of evaluation. Conclusion:We consider combined laparoscopy and hysteroscopy to be the most important procedures in the evaluation of female infertility & combined diagnostic laparoscopy and hysteroscopy should be performed in all infertile patient of primary & secondary infertility before subjecting her for further treatment.
Background: Fetomaternal Hemorrhage has got specific importance particularly in case of haemolytic disease of the new-born. It has got special impact in patients of RH incompatibility that is RH negative mother bearing RH positive foetus. It has played a significant role in reducing the morbidity and mortality in RH incompatibility cases in past. The base of this treatment is prophylactic Anti-D injection after delivery abortion and other conditions related with FMH. The dose of this Anti-D is dependent on the quantity of FMH which can be detected by using KB Test. Material and Method: In our study we have done comparative study of FMH in cases of full term normal vaginal delivery in primigravida against lower segment caesarean section in primigravida. The sample size will be 60 in each group. The blood was collected after 2-4 hours following FTND and LSCS. The FMH was decided by KB Test and analysis of both groups was done to know whether there is significant difference. Result: Our study showed that there is no significant difference in FMH in cases of FTND and LSCS.
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