BACKGROUNDThe aim of this study was to assess usefulness of sonosalpingography in determining role of tubal factor in cases of infertility as an initial measure as compared to hysterosalpingography and diagnostic laparoscopy.
BACKGROUNDThe aim of this study was to assess Knowledge, Attitude and Practice towards breastfeeding among mothers. MATERIALS AND METHODSThis was a descriptive study conducted over a period of 2 years in maternity ward in a central Indian hospital. A total of 2000 mothers were interviewed. The data was collected using a predesigned questionnaire. All data collected was analysed. RESULTS75.21% booked and 67.93% unbooked cases had awareness of benefits of breastfeeding. More than 95% of mothers irrespective of educational status had knowledge of early initiation of breastfeeding but only 71.25% actually initiated breastfeeding within 1 hour. Colostrum was given by approximately 95% mothers and 14.75% gave prelacteal feeds. 96.3% mothers exclusively breastfed their babies till 4 months of age. Knowledge about weaning was fair. On demand breastfeeding was practised by 71.59% mothers. 68.35% opined that breastfeeding should be stopped during any maternal illness. 36.65% were aware of contraceptive benefit of lactation. 73.75% mothers had knowledge of requirement of extra calories during lactation while 80.15% said that burping should be done after each feed. CONCLUSIONThough mothers had good knowledge of breastfeeding, the gap between knowledge and practice needs to be addressed. Health professionals, more so doctors have a vital role to play in educating nursing mothers.
Background: Infertility affects nearly 10-15% of couples and is an important part of clinical practice. Leading causes of infertility include tubal disease, ovulatory disorders, uterine or cervical factors, endometriosis and male factor infertility. The objective of the study was to find out different causes of female infertility with diagnostic laparoscopy.Methods: This was a descriptive study conducted from February 2012 to November 2013. 115 patients with infertility attending the infertility clinic in OPD of Obstetrics and Gynaecology were evaluated clinically with detailed history. The necessary investigations were carried out and the laparoscopic findings were documented.Results: There were 91 cases (79.13%) with primary infertility and 24 (20.87%) with secondary infertility. Laparoscopy revealed normal findings in 14 cases (15.38%) of primary infertility and 1 case (4.17%) of secondary infertility. Pelvic abnormality was found in 100 cases (86.95%). Tubal block was the most common pathology found in 36 cases (31.30%) followed by polycystic ovaries in 32 (27.83%) and adhesions in 24 (20.87%). Uterine anomalies were found in 3 cases (3.30%).Conclusions: Diagnostic laparoscopy is a valuable technique and a mandatory investigation, which, though invasive, is more convenient and more precise for the diagnosis of infertility. Because of its potential diagnostic as well as therapeutic benefits, all patients with infertility should undergo diagnostic laparoscopy as part of their primary workup of infertility.
BACKGROUND The objective was to study the effectiveness and maternal and foetal outcome in term pregnancy with early induction of labour with cervical PGE2 versus expectant management. MATERIALS AND METHODS This is a prospective study conducted in the Department of Obstetrics and Gynaecology over a period of 1 year on a sample size of 144. Subjects were divided into two groups-Group A containing subjects with expectant management and Group B with subjects who were induced with intracervical PGE2 and their outcome was compared. RESULTS In Group A, 70.83% of cases went into spontaneous labour within 24 hours and in Group B, induction was successful in 56.94% cases. Mean PROM to delivery interval was 22.36±7.04 hours for expectant group and 15.5±7.03 hours for induction group (P=<0.0001, HS). There was significantly higher rate of vaginal deliveries in expectant group and significantly higher rate of LSCS in induction group. Neonatal antibiotic requirement was significantly higher in expectant group. CONCLUSION Early induction of labour in cases of PROM at term with PGE2 GEL results in reduction of latency of labour and also in increased operative intervention. Expectant management has greater maternal and neonatal morbidity.
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