BackgroundSince 1985, the international healthcare community has considered the ideal rate for cesarean section (CS) to be between 10% and 15%. However, CS has been increasing both in developed and developing countries. The aim of the present study was to audit CS using Robson's Ten Group Classification System (TGCS).
Background: Concept of enhanced recovery after surgery (ERAS) has been applied in various surgical branches. Evidence regarding the necessary components of ERAS for obstetric population is limited. Therefore, objective of this study was to test the application of ERAS in patients undergoing elective caesarean section on the post-operative recovery process.Methods: The study was conducted in the Department of Obstetrics and Gynecology, NMCH, Patna from January 2014 to December 2014. A total of 100 patients (n=100) undergoing elective caesarean section were included in the study. Cases were allocated into two groups a) Study group included 60 patients (n=60) and ERAS protocol was followed b) Control group included 40 patients (n=40) and standard post-operative care protocol was followed. Two groups were compared with respect to recovery parameters, post-operative complications and satisfaction rates.Results: More patients in the ERAS group were discharged on post-operative day 4 than the standard postoperative care group (90% vs 12.5%, p<0.0001). More patient in the ERAS group were significantly satisfied with the protocol compared to standard post-operative care (77% vs 70%, p<0.04). Approximately 77 percent of the patients in the ERAS group rated the satisfication score between 8-10 compared to 70 percent of the patients in control group (p<0.04). There was no difference between two groups with respect to recatheterization rate, readmission rate and post-discharge complaints.Conclusions: In this study with application of ERAS protocol, we reported reduced hospital stay which may reduce financial burden of patients and healthcare facilities.
Aim: to study the impact of increased BMI on fetal and maternal outcome. Materials and methods: The present descriptive observational study was conducted in the Department of Obstetrics and Gynecology, Nalanda Medical College and Hospital, Patna, Bihar, India over the period of 1 year. The study includes total 100 subjects who have taken antenatal care at the hospital. Descriptive statistics included computation of percentages, means and standard deviations were calculated using SPSS version 20. Results: mean maternal age at birth was 28.11 years and mean BMI (kg/m2) was 27.12. The mean birth weight of babies was 3.12 kgsand mean NICU stay was 5.21 days. Still birth (11%) and Neonatal death (8%) were reported as the major fetal outcome. Under maternal outcome Caesarean section followed by Pre-eclampsia, PIH and GDM were reported as the major morbidities. Conclusion: Present study confirmed that maternal obesity is now becoming one of the most common risk factors in pregnancy, leading to complications that impact on the health of both the woman and her offspring. Keywords: BMI, Obesity, Maternal, Fetal, Outcome
Aim: Diagnostic efficiency of liquid based cytology compared with conventional pap Methods: The present analytical study entitled was conducted in the Department of Obstetrics and Gynecology, Nalanda Medical College and Hospital, Patna, Bihar, India over the period of 1 year. The study includes total 100 subjects. Results: Mean age of the study population was 39.12 years. Majority belongs to 30-40 years of age group. Vaginal discharge was the major problem reported by the study subjects. There were statistically significant differences of satisfactory/unsatisfactory rate and Diagnostic efficacy i.e. sensitivity and specificity of LBC is greater than CPS for evaluation of cervical cytology. Conclusions: the present study concluded that LBC may improve the sample's quality, reduce the number of unsatisfactory smear and increases the diagnostic efficacy in comparison to CPS. Keywords: Cervical cancer, Conventional pap smear, Liquid-based cytology, Sensitivity, Specificity.
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