BACKGROUNDPreeclampsia is a pregnancy specific disorder commonly defined as de novo hypertension and proteinuria after 20 weeks of gestational age. It occurs in 3-5% of pregnancies and is still a major cause of both foetal and maternal morbidity and mortality worldwide. One of the most serious and dreaded complication of preeclampsia is abruptio placentae. Placental separation from its implantation site before delivery of the foetus has been called abruption placentae or accidental haemorrhage. Various studies have shown that there is 2-2.5 fold increase in incidence of abruption in hypertensive disorder of pregnancy.The aim of the study is to study the incidence of abruptio placentae in women with preeclampsia.
BACKGROUND Every year, there are 14 million cases of PPH. It accounts for about 25% of maternal deaths worldwide. This can be reduced by active management of third stage of labour. Administration of misoprostol after delivery of neonate has been shown to be effective in reducing amount of blood loss during delivery. The aim of the study is to compare the side effects of misoprostol in terms of distribution, frequency and severity by oral and rectal route for active management of third stage of labour.
Objectives: The objective of this study is to determine the most effective technique for treating an ovarian endometrioma between the laparoscopic enucleation of endometrioma by stripping of the cyst wall and drainage and fulgration of the cyst wall. Methods: We retrospectively studied 52 infertile women who underwent endometriotic cyst enucleation by stripping of the cyst wall (Group 1) or drainage and fulgration of the cyst wall (Group 2) in AV Hospital during January 2010 and December 2011. They were studied for 18 months after their laparoscopic surgery to determine the effectiveness of the surgery for fertility outcome and recurrence of the cyst. Results: The overall pregnancy rate for the two groups under study was 46% (24/52).While 63% (21/33) of Group 1 conceived either spontaneously or through Artificial Reproductive Technique (ART), only 15%(3/19) of Group 2 conceived spontaneously. Further, the pregnancy rate for the stage IV patients was relatively low 7% (4/52) compared to the stage III patients 38.46% (20/52). Additionally, 21%(4/19)of the patients of Group 2 had recurrence of pregnancy as compared to 6%(2/33) of the patients of Group 1. Conclusions: Laparoscopic enucleation by stripping method of the endometrioma results in higher rate of pregnancy either spontaneously or by ART. Further, this method also results in reduced risk of recurrence of the endometrioma and reduced rate of further surgery.
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