Induction of labour may be required for various maternal or foetal reasons at times in the presence of poor Bishop's scoring. Cervical ripening is beneficial in these situations. A randomised comparative analysis was carried out using intracervical Foleys catheter instillation followed by a single dose of dinoprostone gel if required in one group and only dinoprostone gel for ripening in other group. Maternal and neonatal complications, mode of delivery and induction-delivery interval were assessed. We found a higher vaginal delivery rate of 82% in the first group in comparison to 64% in the other group. The difference was statistically significant (p=0.0426). Though a longer induction-delivery interval was observed in the first group, the maternal and foetal outcomes were similar. Intracervical Foley's catheter instillation when used for cervical ripening in unfavourable cervices, either alone or sequentially with dinoprostone gel can significantly reduce the Primary Caesarean section rate without compromising maternal and neonatal safety.
The rural areas of India have been under reached with respect to the gynaecologic malignancies with no previous documented studies among the tribals. The Islands of Andaman and Nicobar are home to 62% rural female population. In this study it is proposed to find the approximate incidence, evaluate the sociodemographic and clinicopathologic features associated with gynaecologic malignancies. A retrospective analysis filtering all the cases for the islands was conducted at this Secondary level care Hospital between May 2015 and April 2018. Descriptive statistics and Z test were used for statistical analysis. There were 102 newly detected cases of gynaecologic malignancies during the study period of 3 years. The approximate annual incidence of gynaecologic cancers in these Islands was around 17.29 per 100,000 and age-adjusted incidence for carcinoma cervix was around 13.62 per 100,000. Cervical cancer was the commonest type 59%. Ovarian cancer had predominance in the tribal groups (61%).
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