Objective of Study: To study Awareness and hygienic practice among adolescent girls during menstruation. Aims and Objectives: To study demographic profile of study group and to assess hygiene practices during menstruation.
Background: Medical method of abortion is a safe, effective and affordable method for first trimester termination. However, nausea, vomiting, diarhoea, excess bleeding and incomplete abortion are known side effects. The aim of study was to compare the success rate of abortions in both groups, to compare the induction-abortion interval in both groups and to study the side effects of the drugs.Methods: This study was conducted in department of obstetrics and gynecology, NIMS Medical College, Jaipur, India during June 2017-August 2017. Total hundred cases were taken and divided into two groups. Group A was gestational age upto 49 days, Group B was gestational age 50-63 days. Both groups were given tab. mifepristone 200mg. followed by 48 hrs. by 4 tablets of tab misoprostol.Results: The results of the given regimen were highly successful and complete abortion was achieved in 96% and 94% in group A and group B respectively. The difference between two groups was statistically not significant (p value =0.64). Failure rates were seen in only 4% of group A and 6% of group B. Pain abdomen was seen in 16% of group A and 38% of group B patients. The difference between both groups was statistically significant (p value=0.02). Nausea was seen in 10% of group A and 30% of group B patients. The difference between both groups is statistically significant(p value=0.018).Conclusions: First trimester pregnancy can be successfully terminated with combination of mifepristone and misoprostol upto 63 days (9 weeks) of pregnancy.
Background: The management of labour and its complication is an issue of great importance worldwide. Still it is unclear from available information that when to admit a Women in labour in order to achieve maximum maternal and fetal benefit. The present study was an attempt to assess how the outcome of woman changed with timing of admission either in active or latent phase of spontaneous labour in a tertiary care hospital. Aim: 1) To determine and compare the rate of intervention among low risk women admitted in latent and active phase of labour. 2) To determine and compare the rate of complications among them. 3) To determine and compare the foetal APGAR Scores and admission to NICU. Methods: It's a cross-sectional observational study, conducted at NIMS Hospital, Jaipur from a period between October 2015 to July 2016 with Sample Size of 180 low risk term women presenting during latent or active phase of labour. Result: Out of 180 patients, 96 patients (53.3%)were admitted during latent phase (group I) and 84 patients (46.7%) during active phase of labour (group II). Duration of labour was significantly greater in-group I compared to group II (mean± SD 17.0 ± 2.1 vs 12.7 ± 3.2). Caesarean was more in group I compared to group II (62.5% vs 28.5%) which was significant. Most common indication of caesarean was dystocia followed by fetal distress. Augmentation with oxytocin was required in 66 cases (68.75%) in group I and 42 cases (50.0%) in group II and the difference was not significant. Although PPH, cervical and perineal tear,fetal distress was more in group I but the difference was insignificant.
Background: Ectopic pregnancyis a major health issue in reproductive age group female. Incidence of primary ovarian ectopic pregnancy as mentioned in literature of India is variable from 0.001% to 0.014% of normal pregnancies.Only 0.15% to 3.0% of all ectopic pregnancy occurs in ovary and it is 2 nd m/c site of ectopic pregnancy after fallopian tube. Annual incidence ofextra uterine cavity pregnancyis rising over past 3 yrs. Aim and Objective: Aim of this review article is basically to describe a case of ovarian pregnancy and to study by a review of literature, the clinical sign &symptoms, diagnostic criteria and management of particular pathlogy accordingly, promote conservative surgical management. CASE-Here we report a case of 28 years old women, G5P3L3A1, presented to our hospital withlower abdomen pain with one and half month pregnancy with clinical feature of shock. Diagnosis was confirmed by transvaginal ultrasound, patient was prepared & taken for laparotomy in view of ruptured ovarianectopic pregnancy. Her intraoperative findings were 200 cc hemoperitoneum present, salpingo-oophorectomydone on Rt side. Tubal ligation done on left side by modified pomeroy method. Postoperative period was uneventful. Her histopathological report shows ovarian tissue in wall of gestation sac. Conclusion: According to spigelbergcriteria,it is a diagnostic challenge to obstetrician. Diagnosis can be missed radiologically and intraopertively. It Should be suspectedinpatients presented with rupturedec topic pregnancy, ultrasound features suggestive of normal b/lfallopian tubewith hemoperitoneum with breached ovarian surface. Conservative surgical approach is preferred, Now days Medical management is preferred for unruptured ectopic pregnancy. Confirmation of ovarian pregnancy done only after histopathologicalreport
Objective:The objectives of the this study were to compare need of medical and surgical interventions and progress of labor, and feto-maternal outcome in patients with cord round neck versus without cord round neck at onset of labor or at term gestation. Methodology: This study was performed at NIMS Medical College Jaipur from January 2015 to January 2017. Total 200 cases were enrolled for a study, over a 2 year period. Among 200 patients, 100 control without cord round neck and 100 had cord round neck. Results: Among control groups 91% women delivered vaginally. Cesarean section was done in only 24% cases and 75% cases had delivered vaginally. Instrumental delivery in1%. Neonatal variables & obstetrical outcome were compared in tight nuchal cord groups and loose cord. In our Control group Majority of patients 75% were delivered vaginally. Loose nuchal cord does not associated with any adverse maternal & perinatal outcome. Tight cord round the neck associated with increased NICU admission with increased risk of low Apgar score. Evidence of fetal distress seen in 16% cases and outcome was poor in 3% cases. Conclusion: This is reasonably concluded from this study that cord round fetal neck remains a subject of anxiety for the paediatrician and for obstetrician & for the patient herself. Although with efficient mechanical supervision and by clinical observation "adverse circumstances which effecting the fetus will be averted in time although they do occur.
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