AIM: Prevalence of anemia and its socio-demographic determinants in pregnant women at a tertiary care hospital in Jaipur, Rajasthan. MATERIALS AND METHODS: All the pregnant women aged 25 to 35 years, registered at antenatal clinic at Department of Obstetrics and Gynaecology, Mahatma Gandhi Medical College, Jaipur were included. A predesigned and pre tested questionnaire was used to elicit the information. Various possible causes of anaemia were considered. Data was entered on Microsoft Access and was analysed using the statistical software SPSS version 11.5 for windows vista. Chi square test was used for finding the association between degree of anaemia and various factors. p value less than 0.05 was considered to be statistically significant and p value less than 0.001 was considered to be highly significant. CONCLUSION: Prevalence of anaemia in pregnant women is still quiet high (70%), as also found in various other studies done in India. The existing health care resources should be reinforced striclly, with mandatory supply of IFA tablets to adolescent girls & pregnant women, food fortification along with correction of other nutritional deficiencies and timely interventions for reducing the burden of malaria, & other infectious diseases. Unfavourable socio demographic factors are the major barriers to the efforts in place for the prevention of anaemia during pregnancy. Socio-economic status, literacy of women & awareness related to health concerns are the major determinants that contribute to the problem of anaemia. Therefore public health education/information on reproductive health are important health care measures to be undertaken at the community level, taking care of the fact that the health care should be provided during the important years of adolescence, before marriage & child bearing. Also it is high time for realisation that health system should focus on various factors that contribute to the occurrence of anaemia & include them as an important indicator in the national health care policy.
Aim To assess ovarian reserve, in infertile women with genital tuberculosis, planning to undergo in vitro fertilization (IVF) and to compare it with infertile women without genital tuberculosis, planning to undergo IVF. Materials and methods The study group consisted of 100 women with genital tuberculosis and the control group of 100 women who had no present or past history of tuberculosis. A diagnosis of genital tuberculosis was made based either on the results of tests performed from an endometrial aspiration sample or on histopathologic, hysterosalpingography, hysteroscopy, or laparoscopy findings. Basal ovarian reserve studies included measuring serum levels of follicle-stimulating hormone (FSH), luteinizing hormone (LH), and E2 on day 3 of a natural cycle. On the same day, the participants underwent a transvaginal ultrasound examination by means of a two-dimensional 5.0 MHz probe fitted to a Toshiba Famio 5. Ovarian volume and number of antral follicles were estimated for each ovary on the same day of hormonal assessment. Control participants underwent the same tests on day 2 or 3 of their menstrual cycle. Unpaired or independent t-test and Chi-square test were used for statistical analysis. Results The present study highlights that women with genital tuberculosis have poor ovarian reserve in comparison to women of similar age without tuberculosis. Conclusion It can be concluded that there is no single absolute method of assessing ovarian reserve, but a combination of methods can closely predict the outcome of IVF cycles in women with genital tuberculosis. How to cite this article Hans PS, Swarankar ML, Garg S, Chowdhary M, Tiwari K. Effect of Tuberculosis on Ovarian Reserve of Patients undergoing IVF. Int J Infertil Fetal Med 2015;6(2):73-83.
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