In this case we report a 23 -year-old primigravida with 30 weeks presenting with torsion of the ovarian cyst. She presented to the antenatal clinic with acute pain abdomen. She was diagnosed to have torsion of ovarian cyst during pregnancy and a cystecomy was carried out. Her histopathology report showed a benign serous cystadenoma. Her pregnancy was followed up. She delivered a healthy female baby at term. Although the safety of antepartum surgical intervention has been accepted, abdominal surgery nevertheless carries some risks to a pregnant woman and unborn fetus, and so the choice of management necessitates a weighing of risks based on characterization of the adnexal mass and gestational age.
Background & Objectives: HELLP syndrome is considered a placenta-instigated, liver-targeted acute inflammatory condition, with elements of disordered immunological processes. HELLP syndrome can be a great masquerader with vague and varied nature of presenting complaints making its diagnosis difficult. Delay in diagnosis may be life threatening with poor maternal and perinatal outcome. METHODS: 81 cases diagnosed of pregnancy induced hypertension(PIH) between May 2011 and April 2012 in department of obstetrics and gynaecology, Mamatha Medical College was included in the study. Of these 81, 18 cases fulfilled the criteria of HELLP. Maternal and perinatal outcome and also clinical and therapeutic factors affecting outcome were studied. Results: The incidence of pregnancy induced hypertension(PIH) during this period is 14.3%, of these 22.2%fulfilled the criteria of HELLP. Maximum incidence is among age group 20 -30 years (88%). The incidence of maternal complications in our study was higher compared to Hemanth et al 3 , with incidence of pleural effusion/ ascites being highest (44.4%). The incidence of intra uterine deaths was 33.3% and the incidence of neonatal deaths was 16.6%. Interpretation & Conclusion:The reason for higher morbidity in our study is delay in identifying the problem by referring doctors. This study uncovers only the tip of the iceberg and HELLP syndrome in non PIH cases were not evaluated. Earlier diagnosis and intervention improves maternal and perinatal outcome
Objective: Dengue infection is a major public health concern in tropical and subtropical World and an important differential diagnosis of fever during pregnancy influencing the obstetric outcome. In this context, we present our experience with clinical spectrum and course of Dengue fever in our series of obstetric cases. Methods: A retrospective analysis of pregnant women diagnosed with dengue fever during pregnancy between August to October 2012 (15 months) was performed with regards to its clinical course, co-morbidities, obstetric outcome and maternal complications. Results: The cohort included 19 cases of Dengue fever complicating pregnancy with one case of hemorrhagic fever. The age of cohort was 24.3± 3.5 (18-33). Fever was the commonest clinical manifestation. There was no major bleeding diathesis. Preterm delivery and intrauterine death occurred in 3 cases each. All the complications and fetal deaths were related to hyperpyrexia. There was no maternal mortality. All the cases received only supportive therapy, antipyretics and ensuring adequate hydration. There was one neonatal death due to meconium aspiration syndrome. Conclusions: 1) Early diagnosis of DF relies on high index of suspicion and supportive therapy with an aim to maintain normothermia is the cornerstone of therapy
The nature of the medical curriculum demands a lot of tasks burden on medical students. This seeks for guidance in the current era of active student learning in teaching and learning methodology. Based on these principles, a workshop on effective learning strategies (ELS) was developed by the candidates of MSc MedEdu.
Background: Postpartum haemorrhage (PPH) is the most important cause of maternal mortality in both developing and developed countries. PPH is the most dreadful obstetric emergency and almost always unexpected, birth attendants may not be prepared to deal with it on a regular and recurring basis. Methods: A hospital based prospective, interventional observation study was conducted with 100 patients to evaluate role of bilateral uterine artery ligation (Group BUAL-50 patients) and B lynch suture (Group B lynch-50 patients) during primary PPH due to uterine atony in lower segment caesarean section. At inpatient department of obstetrics and gynaecology at district hospital, Tumakuru. Results: Mean pre-operative HB level was 9.65±1.16 gm% which reduced significantly to 8.54±1.27 gm% post-procedure among BUAL group and the mean pre-operative HB level was 9.68±0.85 gm% which reduced significantly to 8.52±0.95 gm% post-procedure among B lynch group. Post op fever was the common complications among both groups. The success of bilateral uterine artery ligation was 94% and B lynch procedure was successful in 96% cases. Conclusions: For controlling PPH, both uterine devascularization by bilateral uterine artery ligation and B lynch suture are simple, safe and effective method during caesarean section.
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