Background: Amniotic fluid plays a major role in the development of fetus. It provides a medium in which fetus can readily move, cushions the fetus against injuries, helps to maintain even temperature. Objective of present study was to investigate the perinatal outcome of ultrasonographically detected normal and decreased (Oligohydramnios) amniotic fluid index, at or beyond 28 weeks of gestation.Methods: During this study 200 patients with singleton pregnancy were selected at or beyond 28 weeks of pregnancy and AFI was evaluated. On the basis of AFI measurement patients were divided in two groups. Perinatal outcome in pregnancies with AFI of <5cm were compared with those with normal AFI.Results: There was significant correlation (p<0.001) between oligohyramnios and poor perinatal outcome. Incidence of LSCS, meconium stained liquor and low apgar score has significant correlation in patients with oligohydramnios. Incidence of low birth weight babies, NICU admissions and perinatal death was more were more are more in oligohydramnios cases. This is statistically significant (p<0.001).Conclusions: AFI <5 cm at or beyond 28 weeks of gestational age in an indicator of poor perinatal outcome. AFI measurement in antepartum or intrapartum period can help to identify women who need increased antepartum surveillance for pregnancy complications and such women should be managed in a special unit to combat the complications effectively.
Background: To correlate the perinatal outcome by noting the umbilical coiling index.Methods: The umbilical cords of the babies born to 500 women, who delivered either vaginally or by lower segment caesarean section, were examined and umbilical coiling index was calculated.Results: There was significant correlation (p value 0.003) between. Hypercoiling (UCI >90th percentile) is associated with IUGR. Hypocoiling (UCI <10th percentile) is associated with: - Meconium staining liquor, high LSCS rates, low Apgar score <7 at 1 min and at 5 min respectively and NICU admissions of babies.Conclusions: Hypercoiling (UCI >90th percentile) is associated with IUGR Hypocoiling (UCI <10th percentile) is associated with meconium staining liquor, high LSCS rates, low Apgar score <7 at 1 min and at 5 min respectively and NICU admissions of babies.
Chronic inversion of uterus is a rare clinical entity which is usually associated with obstetrics complication and rarely with gynaecological disorder like fibroid present at fundus of uterus. We here present a case of 40-year-old female P3L3 with chronic inversion of uterus with fundal fibroid which present with 3year history of abnormal vaginal bleeding. Ultrasonography and MRI revealed cervical fibroid. Due to AUB secondary to cervical fibroid decision of hysterectomy was taken. On laparotomy chronic uterine inversion was present which was corrected by haultain’s procedure. Then hysterectomy was done. Histopathology report suggestive of uterine leiomyoma at fundus of uterus. Chronic uterine inversion associated most commonly with fundal submucous leiomyoma. Other causes are leiomyosarcoma, endometrial carcinoma, cervical carcinoma, rhabdomyosarcoma, mixed mullerian sarcoma. It is an extremely rare gynaecological condition and can be misdiagnosed as cervical fibroid, advanced cervical malignancy or other causes of AUB in females. It could be labelled as gynaecological near miss so a high index of suspicion is necessary for it’s diagnosis.
Background: Amniotic fluid is derived from maternal plasma in very early pregnancy by the 10th week of pregnancy. It forms an aquatic pond inside the amniotic cavity surrounding the fetus. It helps in fetal development. Aim of this study was to determine the impact of hydration therapy in patients complicated by oligohydramnios.Methods: This was a prospective randomized clinical trial conducted on 200 women.Results: Mean AFI in Group I was 4.47±0.90 cm before hydration therapy and 7.16±1.57 cm after hydration therapy with elevation by 60.18%, similarly mean AFI in Group II was 4.52±0.83 cm before hydration therapy and 7.48±1.56 cm after hydration therapy with elevation by 65.48%. However, on comparing the two groups elevations in mean AFI was found statistically insignificant (p >0.05).Conclusions: Oral hydration is non-invasive, low costing, does not exhaust the resource, convenient to the women with minimum side effects and can be done at home.
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