Background: As a part of the PPTCT program by NACO, the PPTCT program was started in our institute in April 2005. So this study is planned to note the vertical transmission rate of HIV in the PPTCT program as well as to have an evaluation of the PPTCT program in our institute since the initiation of this programme in 2005. Subjects and Methods: The present study was carried out in the department of Obsteterics and Gynaecology, Umaind Hospital attached to Dr. S. N. Medical College, Jodhpur. The data over this period were analyzed. As per the strategy and policy prescribed by NACO, tests (E/R/S) were performed on the serum samples. Those found HIV positive went for confidential post-test information and counseling regarding through intimation about the vertical transmission and importance of their institutional deliveries. Results: The present study shows that 29.82% of the seropositive women had anemia 26.31 had deranged LFT, 36.84% had genital infections. Mostly 99.18% new born were given Neviraoine. We found that 10 seropositive mothers had puerperial pyrexia, 8 had mastitis, 6 had UTI, 1 had episiotomy gap and another 1 had wound sepsis or gaping in LSCS wound. Conclusion: Prevention is the cure and antenatal clinic is the best opportunity to educate so simple intervention strategies under this PPTCT program will reduce the incidence of pediatric HIV infection in our scenario.
BACKGROUND: Gestational weight gain and the body mass index (BMI) of the woman are two important factors for a good perinatal outcome. Maternal nutrition during pregnancy may also have a lifelong consequence on the baby. AIM:1) To study gestational weight gain in primigravida women delivering a single live baby.2) To study the association of gestational weight gain with morbidity during pregnancy and perinatal outcome in primigravida women delivering a single live baby. MATERIALAND METHODS: 500 patients were included in the study. All primigravida in between 37 to 42 weeks of gestational age were included GWG, BMI and associations with the risks. RESULTS:Women with <18.5, 25- 29.9, >30 BMI had 65.3% of inadequate weight gain, 57.5% of excessive weight gain, 94.9% of excessive weight gain respectively.9.3 %, 3.7% of women with excessive weight gain showed preeclampsia, GDM respectively. 15.9%,17.4% of women with inadequate weight gain had oligohydramnios and BNNW admission respectively. 51% of women with excessive weight gain ended up in caesarean section. CONCLUSION: After analysing all the computed data in the present study, we can conclude that from the beginning of pregnancy, by keeping pre-pregnancy body weight under control and monitoring increase in gestational body weight within prescribed limits, few adverse outcomes of pregnancy can be prevented. CLINICAL SIGNIFICANCE: GWG is usually neglected. But increase or decrease in GWG can convert a normal pregnancy to high-risk pregnancy.
Conjoined twins are a rare deviation of monozygotic monoamniotic twins which results from fusion of the two at any part of their body. The prognosis is not good and associated with high mortality. Here we report a case of conjoined twin which was referred to our tertiary care hospital as twin pregnancy with impacted breech in obstructed labour. Taking mothers condition into account, she was taken for emergency caesarean section, performing which we realised that it was a conjoined twin. The baby were still born and conjoined at thorax and abdomen (thoraco-omphalopagus) with anterior abdominal wall defect in one and unrevealed sex in other. Current report emphasizes on making an early diagnosis of conjoined twin pregnancy, so that it can be managed at the earliest according to the gestational age.
Unicornuate uterus is an anomaly arising from defective lateral fusion of incompletely developed mullerian duct or paramesonephric duct with the contralateral duct. Pregnancy in non-communicating rudimentary horn can result in I and II trimester pregnancy losses along with maternal morbidity and mortality. Here we describe three such cases of unicornuate uterus with non-communicating rudimentary horn pregnancy, who presented to our hospital with pain in lower abdomen. Two of them with II trimester pregnancy landed in haemorrhagic shock owing to rupture of pregnant horn, though were revived by immediate intervention. Third patient who came with a definitive diagnosis of I trimester rudimentary horn pregnancy was managed electively by hemi-hysterectomy. Rupture of pregnant uterus can occur in II trimester when associated with uterine anomaly. Early sonographic diagnosis has a major offering in workup, management and prevention of mother from grave life threatening consequences.
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