Purpose and Clinical Application of the Scientific Statements These scientific statements are prepared with sufficient knowledge of the subspecialties to ensure that women patients will be managed appropriately, in time, and effectively. The expertise of these sub-specialized medical branches domains is covered elsewhere and not included in this document.
Introduction: Oligohydramnios is a serious condition to maternal and fetal health. It is a clinical condition that is characterized by a sonographic amniotic fluid index (AFI) of 5cm. The current study was carried out in a government tertiary care hospital to investigate maternal and perinatal outcomes in oligohydramnios. Material and Methods: Present study was a hospital-based, cross-sectional, observational study conducted from July 2019 to June 2020 among pregnant women admitted in the labor room/ antenatal ward at Govt. Tertiary care Hospital with gestational age more than 37 weeks and AFI ≤ 5 cms. Study Outcomes were induced or spontaneous labor, mode of delivery, APGAR score at 1, 5 min, birth weight, NICU admission, and perinatal death. Data was collected in a Microsoft excel sheet and analyzed accordingly. Data is presented as frequencies and proportions. Results: After applying inclusion and exclusion criteria total of 170 patients were included in the present study. The most common age group in our study was of 21- 25 years (66.5 %), followed by 26-30 years age group (21.2 %). In the present study 62.4 % of patients in our study were primigravida, 35.3% were G2-G5 patients.
BACKGROUNDThe term leucorrhoea is restricted to those conditions when normal vaginal secretion is increased in amount without increase of leucocytes. Purulent discharge is due to specific infections such as gonorrhoea, trichomoniasis, moniliasis and ulcerated growths of cervix and vagina. The white discharge may be physiological or pathological. This physiological white discharge occurs at puberty, ovulation, premenstrual period and pregnancy. During puberty and pregnancy, the increase in secretion is due to increase in vascularity and it is of temporary duration, does not need treatment.
Predicting maturity of the foetal lung is extremely important in many obstetric situations as respiratory distress syndrome caused by surfactant deficiency remains one of the leading causes of neonatal morbidity and mortality. The need for predicting the foetal lung maturity by means of an accurate test which is done rapidly and available in majority of centres was the objective for this study. AIM To find out the optimum lamellar body count which correlates with foetal lung maturity and to compare the lamellar body count with shake bubble test. MATERIAL AND METHODS This prospective study was designed to evaluate the lamellar body count by standard haematology cell counter that is coulter counter and compare it with shake bubble test. Both the tests were done on 100 amniotic fluid samples in women with gestational age more than 28 weeks. Patients recruited were those who were sure of their last menstrual period (LMP), who were in active labour, and likely to deliver within 72 hours of collection of sample. Amniotic fluid samples obtained by transabdominal amniocentesis or by aspirating the forewaters per vaginum. Both shake bubble test and lamellar body count were done on the sample. RESULTS Lamellar body counts ranged from 10,000-2,43,000/microlitre and had a linear relationship with gestational age. The cutoff level of 30,000/microlitre was considered to be optimum to predict foetal lung maturity. Sensitivity and negative predictive value of lamellar body count at 30,000/microlitre and shake bubble test were comparable at 91.7%/91.7% and 97.3/96.6% respectively whereas with respect to specificity and positive predictive value, lamellar body count was superior to shake bubble test at 93.4%/73.7% and 81.5%/50%. CONCLUSION Lamellar body count is a rapid, inexpensive, simple and more reliable test to assess foetal lung maturity.
BACKGROUNDNormal labour is a difficult processes characterised by uterine action leading to cervical dilation and effacement followed by delivery of the foetus. Any procedure or drug, which decreases the duration of labour is a boon for both patient and obstetrician.The aim of the study is to evaluate and compare the efficacy of drugs drotaverine and valethamate bromide in shortening the active phase of cervical dilations to decrease the duration of labour without affecting foetal outcome.
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