Background: In this modern era where women have achieved the highest positions in politics, corporate world and conquered the moon, on the other side she is still fighting for her right, i.e. health. For this the women should become economically independent. The concept of waiting for a son preference by the society should be discouraged. Postpartum and post abortal period are very crucial for a women especially for many of those belonging to the villages as this may be the only time she comes in contact with a health personnel. Hence counseling should be given to all patients at this time. Methods: We conducted a cross-sectional study in the department of obstetrics and gynecology of sir Sunder Lal hospital between August 2013 to October 2013. 230 post-partum and post abortal women were interrogated and counseled about various methods of contraception. Awareness about emergency contraception pill and MTPill was also noted. Results: Only 69% had heard about various methods of contraception. IUCD and OCP were known to most patients. Most patients knew about contraception from television and doctors. After counseling 97% patients wanted contraception. Most patients opted for IUCD, Barrier method and DepoProvera. 20% patients knew about emergency contraception pill and 34.4% patients about MTPill. Conclusions: There is lack of awareness of contraception, emergency contraception and medical abortion in women under study. Regular counseling is a must to all post-partum and post abortal women. Information should be provided about various methods and patients should be given a choice to choose the method of contraception.
Cervical cancer is very common in developing countries. India accounts for 1/5 th of the burden of cervical cancer. 1 According to WHO 2 80% deaths from cervical cancer were from developing countries. In the developed countries because of screening the incidence of cervical cancer has reduced. Pap smear test is very simple and cost effective test for cervical cancer screening. Pap smear screening has sensitivity of 50-75% and specificity of 98-99%. But in developing country like India because of illiteracy and poverty awareness is very low. Few states of India like Uttar Pradesh, Bihar and Madhya Pradesh are far less developed than rest of country. Study was conducted in Eastern part of Uttar Pradesh where poverty and illiteracy is very high. Most of the patient in our tertiary hospital report in advance stage of cervical cancer. This can be prevented by screening and diagnosing early. The aim of this study was to know how much awareness about Pap test and cervical cancer vaccine among patients attending gynaecology OPD and ward at a tertiary care hospital. METHODS A prestructured questionnaire was filled by asking from the patients. This study was conducted in SSH hospital of institute of medical sciences BHU Varanasi, Uttar
Background: Objective of current study was to determine the maternal and perinatal outcome of the expectant management of severe preeclampsia between 24 weeks and 34 weeks of gestation. Methods: Data was collected from the 50 case notes of the mothers who had expectant management of severe preeclampsia. The study period was April 2011-March 2013. Total of 27 women in the year 2011-2012 (April-March) and 23 women in the year 2012-2013 (April-March) were included. Maternal condition was carefully monitored with the help of non-invasive monitors. Fetal condition was monitored by ultrasound and colour Doppler. Number of days as pregnancy prolongation and maternal and perinatal morbidities were calculated and analysed. Results: The number of days prolonged has been maximum in gestational age of 28-30 weeks, median being 23.5. There is association between higher maternal DBP and appearance of maternal complications (as DBP increases mother is more at risk). Conclusions: Pregnancies complicated by severe preeclampsia can be managed expectantly in a tertiary care centre of India (low resource country) provided mother and fetus are monitored for their wellbeing.
Uterine rupture is one of the most dangerous obstetric situation carrying an increased risk of maternal and perinatal morbidity and mortality, associated with poorly managed labour. The incidence of spontaneous rupture of unscarred uterus is around 1 in 8000 to 1 in 15000 deliveries. We report this unusual case of spontaneous unscarred fundal rupture after normal vaginal delivery. This case under reference developed shock soon after delivery and was explored due to suspected intraperitoneal hemorrhage. This case is being reported to emphasis the need for proper post-delivery monitoring not only to diagnose post-partum hemorrhage but also to suspect uterine rupture as a cause of unexplained shock developing after delivery inspite of all resuscitative measures. Although unexpected in a woman with an unscarred uterus, rupture should be considered as a possible cause of unusual pain or hypotension in the mother. The most effective way to reduce the number of morbidity and mortality would be to prevent unwanted pregnancies by informed and effective use of contraception.
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